Evidence map›Paper›PMID 29381696›Full record

ArticlePloS one2018

Association between triglyceride levels and cardiovascular disease in patients with acute pancreatitis.

Laurel A Copeland, C Scott Swendsen, Dawn M Sears, Andrea A MacCarthy, Catherine J McNeal

Open access · goldFull text read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Laurel A CopelandVA Central Western Massachusetts Healthcare System, Leeds, Massachusetts, United States of America.ORCID 0000-0002-9478-0209
C Scott SwendsenTexas A&M Health Science Center, Temple, Texas, United States of America.
Dawn M SearsTexas A&M Health Science Center, Temple, Texas, United States of America.
Andrea A MacCarthyCenter of Excellence for Research on Returning War Veterans, Central Texas Veterans Health Care System, Waco, Texas, United States of America.
Catherine J McNealDepartment of Medicine, Baylor Scott & White Health, Temple, Texas, United States of America.
Texas A&M Health Science Center · USBaylor Scott & White Health · USCentral Texas Veterans Health Care System · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional wisdom supports prescribing "fibrates before statins", that is, prioritizing treatment of hypertriglyceridemia (hTG) to prevent pancreatitis ahead of low-density lipoprotein cholesterol to prevent coronary heart disease. The relationship between hTG and acute pancreatitis, however, may not support this approach to clinical management. This study analyzed administrative data from the Veterans Health Administration for evidence of (1) temporal association between assessed triglycerides level and days to acute pancreatitis admission; (2) association between hTG and outcomes in the year after hospitalization for acute pancreatitis; (3) relative rates of prescription of fibrates vs statins in patients with acute pancreatitis; (4) association of prescription of fibrates alone versus fibrates with statins or statins alone with rates of adverse outcomes after hospitalization for acute pancreatitis. Only modest association was found between above-normal or extremely high triglycerides and time until acute pancreatitis. CHD/MI/stroke occurred in 23% in the year following AP, supporting cardiovascular risk management. Fibrates were prescribed less often than statins, defying conventional wisdom, but the high rates of cardiovascular events in the year following AP support a clinical focus on reducing cardiovascular risk factors.

Indexed as

Acute DiseaseAgedCardiovascular DiseasesFemaleFibric AcidsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsHypertriglyceridemiaMaleMiddle AgedMultivariate AnalysisPancreatitisTreatment OutcomeTriglyceridesFibric AcidsHydroxymethylglutaryl-CoA Reductase InhibitorsTriglycerides

Identifiers

PMID29381696
PMCPMC5790224
OpenAlexW2791766210

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.