Evidence map›Paper›PMID 25556020›Full record

ArticleThe Journal of pediatrics2015

Pediatric chronic pancreatitis is associated with genetic risk factors and substantial disease burden.

Sarah Jane Schwarzenberg, Melena Bellin, Sohail Z Husain, Monika Ahuja, Bradley Barth, Heather Davis, Peter R Durie, Douglas S Fishman, Steven D Freedman, Cheryl E Gariepy and 15 more

2 registry-linked trialsAbstract readComparative StudyMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT02869893 nacompletednot on this mapstarted 2016, after this paper: background citation

Magnetic Resonance Cholangiopancreatography (MRCP): A Reliable, Non Invasive Method for Staging Chronic Pancreatitis From Minimal Change Disease to the Advanced Stages in Pediatrics

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2016 to 2017Enrolled57ConditionsHealthy VolunteersArmsSecretin
NCT03672422 completednot on this mapstarted 2017, after this paper: background citation

Consortium for the Study of Chronic Pancreatitis, Diabetes, and Pancreatic Cancer (CPDPC) CPDPC16-03 Pediatric Longitudinal Cohort Study of Chronic Pancreatitis

Typeobservational_patient_registrySponsorAliye UcRan2017 to 2020Enrolled623ConditionsPancreatitis, Chronic, Pancreatitis, AcuteArmsBlood sample, Patient questionnaires, Saliva sample, Urine sample
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Sarah Jane Schwarzenberg *University of Minnesota Children's Hospital, Minneapolis, Minnesota, USA.
Melena Bellin *University of Minnesota Children's Hospital, Minneapolis, Minnesota, USA.
Sohail Z Husain *Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Monika AhujaUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Bradley BarthUniversity of Texas Southwestern Medical School, Dallas, TX, USA.
Heather DavisUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Peter R DurieHospital for Sick Children, Toronto, ON, Canada.
Douglas S FishmanBaylor College of Medicine, Houston, TX, USA.
Steven D FreedmanHarvard Medical School, Boston, MA, USA.
Cheryl E GariepyNationwide Children's Hospital, Columbus, OH, USA.
Matthew J GieferSeattle Children's Hospital, Seattle, WA, USA.
Tanja GonskaHospital for Sick Children, Toronto, ON, Canada.
Melvin B HeymanUniversity of California at San Francisco, San Francisco, CA, USA.
Ryan HimesBaylor College of Medicine, Houston, TX, USA.
Soma KumarNationwide Children's Hospital, Columbus, OH, USA.
Veronique D MorinvilleMontreal Children's Hospital, McGill University, Montreal, QC, Canada.
Mark E LoweChildren's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Neil E NuehringUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Chee Y OoiDiscipline of Paediatrics, School of Women's and Children's Health, Medicine, University of New South Wales and Sydney Children's Hospital Randwick Sydney, Australia.
John F PohlUniversity of Utah, Salt Lake City, UT, USA.
David TroendleUniversity of Texas Southwestern Medical School, Dallas, TX, USA.
Steven L WerlinMedical College of Wisconsin, Milwaukee, WI, USA.
Michael WilschanskiHadassah Hebrew University Hospital, Jerusalem, Israel.
Elizabeth YenUniversity of California at San Francisco, San Francisco, CA, USA.
Aliye UcUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.

Funding

Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
Fatty Acid Defects & Oxidative Stress Modulate Islet Function in Cystic FibrosisR01DK097820 · NIDDK · UNIVERSITY OF IOWA · PI NORRIS, ANDREW W, UC, ALIYE · 2012 to 2016
$1.9M
INSPPIRE TO STUDY ACUTE RECURRENT AND CHRONIC PANCREATITIS IN CHILDRENR21DK096327 · NIDDK · UNIVERSITY OF IOWA · PI UC, ALIYE · 2012 to 2014
$586k
NCATS NIH HHS UL1 TR000442NIDDK NIH HHS DK096327NIDDK NIH HHS P30 DK054759NIDDK NIH HHS R01 DK097820NIDDK NIH HHS R21 DK096327
6 · The paper itself

Abstract

objectiveTo determine the clinical presentation, diagnostic variables, risk factors, and disease burden in children with chronic pancreatitis. STUDY

designWe performed a cross-sectional study of data from the International Study Group of Pediatric Pancreatitis: In Search for a Cure, a registry of children with acute recurrent pancreatitis and chronic pancreatitis. Between-group differences were compared using Wilcoxon rank-sum test.

resultsAmong 170 subjects in the registry, 76 (45%) had chronic pancreatitis; 57% were female, 80% were white; median age at diagnosis was 9.9 years. Pancreatitis-predisposing genetic mutations were identified in 51 (67%) and obstructive risk factors in 25 (33%). Toxic/metabolic and autoimmune factors were uncommon. Imaging demonstrated ductal abnormalities and pancreatic atrophy more commonly than calcifications. Fifty-nine (77%) reported abdominal pain within the past year; pain was reported as constant and receiving narcotics in 28%. Children with chronic pancreatitis reported a median of 3 emergency department visits and 2 hospitalizations in the last year. Forty-seven subjects (70%) missed 1 day of school in the past month as the result of chronic pancreatitis; 26 (34%) missed 3 or more days. Children reporting constant pain were more likely to miss school (P = .002), visit the emergency department (P = .01), and experience hospitalizations (P = .03) compared with children with episodic pain. Thirty-three children (43%) underwent therapeutic endoscopic retrograde pancreatography; one or more pancreatic surgeries were performed in 30 (39%).

conclusionsChronic pancreatitis occurs at a young age with distinct clinical features. Genetic and obstructive risk factors are common, and disease burden is substantial.

Indexed as

Genetic Predisposition to DiseaseChildCholangiopancreatography, Endoscopic RetrogradeCross-Sectional StudiesCystic Fibrosis Transmembrane Conductance RegulatorDNADNA Mutational AnalysisFemaleHumansIncidenceMaleMutationPancreatitis, ChronicPrevalenceRisk FactorsUnited StatesCFTR protein, humanCystic Fibrosis Transmembrane Conductance RegulatorDNA

Identifiers

PMID25556020
PMCPMC4380827

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Registered trials

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.