Evidence map›Paper›PMID 24717802›Full record

ArticlePancreas2014

Spectrum of use and effectiveness of endoscopic and surgical therapies for chronic pancreatitis in the United States.

Lisa M Glass, David C Whitcomb, Dhiraj Yadav, Joseph Romagnuolo, Elizabeth Kennard, Adam A Slivka, Randall E Brand, Michelle A Anderson, Peter A Banks, Michele D Lewis and 10 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Pancreas, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Review
  3. Observational
  4. Review
  5. A population-based evaluation of the natural history of chronic pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Innovation and hard work: The 2015 George E. Palade Medal Award Lecture.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]
    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

20 authors at 10 institutions in 1 country.

Lisa M GlassFrom the *Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; †Department of Medicine, University of Pittsburgh, Pittsburgh, PA; ‡Digestive Disease Center, Medical University of South Carolina, Charleston, SC; §University of Michigan, Ann Arbor, MI; ∥Division of Gastroenterology, Brigham and Women's Hospital, Boston, MA; ¶Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL; #Department of Medicine, Wake Forest University Medical Center, Winston-Salem, NC; **Department of Medicine, Indiana University Medical Center, Indianapolis, IN; ††Department of Internal Medicine, St Louis University School of Medicine, St Louis, MO; ‡‡North Mississippi Medical Center, Tupelo, MS; §§Monterey Gastroenterology, Monterey, CA; and ∥∥Department of Medicine, University of Florida, Gainesville, FL.
David C Whitcomb
Dhiraj Yadav
Joseph Romagnuolo
Elizabeth Kennard
Adam A Slivka
Randall E Brand
Michelle A Anderson
Peter A Banks
Michele D Lewis
John Baillie
Stuart Sherman
Samer Alkaade
Stephen T Amann
James A Disario
Michael O'Connell
Andres Gelrud
Christopher E Forsmark
Timothy B Gardner
North American Pancreatic Study Group
Saint Louis University · USUniversity of Pittsburgh · USDartmouth–Hitchcock Medical Center · USUniversity Medical Center · USUniversity of Michigan–Ann Arbor · USBrigham and Women's Hospital · USJacksonville College · USMedical University of South Carolina · USNorth Mississippi Medical Center · USUniversity of Florida · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI LYNN BRY · 1986 to 2026
$32.4M
North American Pancreatitis Study 2 (NAPS2)R01DK061451 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2002 to 2010
$4.9M
NAPS2 Continuation Genome Wide Association Study of PancreatitisR56DK061451 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2011 to 2011
$1.3M
EUS Diagnosis of Chronic PancreatitisK23DK088832 · NIDDK · DARTMOUTH COLLEGE · PI GARDNER, TIMOTHY B. · 2010 to 2014
$804k
NCATS NIH HHS UL1 TR000005NIDDK NIH HHS DK061451NIDDK NIH HHS K23 DK088832NIDDK NIH HHS P30 DK034854
6 · The paper itself

Abstract

objectiveThis study aims to describe the frequency of use and reported effectiveness of endoscopic and surgical therapies in patients with chronic pancreatitis treated at US referral centers.

methodsFive hundred fifteen patients were enrolled prospectively in the North American Pancreatitis Study 2, where patients and treating physicians reported previous therapeutic interventions and their perceived effectiveness. We evaluated the frequency and effectiveness of endoscopic (biliary or pancreatic sphincterotomy, biliary or pancreatic stent placement) and surgical (pancreatic cyst removal, pancreatic drainage procedure, pancreatic resection, surgical sphincterotomy) therapies.

resultsBiliary and/or pancreatic sphincterotomy (42%) were the most common endoscopic procedure (biliary stent, 14%; pancreatic stent, 36%; P < 0.001). Endoscopic procedures were equally effective (biliary sphincterotomy, 40.0%; biliary stent, 40.8%; pancreatic stent, 47.0%; P = 0.34). On multivariable analysis, the presence of abdominal pain (odds ratio, 1.82; 95% confidence interval, 1.15-2.88) predicted endoscopy, whereas exocrine insufficiency (odds ratio, 0.63; 95% confidence interval, 0.42-0.94) deterred endoscopy. Surgical therapies were attempted equally (cyst removal, 7%; drainage procedure, 10%; resection procedure, 12%) except for surgical sphincteroplasty (4%; P < 0.001). Surgical sphincteroplasty was the least effective (46%; P < 0.001) versus cyst removal (76% drainage [71%] and resection [73%]).

conclusionsAlthough surgical therapies were performed less frequently than endoscopic therapies, they were more often reported to be effective.

Indexed as

Chi-Square DistributionCross-Sectional StudiesDigestive System Surgical ProceduresEndoscopyFemaleHealth Care SurveysHumansMaleMiddle AgedMultivariate AnalysisOdds RatioPancreatitis, ChronicPostoperative ComplicationsPractice Patterns, Physicians'Prospective StudiesRisk Factors

Identifiers

PMID24717802
PMCPMC4122518
OpenAlexW2026929164

What OpenQuestion holds

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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.