The endoscopic predictors of Helicobacter pylori status: a meta-analysis of diagnostic performance.
Objective: The endoscopic findings associated with Helicobacter pylori –naïve status, current infection or past infection are an area of ongoing interest. Previous studies have investigated parameters with a potential diagnostic value. The aim of this study was to perform meta-analysis of the availa...
| Publicado en: | Therapeutic Advances in Gastrointestinal Endoscopy pp. 1 - 20 |
|---|---|
| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
10/23/2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146597389&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146597389 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26317745 M8AA jtl: Therapeutic Advances in Gastrointestinal Endoscopy issn: 26317745 maglogo: Y pubinfo: dt: 10/23/2020 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 146597389 146597389 146597389 10.1177/2631774520950840 146597389 ppf: 1 ppct: 19 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The endoscopic predictors of Helicobacter pylori status: a meta-analysis of diagnostic performance. aug: au: Glover, Ben Teare, Julian Ashrafian, Hutan Patel, Nisha affil: Imperial College London, London, UK sug: subj: Helicobacter Infections Diagnosis Endoscopy, Gastrointestinal Sensitivity and Specificity Gastric Mucosa Microbiology Human Systematic Review Meta Analysis Medline Embase Odds Ratio Descriptive Statistics Checklists Data Analysis Software ab: Objective: The endoscopic findings associated with Helicobacter pylori –naïve status, current infection or past infection are an area of ongoing interest. Previous studies have investigated parameters with a potential diagnostic value. The aim of this study was to perform meta-analysis of the available literature to validate the diagnostic accuracy of mucosal features proposed in the Kyoto classification. Data sources: The databases of MEDLINE and Embase, clinicalTrials.gov and the Cochrane Library were systematically searched for relevant studies from October 1999 to October 2019. Methods: A bivariate random effects model was used to produce pooled diagnostic accuracy calculations for each of the studied endoscopic findings. Diagnostic odds ratios and sensitivity and specificity characteristics were calculated to identify significant predictors of H pylori status. Results: Meta-analysis included 4380 patients in 15 studies. The most significant predictor of an H pylori -naïve status was a regular arrangement of collecting venules (diagnostic odds ratio 55.0, sensitivity 78.3%, specificity 93.8%). Predictors of active H pylori infection were mucosal oedema (18.1, 63.7%, 91.1%) and diffuse redness (14.4, 66.5%, 89.0%). Map-like redness had high specificity for previous H pylori eradication (99.0%), but poor specificity (13.0%). Conclusion: The regular arrangement of collecting venules, mucosal oedema, diffuse redness and map-like redness are important endoscopic findings for determining H pylori status. This meta-analysis provides a tentative basis for developing future endoscopic classification systems. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|