Helicobacter pylori infection and colorectal cancer risk: a meta-analysis

Zumkeller, Natalia; Brenner, Hermann; Zwahlen, Marcel; Rothenbacher, Dietrich (2006). Helicobacter pylori infection and colorectal cancer risk: a meta-analysis. Helicobacter, 11(2), 75-80.. Cambridge, Mass.: Blackwell Science 10.1111/j.1523-5378.2006.00381.x

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BACKGROUND: Several studies suggested an association between Helicobacter pylori infection and colorectal carcinoma or adenoma risk. However, different authors reported quite varying estimates. We carried out a systematic review and meta-analysis of published studies investigating this association and paid special attention to the possibility of publication bias and sources of heterogeneity between studies. Materials and METHODS: An extensive literature search and cross-referencing were performed to identify all published studies. Summary estimates were obtained using random-effects models. The presence of possible publication bias was assessed using different statistical approaches. RESULTS: In a meta-analysis of the 11 identified human studies, published between 1991 and 2002, a summary odds ratio of 1.4 (95% CI, 1.1-1.8) was estimated for the association between H. pylori infection and colorectal cancer risk. The graphical funnel plot appeared asymmetrical, but the formal statistical evaluations did not provide strong evidence of publication bias. The proportion of variation of study results because of heterogeneity was small (36.5%). CONCLUSIONS: The results of our meta-analysis are consistent with a possible small increase in risk of colorectal cancer because of H. pylori infection. However, the possibility of some publication bias cannot be ruled out, although it could not be statistically confirmed. Larger, better designed and better controlled studies are needed to clarify the situation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Zwahlen, Marcel

ISSN:

1083-4389

ISBN:

16579836

Publisher:

Blackwell Science

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:48

Last Modified:

17 Mar 2015 21:49

Publisher DOI:

10.1111/j.1523-5378.2006.00381.x

PubMed ID:

16579836

Web of Science ID:

000235892300002

URI:

https://boris.unibe.ch/id/eprint/20173 (FactScience: 3315)

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