Evidence map›Paper›PMID 19618211›Full record

ReviewEuropean journal of pediatrics2010

Helicobacter pylori diagnostic tests in children: review of the literature from 1999 to 2009.

Jeannette Guarner, Nicolas Kalach, Yoram Elitsur, Sibylle Koletzko

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of pediatrics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. The updated JSPGHAN guidelines for the management of Helicobacter pylori infection in childhood.Pediatrics international : official journal of the Japan Pediatric Society · 2020
    Guideline
  2. Pooled it
  3. International journal of molecular sciences · 2025
    Review
  4. Association ofPediatric gastroenterology, hepatology & nutrition · 2025
    Article
  5. Prevalence, Management, and Outcomes of Non-InvasivePediatric gastroenterology, hepatology & nutrition · 2024
    Article
  6. [Viable Bacteria Assay ofSichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024
    Article
  7. Przeglad gastroenterologiczny · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. What Is New inJournal of clinical medicine · 2021
    Review
  13. PeerJ · 2021
    Article
  14. Prevalence ofNorthern clinics of Istanbul · 2020
    Article
  15. Article
  16. International journal of general medicine · 2020
    Article
  17. Diagnosis and treatment ofChronic diseases and translational medicine · 2019
    Review
  18. Article
  19. Helicobacter pylori infection in children: an overview of diagnostic methods.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2019
    Review
  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 3 institutions in 2 countries.

Jeannette GuarnerDepartment of Pathology and Laboratory Medicine, Emory University Hospital (rm C179A), 1364 Clifton Rd, Atlanta, GA 30322, USA. jguarne@emory.edu
Nicolas Kalach
Yoram Elitsur
Sibylle Koletzko
Emory University Hospital · USMarshall University · USUniversité Catholique de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The array of tests that can be used for diagnosis of Helicobacter pylori infection is large, and it can be confusing to define which test to use particularly in children where results may not be comparable to those obtained in adult patients. Using PubMed, we reviewed the English literature from January 1999 to May 2009 to identify articles that determined sensitivity and specificity of H. pylori invasive and non-invasive diagnostic tests in children. We excluded articles that presented a review of the literature, abstracts, case reports, or series where children's results could not be separated from adult populations. Of the tissue based methods, rapid urease tests have better sensitivity than histology to detect presence of H. pylori; however, histology can detect the pathology associated with disease including gastritis, intestinal metaplasia, and other conditions that could be the cause of the child's symptoms. Culture of gastric tissues or stool has 100% specificity but sensitivity is low. Of the serologic tests, immunoblot has the best sensitivity. The urea breath tests have >75% sensitivity for detection of H. pylori before and after treatment. Immunoassays in stool using monoclonal antibodies have >95% sensitivity for detection of H. pylori before and after treatment. PCR testing can be performed in tissue and stool samples and can detect genes associated to antibiotic resistance. In summary, the current commercial non-invasive tests have adequate sensitivity and specificity for detecting the presence of H. pylori; however, endoscopy with histopathology is the only method that can detect H. pylori and lesions associated with the infection.

Indexed as

Helicobacter pyloriAntibodies, BacterialBreath TestsChildDiagnosis, DifferentialDNA, BacterialEndoscopy, GastrointestinalHelicobacter InfectionsHumansRetrospective StudiesUreaAntibodies, BacterialDNA, BacterialUrea

Identifiers

PMID19618211
OpenAlexW2039322958

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.