{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:06:54Z","timestamp":1765609614313},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,11,8]],"date-time":"2014-11-08T00:00:00Z","timestamp":1415404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Major New Drugs Innovation and Development","award":["No: 2011ZX09302-007-03"],"award-info":[{"award-number":["No: 2011ZX09302-007-03"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Helicobacter"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the efficacy and safety of hybrid therapy compared to other pre\u2010existing therapies and to new therapies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Through a search of PubMed, <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>, the Cochrane Central Register of Controlled Trials, and Conference Proceedings Citation Index, two independent reviewers systemically identified randomized, controlled trials that compared hybrid therapy to other pre\u2010existing and new therapies. Dichotomous data were pooled to obtain the relative risk (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>) of the eradication rate, with 95% confidence intervals (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 6 studies, 5 of which compared hybrid therapy and sequential therapy, and 3 of which compared hybrid therapy and concomitant therapy. Pooled estimates of the 5 randomized controlled trials (<jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>s) revealed no significant differences between hybrid therapy and sequential therapy and no evidence of heterogeneity (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup><jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0%; <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.803), the pooled <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>s were 1.02 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.93\u20131.12) (intention\u2010to\u2010treat (<jats:styled-content style=\"fixed-case\">ITT<\/jats:styled-content>)), and 1.03 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.94\u20131.13) (per protocol (<jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>)). Pooled estimates of the 3 <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>s showed no significant differences between hybrid therapy and concomitant therapy with no evidence of heterogeneity (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup><jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0%; <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.967), the pooled <jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>s were 0.99 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.89\u20131.10) (<jats:styled-content style=\"fixed-case\">ITT<\/jats:styled-content>) and 0.99 (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.89\u20131.10) (<jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content>). No significant differences in adverse events were noted among hybrid therapy, sequential therapy, and concomitant therapy ((<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>: 1.13; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.87\u20131.48; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup><jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>13.2%; <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.327), (<jats:styled-content style=\"fixed-case\">RR<\/jats:styled-content>: 0.89; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.73\u20131.08; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00%; <jats:italic>p\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>.978) (<jats:styled-content style=\"fixed-case\">ITT<\/jats:styled-content>), respectively). After consideration of all treatment arms, the <jats:styled-content style=\"fixed-case\">ITT<\/jats:styled-content> eradication rates with hybrid therapy, concomitant therapy, and sequential therapy were 88.6, 86.3, and 84.7%, respectively. And the <jats:styled-content style=\"fixed-case\">PP<\/jats:styled-content> eradication rates were 92.1, 92.5, and 87.5%. No significant differences were observed between the groups in terms of compliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All three of these therapies yielded good eradication rates. Hybrid therapy could be an alternative to sequential therapy and concomitant therapy, but additional <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>s are needed to confirm this finding.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hel.12180","type":"journal-article","created":{"date-parts":[[2014,11,8]],"date-time":"2014-11-08T06:48:07Z","timestamp":1415429287000},"page":"79-88","source":"Crossref","is-referenced-by-count":32,"title":["Review: Efficacy and Safety of Hybrid Therapy for <i>Helicobacter pylori<\/i> Infection: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1111","volume":"20","author":[{"given":"Ben","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Gastroenterology The First Affiliated Hospital of Nanchang University Nanchang 330000 Jiangxi Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"You\u2010Hua","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of 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