Evidence map›Paper›PMID 27101573›Full record

ArticlePancreas2016

Patients With Sentinel Acute Pancreatitis of Alcoholic Etiology Are at Risk for Organ Failure and Pancreatic Necrosis: A Dual-Center Experience.

Jeffrey J Easler, Enrique de-Madaria, Haq Nawaz, Neftalí Moya-Hoyo, Efstratios Koutroumpakis, Mónica Rey-Riveiro, Vijay P Singh, Nelly G Acevedo-Piedra, David C Whitcomb, Dhiraj Yadav and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Pancreas, 2016. 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
2.2field-weighted citation impact, top 13% 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, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Worldwide Variations in Demographics, Management, and Outcomes of Acute Pancreatitis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Observational
  10. 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

11 authors at 1 institution in 2 countries.

Jeffrey J EaslerFrom the *Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA; †Department of Gastroenterology, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL - Fundación FISABIO), Alicante, Spain; and ‡Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ.
Enrique de-Madaria
Haq Nawaz
Neftalí Moya-Hoyo
Efstratios Koutroumpakis
Mónica Rey-Riveiro
Vijay P Singh
Nelly G Acevedo-Piedra
David C Whitcomb
Dhiraj Yadav
Georgios I Papachristou
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ES

Funding

Obesity related pancreatic fat worsens local injury via unsaturated fatty acidsR01DK092460 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SINGH, VIJAY PREM · 2011 to 2024
$5.5M
Predicting persistent Organ Failure early in Acute PancreatitisI01CX000272 · VA · VETERANS HEALTH ADMINISTRATION · PI PAPACHRISTOU, GEORGIOS I · 2012 to 2014
–
CSRD VA I01 CX000272
6 · The paper itself

Abstract

objectivesTo assess the relationship between alcoholic etiology, tobacco use, and severe acute pancreatitis (AP).

methodsSmoking and alcohol exposure were recorded upon admission in a cohort of patients with AP within the United States. Patients with first, "sentinel" attack of AP were identified for analysis.Associations between alcohol, smoking, and severe AP were validated in an independent cohort of patients from Spain.

resultsUS cohort (n = 222): Thirty-five percent developed organ failure (OF), 35% pancreatic necrosis (PNec), and 7% died. OF (54% vs 33%, P = 0.03), PNec (62% vs 31%, P = 0.006), intensive care unit admission (58% vs 36%, P = 0.03), and length of stay (LOS) (20 vs 8 days, P = 0.007) were greater in alcoholic when compared to other etiologies.Spanish cohort (n = 366): Similar differences in outcomes were also found with between alcoholic and nonalcoholic etiologies: OF (24% vs 8%, P = 0.001), PNec (38% vs 14%, P < 0.001), intensive care unit admission (20% vs 3%, P < 0.001), and LOS (17 vs 11 days, P = 0.04).Multivariable analysis confirmed alcoholic etiology to be independently associated with OF and PNec in both cohorts.

conclusionsAlcoholic etiology is independently associated with OF and PNec in patients with sentinel AP and is important when evaluating risk for severe disease in AP.

Indexed as

Acute DiseaseAdultAgedAlcohol DrinkingFemaleHumansIntensive Care UnitsLength of StayLogistic ModelsMaleMiddle AgedMultiple Organ FailureMultivariate AnalysisNecrosisPancreasPancreatitis

Identifiers

PMID27101573
PMCPMC4940237
OpenAlexW2338608664

What OpenQuestion holds

Textmetadata
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.