Evidence map›Paper›PMID 28440306›Full record

ArticleThe American journal of gastroenterology2017

An Evaluation of Factors Associated With Pathogenic PRSS1, SPINK1, CTFR, and/or CTRC Genetic Variants in Patients With Idiopathic Pancreatitis.

Niloofar Y Jalaly, Robert A Moran, Farshid Fargahi, Mouen A Khashab, Ayesha Kamal, Anne Marie Lennon, Christi Walsh, Martin A Makary, David C Whitcomb, Dhiraj Yadav and 2 more

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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 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
9.2field-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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Article
  5. Clinical and CT Imaging Features of Chronic Pancreatitis: A Cross-Sectional Study From Vietnam.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  6. Idiopathic chronic pancreatitis: clinical highlights.Therapeutic advances in gastroenterology · 2026
    Review
  7. Article
  8. JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Genetic Investigations in Turkish Idiopathic Pancreatitis Patients Show Unique Characteristics.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Niloofar Y JalalyDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Robert A MoranDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Farshid FargahiDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mouen A KhashabDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ayesha KamalDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Anne Marie LennonDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christi WalshDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Martin A MakaryPancreatitis Center, Division of Pancreaticobiliary Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
David C WhitcombCell Biology &Molecular Physiology, and Human Genetics, University of Pittsburgh/UPMC, Pittsburgh, Pennsylvania, USA.
Dhiraj YadavDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh/UPMC, Pittsburgh, Pennsylvania, USA.
Liudmila CebotaruDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Vikesh K SinghDivision of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USUniversity of Pittsburgh · USUniversity of Pittsburgh Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe evaluated factors associated with pathogenic genetic variants in patients with idiopathic pancreatitis.

methodsGenetic testing (PRSS1, CFTR, SPINK1, and CTRC) was performed in all eligible patients with idiopathic pancreatitis between 2010 to 2015. Patients were classified into the following groups based on a review of medical records: (1) acute recurrent idiopathic pancreatitis (ARIP) with or without underlying chronic pancreatitis; (2) idiopathic chronic pancreatitis (ICP) without a history of ARP; (3) an unexplained first episode of acute pancreatitis (AP)<35 years of age; and (4) family history of pancreatitis. Logistic regression analysis was used to determine the factors associated with pathogenic genetic variants.

resultsAmong 197 ARIP and/or ICP patients evaluated from 2010 to 2015, 134 underwent genetic testing. A total of 88 pathogenic genetic variants were found in 64 (47.8%) patients. Pathogenic genetic variants were identified in 58, 63, and 27% of patients with ARIP, an unexplained first episode of AP <35 years of age, and ICP without ARP, respectively. ARIP (OR: 18.12; 95% CI: 2.16-151.87; P=0.008) and an unexplained first episode of AP<35 years of age (OR: 2.46; 95% CI: 1.18-5.15; P=0.017), but not ICP, were independently associated with pathogenic genetic variants in the adjusted analysis.

conclusionsPathogenic genetic variants are most likely to be identified in patients with ARIP and an unexplained first episode of AP<35 years of age. Genetic testing in these patient populations may delineate an etiology and prevent unnecessary diagnostic testing and procedures.

Indexed as

AdultAgedCarrier ProteinsChymotrypsinFemaleGenetic Predisposition to DiseaseGenetic VariationHumansMaleMiddle AgedMutationPancreatitisRetrospective StudiesTrypsinTrypsin Inhibitor, Kazal PancreaticCarrier ProteinsChymotrypsinchymotrypsin CPRSS1 protein, humanSPINK1 protein, humanTrypsinTrypsin Inhibitor, Kazal Pancreatic

Identifiers

PMID28440306
OpenAlexW2608870822

What OpenQuestion holds

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Registered trials

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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.