ArticleWorld journal of gastroenterology2016
Management of acute pancreatitis in Japan: Analysis of nationwide epidemiological survey.
Article in World journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Predictive models for acute kidney injury in acute pancreatitis: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Alcoholic and non-alcoholic acute pancreatitis mortality in the United States, 2006-2023: A nationwide trend analysis.Scientific reports · 2026Article
- Predictive model for early fluid requirement in severe acute pancreatitis.BMC gastroenterology · 2025Observational
- Nationwide epidemiological survey of acute pancreatitis in Japan, 2021: the impact of the COVID-19 pandemic and revised clinical guidelines.Journal of gastroenterology · 2025Article
- Risk factors for acute kidney injury in patients with acute pancreatitis and construction of nomogram model: a single-center study and external validation.Frontiers in medicine · 2025Article
- Turkish Society of Gastroenterology: Pancreas Working Group, Acute Pancreatitis Committee Consensus Report.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2024Review
- Association between hematocrit-to-albumin ratio and acute kidney injury in patients with acute pancreatitis: a retrospective cohort study.Scientific reports · 2024Article
- Machine learning models for mortality prediction in critically ill patients with acute pancreatitis-associated acute kidney injury.Clinical kidney journal · 2024Article
- Assessing the causal link between liver function and acute pancreatitis: A Mendelian randomisation study.PloS one · 2024Article
- Development and validation of a prediction model for the early occurrence of acute kidney injury in patients with acute pancreatitis.Renal failure · 2023Article
- Computed tomography imaging-based predictors of the need for a step-up approach after initial endoscopic ultrasound-guided transmural drainage for pancreatic fluid collections.Surgical endoscopy · 2023Article
- A Rapid Prognostic Score Based on Bedside Arterial Blood Gas Analysis (ABG) Established for Predicting 60-Day Adverse Outcomes in Patients with Acute Pancreatitis in the Emergency Department.Journal of inflammation research · 2022Article
- Factors predicting the severity of acute pancreatitis in elderly patients.Aging clinical and experimental research · 2021Article
- Multidisciplinary Approach to Treating Severe Acute Pancreatitis in a Low-Volume Hospital.World journal of surgery · 2019Article
- Adhesion molecules and pancreatitis.Journal of gastroenterology · 2019Review
- Incidence and epidemiological features of acute pancreatitis among adult inhabitants in Qatar.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019Article
- Severity assessment of acute pancreatitis using four prognostic factors - a nationwide multicenter study of 3682 cases in Japan.United European gastroenterology journal · 2017Article
- Serum ghrelin, but not obestatin, is a potential predictor of acute pancreatitis severity.Medicine · 2017Observational
- Transition of early-phase treatment for acute pancreatitis: An analysis of nationwide epidemiological survey.World journal of gastroenterology · 2017Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acute pancreatitis (AP) is an acute inflammatory disease of the exocrine pancreas. In Japan, nationwide epidemiological surveys have been conducted every 4 to 5 years by the Research Committee of Intractable Pancreatic Diseases, under the support of the Ministry of Health, Labour, and Welfare of Japan. We reviewed the results of the nationwide surveys focusing on the severity assessment and changes in the therapeutic strategy for walled-off necrosis. The severity assessment system currently used in Japan consists of 9 prognostic factors and the imaging grade on contrast-enhanced computed tomography. By univariate analysis, all of the 9 prognostic factors were associated with AP-related death. A multivariate analysis identified 4 out of the 9 prognostic factors (base excess or shock, renal failure, systemic inflammatory response syndrome criteria, and age) that were associated with AP-related death. Receiver-operating characteristics curve analysis showed that the area under the curve was 0.82 for these 4 prognostic factors and 0.84 for the 9 prognostic factors, suggesting the comparable utility of these 4 factors in the severity assessment. We also examined the temporal changes in treatment strategy for walled-off necrosis in Japan according to the 2003, 2007, and 2011 surveys. Step-up approaches and less-invasive endoscopic therapies were uncommon in 2003 and 2007, but became popular in 2011. Mortality has been decreasing in patients who require intervention for walled-off necrosis. In conclusion, the nationwide survey revealed the comparable utility of 4 prognostic factors in the severity assessment and the increased use of less-invasive, step-up approaches with improved clinical outcomes in the management of walled-off necrosis.
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