Evidence map›Paper›PMID 16437639›Full record

ArticleWorld journal of gastroenterology2005

Stool antigen tests in the diagnosis of Helicobacter pylori infection before and after eradication therapy.

Lea Veijola, Eveliina Myllyluoma, Riitta Korpela, Hilpi Rautelin

Registry-linked trialOpen access · hybridAbstract readEvaluation Study
In one paragraph

Article in World journal of gastroenterology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05957432 (Efficacy and Safety of Black Seed Oil With Vonoprazan Based Triple Therapy in Treatment of Helicobacter Pylori), which is not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05957432 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Black Seed Oil With Vonoprazan Based Triple Therapy in Treatment of Helicobacter Pylori

TypeinterventionalSponsorAin Shams UniversityRan2023 to 2025Enrolled90ConditionsHelicobacter Pylori InfectionArmsBlack Seed Oil Cap/Tab, Vonoprazan, Amoxicillin and Clarithromycin
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. First regional consensus on the management ofWorld journal of gastroenterology · 2025
    Guideline
  2. Non-invasive diagnostic tests for Helicobacter pylori infection.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Trial
  4. Trial
  5. International journal of molecular sciences · 2025
    Review
  6. Diagnosis and treatment ofFuture microbiology · 2025
    Review
  7. Article
  8. Comparison of Four Tests for the Diagnosis ofHealthcare (Basel, Switzerland) · 2024
    Article
  9. Article
  10. Diagnostic and therapeutic recommendations onPrzeglad gastroenterologiczny · 2023
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Stool antigen detection versusArchives of medical science : AMS · 2018
    Article
  17. Dyspepsia: When and How to Test for Helicobacter pylori Infection.Gastroenterology research and practice · 2016
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Lea VeijolaDepartment of Bacteriology and Immunology, Haartman Institute, University of Helsinki, PO Box 21, Fin-00014 Helsinki, Finland. lea.veijola@helsinki.fi
Eveliina Myllyluoma
Riitta Korpela
Hilpi Rautelin
Helsinki Institute of Physics · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate two enzyme immunoassay-based stool antigen tests, Premier Platinum HpSA and Amplified IDEIA HpStAR, and one rapid test, ImmunoCard STAT! HpSA, in the primary diagnosis of Helicobacter pylori (H pylori) infection and after eradication therapy.

methodsAltogether 1 574 adult subjects were screened with a whole-blood H pylori antibody test and positive results were confirmed with locally validated serology and (13)C-urea breath test. All 185 subjects, confirmed to be H pylori positive, and 97 H pylori-negative individuals, randomly selected from the screened study population and with negative results in serology and UBT, were enrolled. After eradication therapy the results of 182 subjects were assessed.

resultsAt baseline, the sensitivity of HpSA and HpStAR was 91.9% and 96.2%, respectively, and specificity was 95.9% for both tests. ImmunoCard had sensitivity of 93.0% but specificity of only 88.7%. After eradication therapy, HpSA and HpStAR had sensitivity of 81.3% and 100%, and specificity of 97.0% and 97.6%, respectively. ImmunoCard had sensitivity of 93.8% and specificity of 97.0%. HpSA, HpStAR, and ImmunoCard had PPV 77%, 80%, and 75%, and NPV 98%, 100%, and 99%, respectively.

conclusionIn primary diagnosis, the EIA-based tests performed well. After eradication therapy, negative results were highly accurate for all the three tests. HpStAR had the best overall performance.

Indexed as

AdultAgedAnti-Bacterial AgentsAntigens, BacterialBreath TestsFecesFemaleHelicobacter InfectionsHelicobacter pyloriHumansImmunoenzyme TechniquesMaleMiddle AgedSensitivity and SpecificitySerologic TestsAnti-Bacterial AgentsAntigens, Bacterial

Identifiers

PMID16437639
PMCPMC4725140
OpenAlexW2400803118

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.