Table 1. Testing and treatment parameters used including estimated ranges around each parameter.
Parameter | Best estimate | Lower range | Upper range | Distribution | Reference |
Testing for H.pylori | |||||
Breath test | |||||
Sensitivity (%) | 95.3 | 92.2 | 97.5 | 95%CIa | [16] |
Specificity (%) | 97.7 | 94.8 | 99.3 | 95%CI | [16] |
Serology | |||||
Sensitivity (%) | 92 | 85 | 96 | IQRb | [14] |
Specificity (%) | 83 | 73 | 92 | IQR | [14] |
Stool Antigen | |||||
Sensitivity (%) | 94 | 93 | 95 | 95%CI | [15] |
Specificity (%) | 97 | 96 | 98 | 95%CI | [15] |
Gastroscopy with biopsy | |||||
Sensitivity (%) | 95 | 90 | 99 | [36] | |
Specificity (%) | 99 | 95 | 100 | [36] | |
Treatment of H. pylori | |||||
HP7 efficacy | 77% | 27% | 97% | full range | [29], [37] |
2nd line treatment efficacy | 90% | 85% | 95% | [38] | |
Sequential therapy efficacy | 93% | 91% | 95% | 95%CI | [37] |
Benefits of H.pylori eradication | |||||
Reduction in gastric cancers | RRc 0.56 | RR 0.4 | RR 0.8 | 95%CI | [7] |
Reduction in duodenal ulcers | RR 0.37 | RR 0.26 | RR 0.53 | 95% CI | [22] |
Other | |||||
Incidence of Peptic Ulcer disease | 0.19% | 0.10% | 0.19% | [39] | |
Prevalence of Peptic Ulcer disease | 1.50% | 0.12% | 1.50% | [39] | |
Incidence of duodenal ulcer if H. pylori +ve | 5% | 0.18% | 17% | 95% CI | [21] |
Treatment adverse effects (all) | |||||
Comparison | 8% | [22] | |||
Treatment | 22% | [22] | |||
Cancer Survival (%) | |||||
1 year | 41 | 39 | 42 | 95%CI | [5] |
2 year | 26 | 25 | 28 | 95%CI | [5] |
3 year | 21 | 19 | 22 | 95%CI | [5] |
4 year | 18 | 16 | 19 | 95%CI | [5] |
5 year | 16 | 14 | 17 | 95%CI | [5] |
CI = 95% Confidence Interval.
IQR = Interquartile range.
RR = Relative Risk.