Evidence map›Paper›PMID 28129232›Full record

ArticlePancreas2017

Islet Cell Yield Following Remote Total Pancreatectomy With Islet Autotransplant is Independent of Cold Ischemia Time.

Samuel J Kesseli, Kerrington D Smith, Min K Jung, Yu K Lin, R Matthew Walsh, Betul Hatipoglu, David A Axelrod, Sushela S Chaidarun, Tyler K Stevens, Timothy B Gardner

Abstract readMulticenter Study
In one paragraph

Article in Pancreas, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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  5. Review
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

10 authors.

Samuel J KesseliFrom the Sections of *Gastroenterology and Hepatology and †General Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH; ‡Section of Gastroenterology and Hepatology, Digestive Disease Institute, §Department of Endocrinology, Endocrinology and Metabolism Institute, and ∥Department of General Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH; and Sections of ¶Transplant Surgery and #Endocrinology, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Kerrington D Smith
Min K Jung
Yu K Lin
R Matthew Walsh
Betul Hatipoglu
David A Axelrod
Sushela S Chaidarun
Tyler K Stevens
Timothy B Gardner

Funding

EUS Diagnosis of Chronic PancreatitisK23DK088832 · NIDDK · DARTMOUTH COLLEGE · PI GARDNER, TIMOTHY B. · 2010 to 2014
$804k
NIDDK NIH HHS K23 DK088832
6 · The paper itself

Abstract

objectivesTotal pancreatectomy with islet autotransplantation is increasingly being performed remotely, that is, removing the pancreas in 1 location, isolating the islet cells in another location, then returning the islets to the original location for reimplantation into the patient. We determined the influence of extended cold ischemia time on key clinical outcomes in remote islet autotransplantation.

methodsWe evaluated patients who underwent remote islet autotransplantation at 2 centers from 2011 to 2014. Patients were divided into 2 groups: those with and those without a decrease in C-peptide greater than 50% from baseline. The primary clinical outcome was the quantity of isolated islet equivalents per kilogram body weight (IEQs/kg).

resultsTwenty-five patients met inclusion criteria; 15 had a decrease in C-peptide greater than 50% from baseline and had lower corresponding IEQs/kg compared with those without a decrease greater than 50% (4045 vs 6654 IEQs/kg, P = 0.01). There was no difference in cold ischemia time between the 2 groups (664 vs 600 minutes, P = 0.25). Daily insulin use at 1 year nearly met statistical significance (25.3 vs 8 U, P = 0.06), as did glycated hemoglobin (8.07 vs 6.69 mmol/L, P = 0.06).

conclusionsCold ischemia time does not influence islet yield in patients undergoing pancreatectomy with remote isolation.

Indexed as

Acute DiseaseAdultCold IschemiaC-PeptideFemaleHumansIslets of LangerhansIslets of Langerhans TransplantationLinear ModelsMaleMiddle AgedPancreatectomyPancreatitisPancreatitis, ChronicRetrospective StudiesTime FactorsC-Peptide

Identifiers

PMID28129232
PMCPMC5308539

What OpenQuestion holds

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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.