Evidence map›Paper›PMID 34279479›Full record

ArticleJournal of clinical medicine2021

Diagnostic Value of the Peptest

Karol Zeleník, Viktória Hránková, Adéla Vrtková, Lucia Staníková, Pavel Komínek, Martin Formánek

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review article: Diagnosis and management of laryngopharyngeal reflux.Alimentary pharmacology & therapeutics · 2024
    Review
  3. Article
  4. Usefulness of pepsin saliva measurement for the detection of primary burning mouth syndrome related to reflux.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  5. Review
  6. Article
  7. Variability and accuracy of multiple saliva pepsin measurements in laryngopharyngeal reflux patients.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
    Article
  8. Saliva pepsin measurements in the detection of gastroesophageal reflux disease in laryngopharyngeal reflux patients: a cohort study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  9. [Consistency analysis of pepsin immunohistochemistry and pepsin test box in the diagnosis of laryngopharyngeal reflux].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023
    Article
  10. Article
  11. Review
  12. 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

6 authors.

Karol ZeleníkDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, 708 52 Ostrava, Czech Republic.ORCID 0000-0003-1349-9958
Viktória HránkováDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, 708 52 Ostrava, Czech Republic.
Adéla VrtkováDepartment of Applied Mathematics, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, 708 00 Ostrava, Czech Republic.ORCID 0000-0002-0511-0749
Lucia StaníkováDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, 708 52 Ostrava, Czech Republic.ORCID 0000-0002-8796-7366
Pavel KomínekDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, 708 52 Ostrava, Czech Republic.
Martin FormánekDepartment of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine, University Hospital of Ostrava, 708 52 Ostrava, Czech Republic.ORCID 0000-0002-5759-2073

Funding

Ministerstvo Zdravotnictví Ceské Republiky MH CZ - DRO - FNOs/2018
6 · The paper itself

Abstract

backgroundThe Peptest

methodsPatients with suspected LPR were examined with the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), fasting Peptest, and MII-pH monitoring. We calculated the accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the Peptest, RSI, and RFS based on the threshold of one and six hypopharyngeal reflux episodes.

resultsAltogether, the data from 46 patients were analyzed. When one hypopharyngeal reflux episode was used as a diagnostic threshold for LPR, the accuracy, sensitivity, specificity, PPV, and NPV were, respectively, as follows: 35%, 33%, 100%, 100%, and 3%, for the Peptest; 39%, 40%, 0%, 95%, and 0%, for the RSI; and 57%, 58%, 0%, 96%, and 0%, for the RFS. The accuracy, sensitivity, specificity, PPV, and NPV of the Peptest for diagnosing gastroesophageal reflux disease (GERD) were 46%, 27%, 63%, 40.0%, and 48%, respectively.

conclusionsA positive Peptest is highly supportive of a pathological LPR diagnosis. However, a negative test could not exclude LPR.

Indexed as

24-h multichannel intraluminal impedance-pHgastroesophageal reflux diseaselaryngopharyngeal refluxPeptestTMReflux Finding Score

Identifiers

PMID34279479
PMCPMC8268930

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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.