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. 2024 Feb 14;30(6):579–598. doi: 10.3748/wjg.v30.i6.579

Table 2.

Characteristics of the included studies that assessed the diagnostic test accuracy of the 14C-urea breath test

Ref.
Country
Design
Population, n
Prevalence (%)
Reference standard
Index test (model)
Optimal cut-off
Urea dosing (μCi)
Time after administration (min)
Measurement tecnique
TP
TN
FP
FN
Han et al[30], 2023 China Cross-sectional 205 42.4 HE and RUT 14C-UBT 100 dpm 0.75 20 SC 83 3 115 4
Wang et al[29], 2021 China Cross-sectional 267 71.9 HE 14C-UBT 238 dpm 0.75 25 NR 158 12 63 34
Miftahussurur[69], 2021 Indonesia Cross-sectional 55 23.6 HE 14C-UBT 57 cpm 1 10 HA 12 1 41 1
Cosgun et al[70], 2016 Turkey Cross-sectional 126 92.1 HpC or HE 14C-UBT NR 1 10 HA 112 7 3 4
Atli et al[71], 2012 Turkey Cross-sectional 100 35.0 HE 14C-UBT Positive: > 50 cpm/suspicious: 25-50 cpm /negative: < 25 dpm 1 10 HA 32 4 61 3
Alarcón-Rivera et al[72], 2011 Mexico Cross-sectional 84 70.2 HE 14C-UBT Positive: > 50 ppm/indeterminate: 25-50 ppm/negative: < 25 ppm 1 10-15 HA 56 1 24 3
Mansour-Ghanaei et al[73], 2011 Iran Cross-sectional 125 56.8 HE, RUT, Serology (at least two positive) 14C-UBT 50 cpm 1 15 HA 67 0 54 4
Ozdemir et al[74], 2008 Turkey Cross-sectional 89 66.3 HE, RUT, PCR (at least two positive) 14C-UBT Positive: > 50 cpm/equivocal: 25-50 cpm; negative: < 25 dpm 1 10 HA 57 0 30 2
Rasool et al[75], 2007 Pakistan Cross-sectional 94 64.9 RUT 14C-UBT 50 cpm 1 10 β-SC 60 3 30 1
Gurbuz et al[76], 2005 Turkey Cross-sectional 65 44.6 HE 14C-UBT Positive: > 50 cpm/suspicious: 25-50 cpm /negative: < 25 dpm 1 10 HA 26 8 28 3
Gatta et al[31], 2003 Italy Cross-sectional 117 65.0 HpC or (HE and RUT) 14C-UBT 130-136 dpm (dpm at sample-dpm at T0) 1 12.5 LSC 73 2 39 3
González et al[77], 2003 Chile Cross-sectional NR 71.9 Two or more positives 14C-UBT 200 dpm 1 10 LSC 61 14 11 3
Oztürk et al[78], 2009 Turkey Cross-sectional 75 65.8 HE 14C-UBT 100 dpm 1 10 LSC 48 5 20 0
Gomes et al[79], 2002 Brazil Cross-sectional 137 83.9 HE and RUT 14C-UBT 1000 cpm 5 15 LSC 114 1 21 1
Desroches et al[80], 1997 Canada Cross-sectional 56 80.4 HE or HpC 14C-UBT 0.33‰ AS (14CO2 specific activity) 5 20 LSC 44 0 11 1
Allardyce et al[81], 1997 New Zealand Cross-sectional 63 34.9 HE and RUT 14C-UBT 49 dpm 1 30 β-SC 22 2 39 0
Faigel et al[82], 1996 United States Cross-sectional 50 42.6 HE or RUT 14C-UBT Positive: > 200 dpm in any sample/borderline: 100-200 dpm (as the peak count)/negative: < 100 dpm (in all samples) 1 Multiple times LSC 18 1 26 2
Goh et al[83], 1995 Malaysia Cross-sectional 63 50.8 HpC or [HE and (RUT or Gram staining)] 14C-UBT 1275 dpm 5 15 LSC 32 0 31 0
Kao et al[84], 1993 China Cross-sectional 184 53.8 HpC or RUT 14C-UBT 150‰ 5 10 LSC 99 14 71 0
Vivas et al[85], 1993 Venezuela Cross-sectional 15 53.3 HE 14C-UBT 100 dpm 1 20 β-SC 8 1 6 0
Novis et al[28], 1991 Israel Cross-sectional 64 80.3 HE 14C-UBT 4,7‰ 10 Multiple times LSC 59 3 12 2

CLO: Campylobacter-like organism; HA: Heliprobe Analyser; HE: histopathological examination; HpC: Helicobacter pylori culture; LSC: Liquid scintillation counting; NR: Not reported; RUT: Rapid urease test; SC: Solid scintillation counting; UBT: Urea breath test; β-SC: Beta-scintillation counting.