Evidence map›Paper›PMID 34504781›Full record

ArticleFrontiers in oncology2021

Diagnostic Value of Serum Pepsinogen Levels for Screening Gastric Cancer and Atrophic Gastritis in Asymptomatic Individuals: A Cross-Sectional Study.

Yuling Tong, Hongguang Wang, Yi Zhao, Xueqiang He, Hongwei Xu, Hong Li, Ping Shuai, Lirong Gong, Hongbo Wu, Hongzhi Xu and 4 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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.

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pepsinogen Assay Findings in Individuals With Gastric Atrophy and Intestinal Metaplasia.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Analysis of high risk factors for chronic atrophic gastritis.Saudi 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

14 authors at 9 institutions in 1 country.

Yuling TongDepartment of General Practice/Health Management Center, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China.
Hongguang WangDepartment of Gastroenterology, Jilin City People's Hospital, Jilin, China.
Yi ZhaoDepartment of General Practice/Health Management Center, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China.
Xueqiang HeDepartment of Gastroenterology, No. 924 Hospital of the People's Liberation Army of China, Guilin, China.
Hongwei XuDepartment of Gastroenterology, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, China.
Hong LiDepartment of Health Medicine, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Ping ShuaiHealth Management Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Lirong GongHealth Management Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Hongbo WuDepartment of Gastroenterology, The First Hospital Affiliated to AMU (Southwest Hospital), Chongqing, China.
Hongzhi XuDepartment of Gastroenterology, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.
Yinhu LuoDepartment of Gastroenterology, Jingzhou Hospital of Traditional Chinese Medicine, Jingzhou, China.
Dong WangDepartment of Gastroenterology, Shanghai Changhai Hospital, Shanghai, China.
Shizhu LiuDepartment of Gastroenterology, Jilin City People's Hospital, Jilin, China.
Zhenya SongDepartment of General Practice/Health Management Center, The Second Affiliated Hospital of Zhejiang University, School of Medicine, Hangzhou, China.
Second Affiliated Hospital of Zhejiang University · CNPeople 's Hospital of Jilin Province · CNUniversity of Electronic Science and Technology of China · CN181st Hospital of Chinese People's Liberation Army · CNChanghai Hospital · CNChinese People's Liberation Army · CNShanghai University of Traditional Chinese Medicine · CNSouthwest Hospital · CNTraditional Chinese Medicine Hospital of Kunshan · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPepsinogens (PGs) can be used for gastric cancer (GC) screening, but the cutoff levels vary among studies, and PG levels are influenced by numerous factors. The aim of this article is to examine the diagnostic value of PG levels and Helicobacter pylori (Hp) status for GC and atrophic gastritis screening in asymptomatic individuals undergoing health checkup in China. PATIENTS AND

methodsThis was a multicenter cross-sectional study of subjects who underwent health checkup from 10/2016 to 10/2018 at nine International Healthcare Centers in China. All participants underwent gastroscopy and pathological examination, serum PG,

resultsThe patients were grouped as non-atrophic (NAG, n = 1,590), mild to moderate atrophic (MAG, n = 273), severe atrophic (SAG, n = 49), and GC (n = 10). The serum PG levels in these groups decreased with increasing pathological severity. In the same pathological groups, PGI and PGII levels were higher in the

conclusionSerum PG levels might be used for the screening of gastric atrophic gastritis lesions. The results suggest that different cutoff values should possibly be used in different

Indexed as

diagnostic valuegastric cancerHelicobacter pyloripepsinogensprecancerous lesionsscreening

Identifiers

PMID34504781
PMCPMC8421685
OpenAlexW3194773834

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.