Table 2. Randomized controlled trials comparing test-and-treat strategy with empirical antisecretory therapy.
Author | Year of publication | Country | Number of patientsa | Age limit (years) | Setting | H. pylori diagnostic methods | H. pylori infection prevalencea | H. pylori eradication treatmenta | H. pylori eradication ratea | Follow-up time (months) | Outcome measures |
---|---|---|---|---|---|---|---|---|---|---|---|
Manes et al.27 | 2003 | Italy | 110 | <45 | Secondary care | UBT | 61% | PPI+C+N | 94% | 12 | Dyspeptic symptoms Costs/use of medical resources |
Jarbol et al.28 | 2006 | Denmark | 250 | No age limit | Primary care | UBT | 24% | PPI+C+A | Unknown | 12 | Dyspeptic symptoms Quality of life Patient satisfaction Costs/use of medical resources |
Delaney et al.29 | 2008 | UK | 343 | No age limitb | Primary care | UBT | 29% | PPI+C+N | 78% | 12 | Dyspeptic symptoms Quality of life Patient satisfaction Costs/use of medical resources |
Duggan et al.24 | 2009 | UK | 198 | No age limit | Primary care | Near-patient serology test | 23% | PPI+C+N | Unknown | 12 | Dyspeptic symptoms Quality of life Patient satisfaction Costs/use of medical resources |
Abbreviation: UBT, 13C-urea breath test.
H. pylori eradication treatment: A, amoxicillin; C, clarithromycin; N, nitroimidazole; PPI, proton pump inhibitor.
In the test-and-treat group.
Age threshold at 65 years.