Meta AnalysisID 4699

尿素呼气试验诊断幽门螺杆菌感染的最佳截断值:系统评价和Meta分析的方案

CRD42021272076

Which cut-off values were optimal for urea breath test in diagnosing helicobacter pylori infection?

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Record Fields

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Meta Analysis Id
4699
Evidence Id
13257
Core Evidence Id
13257
Source Meta Analysis Id
4667
Herb2 Meta Analysis Id
HBMA004667
Crd Id
CRD42021272076
Title
Optimal cut-off values for diagnosing helicobacter pylori infection with urea breath test: A protocol of systematic review and meta-analysis.
Review Question
Which cut-off values were optimal for urea breath test in diagnosing helicobacter pylori infection?
Study Type Included
Any applicable study, no special restrictions. But review, letter, meeting abstract, notes, comments, editorials, protocol, guidelines, case reports and case series will be excluded.
Condition Being Studied
Helicobacter pylori infection remains one of the most prevalent infections worldwide, especially in low-resource countries. Helicobacter pylori infection has been implicated in a number of malignancies and non-malignant conditions including peptic ulcers, non-ulcer dyspepsia, recurrent peptic ulcer bleeding, unexplained iron deficiency anaemia, and colorectal adenomas. Currently, various diagnostic methods are available for detecting these infections, urea breath test is may a highly sensitive and specific and allows to diagnose the presence or absence of infection of H. pylori, through the oral administration of a solution containing urea labelled with the non-radioactive and radioactive natural carbon. However, the urea breath test has many clinical diagnostic cut-off values, and there are certain differences between the cut-off values, which may affect the diagnosis of Helicobacter infection.
Participant
Population with doing urea breath test for detection of H. pylori infection. However we considered only endoscopic biopsy followed by histology (using haemotoxylin and eosin (H & E) stain, special histological stains such as Giemsa stain and Warthin-Starry stain, or immunohistochemical stain) as the reference standard/ gold standard for diagnosis of H pylori infection.
Animal
Human Disease Modelled
Intervention
The intervention is mainly 13C/14C urea breath test. 13C/14C-urea breath test(13C/14C-UBT) is known to be a good diagnostic method for detecting H. pylori infection since it is non-invasive, simple and accurate. The UBT is based on the principle, that isotopically labelled urea ingested by an H. pylori--infected patient is rapidly hydrolysed by the microbial urease. The released 13/14CO2 is absorbed across the mucous layer to the gastric mucosa and hence, excreted via the systemic circulation in the breath which is collected and measured.
Comparator Control
Not applicable
Main Outcome
The diagnostic accuracy of urea breath test in different cut-off values for helicobacter pylori infection. Measures of effect Sensitivity, specificity, false positive rate, and false negative rate, positive likelihood ratio and negative likelihood ratio, Diagnostic odds ratio(DOR).
Outcome Measure
Additional Outcome
Study Method
Diagnostic, Meta-analysis, Systematic review
Keyword
Breath Tests; Helicobacter Infections; Helicobacter pylori; Humans; Meta-Analysis as Topic; Systematic Reviews as Topic; Urea
Contact
Anya Shi [email protected]
Organisational Affiliation
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Ongoing
First Submission Date
2021-09-06
Registration Date
2021-10-07
Anticipated Start Date
2021-08-05
Anticipated Completion Date
2022-08-05
Title Cn
尿素呼气试验诊断幽门螺杆菌感染的最佳截断值:系统评价和Meta分析的方案
Title En
Optimal cut-off values for diagnosing helicobacter pylori infection with urea breath test: A protocol of systematic review and meta-analysis.
Bilingual Status
complete