Evidence map›Paper›PMID 29353347›Full record

ArticleJournal of gastroenterology2018

Serum pepsinogen levels indicate the requirement of upper gastrointestinal endoscopy among Group A subjects of ABC classification: a multicenter study.

Daisuke Chinda, Tadashi Shimoyama, Tatsuya Mikami, Tetsu Arai, Daisuke Chiba, Yoshio Sasaki, Kazuo Komai, Yoshihiko Sawada, Yoshiharu Saito, Hironobu Chiba and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
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  5. What Is New inJournal of clinical medicine · 2021
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  8. Observational
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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

12 authors.

Daisuke ChindaDepartment of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan.
Tadashi ShimoyamaDepartment of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan. tsimo-hki@umin.ac.jp.ORCID http://orcid.org/0000-0001-9615-0000
Tatsuya MikamiDivision of Endoscopy, Hirosaki University Hospital, Hirosaki, Japan.
Tetsu AraiDepartment of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan.
Daisuke ChibaDepartment of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan.
Yoshio SasakiSasaki Clinic of Gastroenterology and Internal Medicine, Aomori, Japan.
Kazuo KomaiKomai Clinic of Gastroenterology and Internal Medicine, Aomori, Japan.
Yoshihiko SawadaSawada Clinic of Internal Medicine, Hirosaki, Japan.
Yoshiharu SaitoShinjo Clinic of Gastroenterology and Internal Medicine, Aomori, Japan.
Hironobu ChibaChiba Clinic of Gastroenterology and Internal Medicine, Hirosaki, Japan.
Shinsaku FukudaDepartment of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, 036-8562, Japan.
RINGO Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundABC classification has been used to assess the risk for gastric cancer. The current problem of ABC classification is that Group A contains individuals with current and past H. pylori infection. The aims of this study were to assesse the proportion of current and past infection in Group A and to establish a criteria for the identification of subjects with past infection from Group A subjects with negative results of urea breath test (UBT) and/or stool antigen test.

methods201 subjects classified into Group A received UBT and/or stool antigen test, and also subsequent upper gastrointestinal endoscopy. The subjects were classified by the status of H. pylori infection defined by endoscopic findings. Levels of pepsinogen (PG) I, PG II and PG I/II ratio were compared between the groups, and receiver operating characteristic curves were constructed to extract the corresponding cutoff values.

results22 subjects were tested positive by UBT and/or stool antigen test. Endoscopic images of 157 out of 179 subjects were studied. 15 of the subjects were regarded to have past H. pylori infection. The optimal cut-off value of PG I and PG I/II ratio for the determination of past H. pylori infection were ≤ 31.2 ng/mL and ≤ 4.6, respectively.

conclusionsApproximately 20% of Group A subjects have current or past H. pylori infection. Addition of UBT and/or stool antigen test can identify current but not past infection. Serum PG levels would be useful to identify subjects with past H. pylori infection.

Indexed as

Endoscopy, GastrointestinalHelicobacter pyloriAdultAgedAged, 80 and overAntigens, BacterialBreath TestsFecesFemaleHelicobacter InfectionsHumansMaleMiddle AgedPepsinogen ARisk AssessmentROC CurveAntigens, BacterialPepsinogen AGroup A of ABC classificationHelicobacter pylori infectionPepsinogen levelsUpper gastrointestinal endoscopy

Identifiers

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Registered trials

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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.