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. 2021 Nov 26;71(2):238–253. doi: 10.1136/gutjnl-2021-325630

Table 5.

Accuracy of current commonly used Helicobacter pylori diagnosis methods

H. pylori diagnosis tests Sensitivity Specificity Positive predictive value Negative predictive value
Non-invasive tests
13C-UBT135 138 161 90.0%–96.0% 94%–98.0% 97.4%–99.2% 90.8%–91.2%
14C-UBT135 136 148 162 96%–97.3% 91%–97.0% 93.31%–96.8% 94.3%–97.6%
 Serum anti-H. pylori IgG antibody test142–144
 Serum anti-H. pylori protein array UreB/CagA/VacA145
72.7%–90.0%
93.4%/95.4%/96.04%
68.4%–100.0%
94.8%/94.4%/97.5%
66.7%–100.0%
N/A
74.3%–83.3%
N/A
 HpSA ELISA test133 146–148 73.9%–95.0% 86.8%–100.0% 85%–100.0% 76.5%–92.0%
Invasive tests
 RUT148 149 161 85.0%–99.0% 92.4%–94.1% 90.5%–97.4% 86.5%–99.2%
 Histology138 150 151 161 83%–95.5% 95.4%–100.0% 94.6%–100.0% 88.6%–97.0%
 Culture148 150 152 67.9%–96.0% 79.4%–100.0% 88.7%–100.0% 50.9%–95.0%

HpSA, Helicobacter pylori stool antigen test; N/A, not available; RUT, rapid urease test; UBT, urea breath test.

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