Evidence map›Paper›PMID 25800175›Full record

SynthesisPancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]

The role of apheresis in hypertriglyceridemia-induced acute pancreatitis: A systematic review.

Benjamin Click, Andrea M Ketchum, Rose Turner, David C Whitcomb, Georgios I Papachristou, Dhiraj Yadav

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
8.3field-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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Comparative efficacy of therapeutic plasma exchange and insulin in hypertriglyceridemia-induced acute pancreatitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  5. Hypertriglyceridemic pancreatitis: perspectives from China.Current opinion in gastroenterology · 2025
    Review
  6. Plasmapheresis for Hypertriglyceridemia-induced Acute Pancreatitis: A Systematic Review and Meta-summary of Case Reports.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Review
  7. Article
  8. A Case Report of Therapeutic Plasma Exchange in Hypertriglyceridemia-Induced Pancreatitis.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Acute pancreatitis due to severe hypertriglyceridemia in the COVID-19 era: The role of therapeutic plasma exchange.Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis · 2022
    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

6 authors at 3 institutions in 1 country.

Benjamin ClickDivision of Gastroenterology & Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Andrea M KetchumHealth Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA.
Rose TurnerHealth Sciences Library System, University of Pittsburgh, Pittsburgh, PA, USA.
David C WhitcombDivision of Gastroenterology & Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Georgios I PapachristouDivision of Gastroenterology & Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Dhiraj YadavDivision of Gastroenterology & Hepatology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: yadavd@upmc.edu.
University of Pittsburgh Medical Center · USUniversity of Pittsburgh · USVA Pittsburgh Healthcare System · US

Funding

Digestive Diseases Training ProgramT32DK063922 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ARTEEL, GAVIN E, YADAV, DHIRAJ · 2003 to 2022
$5.2M
NIDDK NIH HHS 5T32DK063922-12NIDDK NIH HHS T32 DK063922
6 · The paper itself

Abstract

backgroundMostly published as case reports or series, the role of apheresis in hypertriglyceridemia (HTG)-related acute pancreatitis (AP) remains unclear. We performed a systematic review of available literature on this topic with specific focus on disease severity.

methodsA search of electronic databases (PubMed, EMBASE, Cochrane) and gray literature yielded 5020 articles of which 74 met criteria for inclusion (301 unique patients). Relevant data were abstracted from full manuscripts and analyzed.

resultsMost patients were young (mean age 37.9 ± 10.4 years) and male (71.5%). About two-thirds (69.7%) received apheresis within 48 h and most required only 1 or 2 sessions (84.4%). Apheresis resulted in an average reduction of serum TG by 85.4% (p < 0.001). There was high variability in reporting the presence of and criteria to define severe AP (reported 221/301, 73.4%; present 85/221, 38.5%) or organ failure (reported 104/301, 34.6%; present 52/104, 50.0%). Improvement was reported in the majority of patients (reported 144/301, 47.8%, present 136/144, 94.4%) mainly by clinical symptoms or laboratory tests. Overall mortality was 7.1% (21/294) which increased to 11.8% (10/85) with severe AP and 19.2% (10/52) with organ failure.

conclusionsApheresis effectively reduces serum TG levels. However, due to uncontrolled data, reporting bias and lack of a comparison group, definitive conclusions on the efficacy of apheresis in reducing AP severity cannot be made. We propose which patients may be best suitable for apheresis, type of studies needed and outcome measures to be studied in order to provide empiric data on the role of apheresis in HTG-related AP.

Indexed as

AdultAgedBlood Component RemovalFemaleHumansHypertriglyceridemiaMaleMiddle AgedPancreatitisHyperlipidemiaHypertriglyceridemiaPancreatitisPlasma exchangePlasmapheresisSeverity

Identifiers

PMID25800175
PMCPMC6609092
OpenAlexW2026366598

What OpenQuestion holds

Textmetadata
LicenceTDM
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.