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  Vol. 159 No. 20, November 8, 1999 TABLE OF CONTENTS
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  Editor's Correspondence
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Helicobacter pylori and Gastric Cancer: Both Primary and Secondary Preventive Measures Are Required

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We read with interest the article by Fendrik et al1 in the January issue of the ARCHIVES. The authors evaluated the cost-effectiveness of primary prevention of gastric cancer based on the eradication of the Helicobacter pylori infection in different epidemiological contexts and using different strategies. Both single H pylori serological testing and H pylori testing followed by confirmatory tests resulted in a positive cost-effective balance, proportional to the cancer risk associated with the considered population.

The article was concerned with the "Clinical and Economic Effects of Population-Based Helicobacter pylori Screening"; from the perspective of the clinician, however, we believe that evaluation of computer modeling might also have been considered. The disease burden on society associated with H pylori is immense, and one may ask whether assumptions used in the computer model were representative of the actual clinical problem.2-3 Computer models of complex questions are always challenged by the number of . . . [Full Text of this Article]



THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The long term outcome of gastric non-invasive neoplasia
Rugge et al.
Gut 2003;52:1111-1116.
ABSTRACT | FULL TEXT  





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