Evidence map›Paper›PMID 31348624›Full record

SynthesisAnnals of global health2019

Muhammad Aklil Abd Rahim, Fadzrul Hafiz Johani, Shamsul Azhar Shah, Mohd Rohaizat Hassan, Mohd Rizal Abdul Manaf

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Clinical validation of a fecal PCR assay forJournal of clinical microbiology · 2026
    Observational
  2. Accuracy and Agreement of a 45 mg Versus a 75 mgDiagnostics (Basel, Switzerland) · 2026
    Article
  3. Article
  4. International journal of molecular sciences · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Diagnostic Methods for Helicobacter pylori.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Review
  9. COiScience · 2023
    Article
  10. Article
  11. Review
  12. What Is New inJournal of clinical medicine · 2021
    Review
  13. Article
  14. Diagnostic Value ofClinical and experimental gastroenterology · 2021
    Article
  15. Epidemiological investigation ofWorld journal of clinical cases · 2020
    Article
  16. Sex differences in the relationship among alcohol, smoking, andThe Journal of international medical research · 2020
    Observational
  17. The Efficacy of Washed Microbiota Transplantation onGastroenterology research and practice · 2020
    Article
  18. The necessity and appropriate range of the diagnostic "gray zone" ofSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    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

5 authors.

Muhammad Aklil Abd RahimDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Fadzrul Hafiz JohaniDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Shamsul Azhar ShahDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Mohd Rohaizat HassanDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.
Mohd Rizal Abdul ManafDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, MY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelicobacter pylori (H. pylori) infection is known to be associated with peptic ulcer and gastric cancer. Detection of H. pylori infection is a significant part of peptic ulcer and gastric cancer prevention and management. 13C-urea breath test (UBT) provides a good option for the pathogen detection due to its accuracy and safety.

objectiveThis review aims to evaluate the 13C-UBT diagnostic accuracy studies conducted among Asian population and validate its use for the Asian population.

methodsOriginal articles were systematically searched in PubMed, Scopus, and Google Scholar using the PICOS strategy by applying relevant keywords. Only studies published in English and conducted in Asia were included. Our search returned 276 articles. After assessment, 11 articles which answered our research question and met the criteria set for systematic review and meta-analysis were accepted. A total of 15 study protocols were extracted from the 11 accepted articles.

findingsMajority of the studies were conducted in Hong Kong (six), followed by Taiwan (five), Japan (two), and one each in Singapore and Israel. All studies had used histology as part of its gold standard of reference. All but one study was performed on adult populations. The summary estimate for sensitivity was 97% (95% CI: 96, 98%), and specificity was 96% (95% CI: 95, 97%), with significant heterogeneity between studies. Adjusting for the dose (50 mg) and breath sample collection time (20 minutes) had improved both accuracy estimates and significantly reduced heterogeneity.

conclusionThis review supports the test-and-treat strategy for H. pylori infection management. Prevalence and cost-effectiveness studies are mandatory for health authorities to adopt this strategy into national policy.

Indexed as

Breath TestsHelicobacter pyloriAsiaCarbon IsotopesHelicobacter InfectionsHumansReproducibility of ResultsSensitivity and SpecificityUreaCarbon IsotopesUrea

Identifiers

PMID31348624
PMCPMC6659579

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.