Evidence map›Paper›PMID 28244497›Full record

ArticleThe American journal of gastroenterology2017

Quality of Life in Chronic Pancreatitis is Determined by Constant Pain, Disability/Unemployment, Current Smoking, and Associated Co-Morbidities.

Jorge D Machicado, Stephen T Amann, Michelle A Anderson, Judah Abberbock, Stuart Sherman, Darwin L Conwell, Gregory A Cote, Vikesh K Singh, Michele D Lewis, Samer Alkaade and 14 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 4 pooled it
17.6field-weighted citation impact, top 1% 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

90 citing papers in PubMed, 4 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Trial
  6. Article
  7. Observational
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  11. Article
  12. Personalizing treatment of pancreatitis-associated chronic pain: the need for an integrated omics approach.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  13. Pancreatic exocrine insufficiency.EClinicalMedicine · 2026
    Review
  14. Article
  15. Review
  16. Quality of life in recurrent acute pancreatitis and chronic pancreatitis: A prospective cross-sectional comparative bicentric study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  17. Idiopathic chronic pancreatitis: clinical highlights.Therapeutic advances in gastroenterology · 2026
    Review
  18. Review
  19. Health-related quality of life of unemployed individuals diagnosed with a mental illness: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  20. Opioid dependence in patients with pain in chronic pancreatitis an emerging problem.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review

30 more citing papers are in PubMed but not listed here.

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

24 authors at 17 institutions in 1 country.

Jorge D MachicadoUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Stephen T AmannNorth Mississippi Medical Center, Tupelo, Mississippi, USA.
Michelle A AndersonUniversity of Michigan, Ann Arbor, Michigan, USA.
Judah AbberbockUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Stuart ShermanIndiana University, Indianapolis, Indiana, USA.
Darwin L ConwellOhio State University, Columbus, Ohio, USA.
Gregory A CoteMedical University of South Carolina, Charleston, South Carolina, USA.
Vikesh K SinghJohns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Michele D LewisMayo Clinic, Jacksonville, Florida, USA.
Samer AlkaadeSaint Louis University, St Louis, Missouri, USA.
Bimaljit S SandhuRichmond Gastroenterology Associates, Richmond, Virginia, USA.
Nalini M GudaAurora Health Care, Milwaukee, Wisconsin, USA.
Thiruvengadam MunirajYale School of Medicine, New Haven, Cincinnati, USA.
Gong TangUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
John BaillieVirginia Commonwealth University, Richmond, Virginia, USA.
Randall E BrandUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Timothy B GardnerDartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Andres GelrudUniversity of Chicago, Chicago, Illinois, USA.
Christopher E ForsmarkUniversity of Florida, Gainesville, Florida, USA.
Peter A BanksBrigham and Women's Hospital, Boston, Massachusetts, USA.
Adam SlivkaUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
C Mel WilcoxUniversity of Alabama at Birmingham, Birmingham, Alabama, USA.
David C WhitcombUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Dhiraj YadavUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh Medical Center · USAurora Health Care · USBrigham and Women's Hospital · USDartmouth–Hitchcock Medical Center · USIndiana University – Purdue University Indianapolis · USJacksonville College · USJohns Hopkins University · USMedical University of South Carolina · USNorth Mississippi Medical Center · USSaint Louis University · USThe Ohio State University · USUniversity of Alabama at Birmingham · USUniversity of Chicago · USUniversity of Florida · USUniversity of Michigan–Ann Arbor · USVirginia Commonwealth University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
UPMC Clinical Center for the Study of Chronic Pancreatitis and DiabetesU01DK108306 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Frederico G. S. Toledo, Dhiraj Yadav · 2015 to 2026
$6.4M
North American Pancreatitis Study 2 (NAPS2)R01DK061451 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2002 to 2010
$4.9M
NAPS2-AS: Race Dependent Risk for PancreatitisR01DK077906 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YADAV, DHIRAJ · 2010 to 2013
$2.3M
Evaluation of Pain in Chronic Pancreatitis using the NAPS2 cohortsR21DK098560 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2014 to 2015
$412k
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR001863NCRR NIH HHS UL1 RR024153NIDDK NIH HHS R01 DK061451NIDDK NIH HHS R01 DK077906NIDDK NIH HHS R21 DK098560NIDDK NIH HHS U01 DK108306
6 · The paper itself

Abstract

objectivesChronic pancreatitis (CP) has a profound independent effect on quality of life (QOL). Our aim was to identify factors that impact the QOL in CP patients.

methodsWe used data on 1,024 CP patients enrolled in the three NAPS2 studies. Information on demographics, risk factors, co-morbidities, disease phenotype, and treatments was obtained from responses to structured questionnaires. Physical and mental component summary (PCS and MCS, respectively) scores generated using responses to the Short Form-12 (SF-12) survey were used to assess QOL at enrollment. Multivariable linear regression models determined independent predictors of QOL.

resultsMean PCS and MCS scores were 36.7±11.7 and 42.4±12.2, respectively. Significant (P<0.05) negative impact on PCS scores in multivariable analyses was noted owing to constant mild-moderate pain with episodes of severe pain or constant severe pain (10 points), constant mild-moderate pain (5.2), pain-related disability/unemployment (5.1), current smoking (2.9 points), and medical co-morbidities. Significant (P<0.05) negative impact on MCS scores was related to constant pain irrespective of severity (6.8-6.9 points), current smoking (3.9 points), and pain-related disability/unemployment (2.4 points). In women, disability/unemployment resulted in an additional 3.7 point reduction in MCS score. Final multivariable models explained 27% and 18% of the variance in PCS and MCS scores, respectively. Etiology, disease duration, pancreatic morphology, diabetes, exocrine insufficiency, and prior endotherapy/pancreatic surgery had no significant independent effect on QOL.

conclusionsConstant pain, pain-related disability/unemployment, current smoking, and concurrent co-morbidities significantly affect the QOL in CP. Further research is needed to identify factors impacting QOL not explained by our analyses.

Indexed as

Quality of LifeAbdominal PainAdultComorbidityDiabetes MellitusExocrine Pancreatic InsufficiencyFemaleHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisPain MeasurementPancreatitis, ChronicSex FactorsSick Leave

Identifiers

PMID28244497
PMCPMC5828017
OpenAlexW2593714229

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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.