Table 2.
Diagnostic value of Kyoto classification for Helicobacter pylori infection
| Endoscopic findings | Ref. | Year | No. of subjects | Sensitivity | Specificity | PPV | NPV |
| Diagnosis for current H. pylori infection | |||||||
| Enlarged folds | Kato et al[59] | 2013 | 275 | 58.5 | 79.5 | 76.9 | 62.2 |
| Enlarged folds | Mao et al[60] | 2016 | 256 | 60.2 | 92.3 | 86.0 | 74.6 |
| Enlarged folds | Yoshii et al[61] | 2019 | 498 | 23.1 | 96.6 | 56.2 | 87.0 |
| Nodularity | Laine et al[57] | 1995 | 52 | 32.1 | 95.8 | 90.0 | 54.8 |
| Nodularity | Kato et al[59] | 2013 | 275 | 5.3 | 98.8 | 75.0 | 59.4 |
| Nodularity | Yoshii et al[61] | 2019 | 498 | 6.4 | 98.3 | 41.7 | 84.9 |
| Diffuse redness | Kato et al[59] | 2013 | 275 | 83.4 | 66.9 | 73.8 | 78.4 |
| Diffuse redness | Mao et al[60] | 2016 | 256 | 57.5 | 95.8 | 91.5 | 74.7 |
| Diffuse redness | Yoshii et al[61] | 2019 | 498 | 60.0 | 94.7 | 65.6 | 93.3 |
| Diagnosis for negative H. pylori infection | |||||||
| RAC | Yagi et al[58] | 2002 | 557 | 91.1 | 97.9 | 95.0 | 96.2 |
| RAC | Kato et al[59] | 2013 | 275 | 93.6 | 48.0 | 87.0 | 66.8 |
| RAC | Mao et al[60] | 2016 | 256 | 86.7 | 90.2 | 87.5 | 89.6 |
| RAC | Garcés-Durán et al[62] | 2019 | 140 | 100.0 | 49.0 | 47.3 | 100.0 |
PPV: Positive predictive value; NPV: Negative predictive value; RAC: Regular arrangement of collecting venules; H. pylori: Helicobacter pylori.