Evidence map›Paper›PMID 25659143›Full record

Trial reportPloS one2015

Predictors of percutaneous catheter drainage (PCD) after abdominal paracentesis drainage (APD) in patients with moderately severe or severe acute pancreatitis along with fluid collections.

Wei-hui Liu, Tao Wang, Hong-tao Yan, Tao Chen, Chuan Xu, Ping Ye, Ning Zhang, Zheng-cai Liu, Li-jun Tang

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Review
  3. Percutaneous Biopsy and Drainage of the Pancreas.Seminars in interventional radiology · 2024
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Safety and efficacy of early image-guided percutaneous interventions in acute severe necrotizing pancreatitis: A single-center retrospective study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Article
  11. Article
  12. 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 2 institutions in 1 country.

Wei-hui LiuGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Tao WangGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Hong-tao YanGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Tao ChenGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Chuan XuGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Ping YeGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Ning ZhangGeneral Surgery Center, Xijing Hospital, Xi'an, Shanxi Province, 710032, China.
Zheng-cai LiuGeneral Surgery Center, Xijing Hospital, Xi'an, Shanxi Province, 710032, China.
Li-jun TangGeneral Surgery Center, Chengdu Military General Hospital, Chengdu, Sichuan Province, 610083, China.
Chengdu Military General Hospital · CNXijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAlthough we previously demonstrated abdominal paracentesis drainage (APD) preceding percutaneous catheter drainage (PCD) as the central step for treating patients with moderately severe (MSAP) or severe acute pancreatitis (SAP), the predictors leading to PCD after APD have not been studied.

methodsConsecutive patients with MSAP or SAP were recruited between June 2011 and June 2013. As a step-up approach, all patients initially received medical management, later underwent ultrasound-guided APD before PCD, if necessary, followed by endoscopic necrosectomy through the path formed by PCD. APD primarily targeted fluid in the abdominal or pelvic cavities, whereas PCD aimed at (peri)pancreatic fluid.

resultsOf the 92 enrolled patients, 40 were managed with APD alone and 52 received PCD after APD (14 required necrosectomy after initial PCD). The overall mortality was 6.5%. Univariate analysis showed that among the 20 selected parameters, 13 factors significantly affected PCD intervention after APD. Multivariate analysis revealed that infected (peri)pancreatic collections (P = -0.001), maximum extent of necrosis of more than 30% of the pancreas (P = -0.024), size of the largest necrotic peri(pancreatic) collection (P = -0.007), and reduction of (peri)pancreatic fluid collections by <50% after APD (P = -0.008) were all independent predictors of PCD.

conclusionsInfected (peri)pancreatic collections, a largest necrotic peri(pancreatic) collection of more than 100 ml, and reduction of (peri)pancreatic fluid collections by <50% after APD could effectively predict the need for PCD in the early course of the disease.

Indexed as

CatheterizationParacentesisAbdominal CavityAcute DiseaseAdultDisease-Free SurvivalFemaleHumansMaleMiddle AgedPancreatitisSeverity of Illness IndexSurvival RateUltrasonography

Identifiers

PMID25659143
PMCPMC4319763
OpenAlexW2083577592

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.