Evidence map›Paper›PMID 25214831›Full record

ArticleGastroenterology research and practice2014

Analysis of the power of common diagnostic tools in the management of acute pancreatitis.

Markus Nistal, Malalai Zoltani, Ansgar W Lohse, Nicola Di Daniele, Manfredi Tesauro, Andrea Pace

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Gastroenterology research and practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Acute peripancreatic fluid collection in acute pancreatitis: Incidence, outcome, and association with inflammatory markers.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Markus NistalSozialstiftung Bamberg-Medizinische Klinik II, 96049 Bamberg, Germany.
Malalai ZoltaniMedizinische Klinik I, Universitaetsklinikum Hamburg-Eppendorf, 20246 Hamburg, Germany.
Ansgar W LohseMedizinische Klinik I, Universitaetsklinikum Hamburg-Eppendorf, 20246 Hamburg, Germany.
Nicola Di DanieleDepartment of Internal Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.
Manfredi TesauroDepartment of Internal Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00133 Rome, Italy.ORCID 0000-0002-3967-1552
Andrea PaceMedizinische Klinik I, Universitaetsklinikum Hamburg-Eppendorf, 20246 Hamburg, Germany ; Klinik für Gastroenterologie, Friedrich-Ebert-Krankenhaus, 24534 Neumünster, Germany.
Universität Hamburg · DEUniversity of Rome Tor Vergata · ITSozialstiftung Bamberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute pancreatitis (AP) is a serious medical condition usually associated with severe upper abdominal pain. The purpose of our study is to assess the therapeutic consequences of contrast-enhanced computed tomography (CE-CT) and the predictive value of CRP for severe pancreatitis. We included patients with a threefold increase of plasma lipase who had received a CE-CT or had a CRP of =150 mg/dl. A total of 74 out of 283 patients got a contrast-enhanced CT scan; in 11 cases the CT was followed by endoscopic or surgical interventions as therapeutic consequences compared with 19 out of 50 control cases. 69 out of 283 patients (24,3%) had CRP >150 mg/dl within 48 hours after admission. 32 of them had SAP. The CRP cutoff of 150 mg/L had a sensitivity of 80% and a specificity of 65%. The positive predictive value for SAP in patients beyond the cutoff is 46.4%. The negative predictive value for SAP in patients below the cutoff was 89.5%. Our results support the opinion that an early CE-CT is usually not indicated. CRP helps to assess the course of AP; levels below 150 mg/dl between the first 48 h indicate a mild course in most of the cases.

Identifiers

PMID25214831
PMCPMC4156975
OpenAlexW1990118198

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.