Evidence map›Paper›PMID 22673773›Full record

Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2012

Improved quality of life following total pancreatectomy and auto-islet transplantation for chronic pancreatitis.

R M Walsh, J R Aguilar Saavedra, G Lentz, A D Guerron, J Scheman, T Stevens, M Trucco, R Bottino, B Hatipoglu

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 102 citations in OpenAlex.

  1. Review
  2. Article
  3. Quality of life after pancreatic surgery.World journal of gastroenterology · 2024
    Review
  4. Understanding the Structural Arrangement of Islets in Chronic Pancreatitis.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Antioxidant Therapy in Pancreatitis.Antioxidants (Basel, Switzerland) · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Glycemic Outcomes of Islet Autotransplantation.Current diabetes reports · 2018
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

R M WalshDepartment of General Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA. walshm@ccf.org
J R Aguilar Saavedra
G Lentz
A D Guerron
J Scheman
T Stevens
M Trucco
R Bottino
B Hatipoglu
Cleveland Clinic · USUniversity of Pittsburgh · USThe Neurological Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal pancreatectomy (TP) with auto-islet transplant (AIT) is an extreme treatment for chronic pancreatitis, and we reviewed our experience to assess the impact on quality of life (QOL).

methodsA prospective cohort study from 2007 through 2010 with pre- and postoperative assessments of the Depression Anxiety Stress Scale, Pain Disability Index, and visual analogue pain scale was performed.

resultsTwenty patients underwent TP-AIT with a median follow-up of 12 months (6.75-24 months). All patients reported moderate (45 %) to severe (55 %) pain prior to surgery. TP-AIT resulted in significant decreases in abdominal pain (p < 0.001), 80 % reporting no or mild pain. Despite pain improvement, only 30 % discontinued narcotics. Improvements in all PDI QOL domains improved from 79 to 90 % (p = 0.002), with greatest improvements seen in those without prior pancreatic surgery, younger patients, and in those with higher levels of preoperative pain. Patients were less affected by depression and anxiety prior to surgery, but 60 and 70 % did show improvement in depression and anxiety, respectively (p = 0.033). Sixteen patients (80 %) required exogenous insulin at last follow-up (mean total dose of insulin 11.6 U/day).

conclusionsTP-AIT significantly improves pain and QOL measures in appropriately selected patients with CP.

Indexed as

Quality of LifeAbdominal PainAdultAnxietyCombined Modality TherapyDepressionDiabetes MellitusFemaleFollow-Up StudiesHumansHypoglycemic AgentsInsulinIslets of Langerhans TransplantationMaleMiddle AgedPancreatectomyHypoglycemic AgentsInsulin

Identifiers

PMID22673773
OpenAlexW2061589646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.