Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28337217
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28337217
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Gastroenterol+Res+Pract
2017 ; 2017
(ä): 2453254
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Cost-Effectiveness Analysis of Helicobacter pylori Diagnostic Methods in Patients
with Atrophic Gastritis
#MMPMID28337217
Omata F
; Shimbo T
; Ohde S
; Deshpande GA
; Fukui T
Gastroenterol Res Pract
2017[]; 2017
(ä): 2453254
PMID28337217
show ga
Background. There are several diagnostic methods for Helicobacter pylori (H.
pylori) infection. A cost-effective analysis is needed to decide on the optimal
diagnostic method. The aim of this study was to determine a cost-effective
diagnostic method in patients with atrophic gastritis (AG). Methods. A
decision-analysis model including seven diagnostic methods was constructed for
patients with AG diagnosed by esophagogastroduodenoscopy. Expected values of cost
and effectiveness were calculated for each test. Results. If the prevalence of H.
pylori in the patients with AG is 85% and CAM-resistant H. pylori is 30%,
histology, stool H. pylori antigen (SHPAg), bacterial culture (BC), and urine H.
pylori antibody (UHPAb) were dominated by serum H. pylori IgG antibody (SHPAb),
rapid urease test (RUT), and urea breath test (UBT). Among three undominated
methods, the incremental cost-effective ratios (ICER) of RUT versus SHPAb and UBT
versus RUT were $214 and $1914, respectively. If the prevalence of CAM-sensitive
H. pylori was less than 55%, BC was not dominated, but its H. pylori eradication
success rate was 0.86. Conclusions. RUT was the most cost-effective at the
current prevalence of CAM-resistant H. pylori. BC could not be selected due to
its poor effectiveness even if CAM-resistant H. pylori was more than 45%.