Evidence map›Paper›PMID 28502372›Full record

ArticleThe Journal of pediatrics2017

Early-Onset Acute Recurrent and Chronic Pancreatitis Is Associated with PRSS1 or CTRC Gene Mutations.

Matthew J Giefer, Mark E Lowe, Steven L Werlin, Bridget Zimmerman, Michael Wilschanski, David Troendle, Sarah Jane Schwarzenberg, John F Pohl, Joseph Palermo, Chee Y Ooi and 13 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03672422 (Consortium for the Study of Chronic Pancreatitis, Diabetes, and Pancreatic Cancer), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
9.7field-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.

NCT03672422 completednot on this map

Consortium for the Study of Chronic Pancreatitis, Diabetes, and Pancreatic Cancer (CPDPC) CPDPC16-03 Pediatric Longitudinal Cohort Study of Chronic Pancreatitis

Typeobservational_patient_registrySponsorAliye UcRan2017 to 2020Enrolled623ConditionsPancreatitis, Chronic, Pancreatitis, AcuteArmsBlood sample, Patient questionnaires, Saliva sample, Urine sample
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Strategy for early diagnosis of pancreatic cancer.Frontiers in gastroenterology (Lausanne, Switzerland) · 2026
    Review
  4. Article
  5. Review
  6. 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
  7. Hereditary pancreatitis: An updated review in pediatrics.World journal of clinical pediatrics · 2022
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Turkish Gastroenterology Association, Pancreas Study Group, Chronic Pancreatitis Committee Consensus Report.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 16 institutions in 4 countries.

Matthew J GieferDepartment of Pediatrics, Seattle Children's Hospital, Seattle, WA.
Mark E LoweDepartment of Pediatrics, Children's Hospital, of Pittsburgh, Pittsburgh, PA.
Steven L WerlinDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Bridget ZimmermanDepartment of Biostatistics, University of Iowa, College of Public Health, Iowa City, IA.
Michael WilschanskiDepartment of Pediatrics, Hadassah Hebrew University Hospital, Jerusalem, Israel.
David TroendleDepartment of Pediatrics, University of Texas Southwestern Medical School, Dallas, TX.
Sarah Jane SchwarzenbergDepartment of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN.
John F PohlDepartment of Pediatrics, University of Utah, Salt Lake City, UT.
Joseph PalermoDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Chee Y OoiDepartment of Pediatrics, Sydney Children's Hospital, University of New South Wales, Sydney, Australia.
Veronique D MorinvilleDepartment of Pediatrics, Montreal Children's Hospital, McGill University, Montreal, Québec, Canada.
Tom K LinDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Sohail Z HusainDepartment of Pediatrics, Children's Hospital, of Pittsburgh, Pittsburgh, PA.
Ryan HimesDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Melvin B HeymanDepartment of Pediatrics, University of California San Francisco, San Francisco, CA.
Tanja GonskaDepartment of Pediatrics, Hospital for Sick Children, Toronto, ON, Canada.
Cheryl E GariepyDepartment of Pediatrics, Nationwide Children's Hospital, Columbus, OH.
Steven D FreedmanDepartment of Pediatrics, Harvard Medical School, Boston, MA.
Douglas S FishmanDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Melena D BellinDepartment of Pediatrics, University of Minnesota Masonic Children's Hospital, Minneapolis, MN.
Bradley BarthDepartment of Pediatrics, University of Texas Southwestern Medical School, Dallas, TX.
Maisam Abu-El-HaijaDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Aliye UcUniversity of Iowa Carver College of Medicine, Stead Family Department of Pediatrics, Iowa City, IA. Electronic address: aliye-uc@uiowa.edu.
Cincinnati Children's Hospital Medical Center · USBaylor College of Medicine · USChildren's Hospital of Pittsburgh · USThe University of Texas Southwestern Medical Center · USUniversity of Iowa · USUniversity of Minnesota Children's Hospital · USHarvard University · USHebrew University of Jerusalem · ILHospital for Sick Children · CAMedical College of Wisconsin · USMontreal Children's Hospital · CANationwide Children's Hospital · USSeattle Children's Hospital · USUniversity of California, San Francisco · USUniversity of Utah · USUNSW Sydney · AU

Funding

Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
Stem Cell/Organoid and Genome Editing CoreP30DK078392 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI Alexander Miethke · 2007 to 2026
$24.4M
Year 9 Administrative Supplement to INSPPIRE 2U01DK108334 · NIDDK · UNIVERSITY OF IOWA · PI MARK E. LOWE, Aliye Uc · 2015 to 2026
$10.5M
University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
DYSBIOTIC MICROBIOME IN PANCREATITIS, DIABETES, AND PANCREATIC CANCERU01DK108326 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI FISHER, WILLIAM E · 2015 to 2024
$5.2M
Fatty Acid Defects & Oxidative Stress Modulate Islet Function in Cystic FibrosisR01DK097820 · NIDDK · UNIVERSITY OF IOWA · PI NORRIS, ANDREW W, UC, ALIYE · 2012 to 2016
$1.9M
INSPPIRE TO STUDY ACUTE RECURRENT AND CHRONIC PANCREATITIS IN CHILDRENR21DK096327 · NIDDK · UNIVERSITY OF IOWA · PI UC, ALIYE · 2012 to 2014
$586k
NCATS NIH HHS UL1 TR000442NIDDK NIH HHS P30 DK054759NIDDK NIH HHS P30 DK078392NIDDK NIH HHS R01 DK097820NIDDK NIH HHS R21 DK096327NIDDK NIH HHS U01 DK108326NIDDK NIH HHS U01 DK108334
6 · The paper itself

Abstract

objectivesTo assess whether the age of onset was associated with unique features or disease course in pediatric acute recurrent pancreatitis (ARP) or chronic pancreatitis (CP). STUDY

designDemographic and clinical information on children with ARP or CP was collected at INSPPIRE (INternational Study Group of Pediatric Pancreatitis: In Search for a CuRE) centers. The Cochran-Armitage trend test and Jonckheere-Terpstra test were used to examine for differences between pediatric age groups (<6, 6-11, and ≥12 years).

resultsBetween September 2012 and March 2016, 342 children with ARP or CP were enrolled; 129 (38%) were <6 years of age at the time of first diagnosis of acute pancreatitis, 111 (32%) were 6-11 years of age, and 102 (30%) were ≥12 years of age. Early-onset disease was associated with mutations in cationic trypsinogen (PRSS1) (P < .01), chymotrypsin C (CTRC) (P = .01), family history of acute pancreatitis (P = .02), family history of CP (P < .01), biliary cysts (P = .04), or chronic renal failure (P = .02). Later-onset disease was more commonly present with hypertriglyceridemia (P = .04), ulcerative colitis (P = .02), autoimmune diseases (P < .0001), or medication use (P < .01). Children with later-onset disease also were more likely to visit the emergency department (P < .05) or have diabetes (P < .01).

conclusionsEarly-onset pancreatitis is associated strongly with PRSS1 or CTRC mutations and family history of pancreatitis. Children with later-onset disease are more likely to have nongenetic risk factors. Future studies are needed to investigate whether the disease course, response to therapy, or clinical outcomes differ relative to the timing of disease onset.

Indexed as

Acute DiseaseAdolescentAge of OnsetChildChild, PreschoolChymotrypsinCohort StudiesFemaleGenetic Predisposition to DiseaseHumansMaleMutationPancreatitis, ChronicRecurrenceTrypsinChymotrypsinchymotrypsin CPRSS1 protein, humanTrypsinchildrengeneticpediatricriskyoung

Identifiers

PMID28502372
PMCPMC5506853
OpenAlexW2613980344

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Registered trials

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.