Evidence map›Paper›PMID 29703854›Full record

Observational studyBMJ open2018

Evaluation of plasma microRNA-122, high-mobility group box 1 and keratin-18 concentrations to stratify acute gallstone disease: a pilot observational cohort study in an emergency general surgery unit.

Francesca Th'ng, Bastiaan Vliegenthart, Jonathan D Lea, Daniel J Antoine, James W Dear, Damian J Mole, Edinburgh Emergency Surgery Study Group, Royal Infirmary of Edinburgh, NHS Lothian

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

7 authors at 3 institutions in 1 country.

Francesca Th'ngClinical Surgery, School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6578-6532
Bastiaan VliegenthartBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Jonathan D LeaMRC Centre for Drug Safety Science, University of Liverpool, Liverpool, UK.
Daniel J AntoineMRC Centre for Drug Safety Science, University of Liverpool, Liverpool, UK.
James W DearBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Damian J MoleClinical Surgery, School of Clinical Sciences and Community Health, University of Edinburgh, Edinburgh, UK.
Edinburgh Emergency Surgery Study Group, Royal Infirmary of Edinburgh, NHS Lothian
University of Edinburgh · GBUniversity of Liverpool · GBNHS Lothian · GB

Funding

Medical Research Council MR/P008887/1
6 · The paper itself

Abstract

objectiveTo obtain pilot data to evaluate the discriminatory power of biomarkers microRNA-122 (miR-122), high-mobility group box 1 (HMGB1), full-length keratin-18 (flk-18) and caspase-cleaved keratin-18 (cck-18) in plasma to identify potential biliary complications that may require acute intervention.

designAn observational biomarker cohort pilot study.

settingIn a Scottish University teaching hospital for 12 months beginning on 3 September 2014.

participantsBlood samples were collected from adults (≥16 years old) referred with acute biliary-type symptoms who have presented to hospital within 24 hours prior were recruited. Patients unable or refused to give informed consent or were transferred from a hospital outside the National Health Service regional trust were excluded. PRIMARY OUTCOME MEASURES: To evaluate whether circulating miR-122, HMGB1, flk-18 and cck-18 can discriminate between people with and without gallstone disease and uncomplicated from complicated gallstone disease during the first 24 hours of hospital admission.

results300 patients were screened of which 285 patients were included. Plasma miR-122, cck-18 and flk-18 concentrations were increased in patients with gallstones compared with those without (miR-122: median: 2.89×10

conclusionmiR-122 and keratin-18 plasma concentrations are elevated in patients with gallstones. However, this result is confounded by the association between biomarker concentrations, age and gender. In this pilot study, miR-122 and keratin-18 were not sufficiently discriminatory to be progressed as clinically useful biomarkers in this context.

Indexed as

BiomarkersGallstonesAdolescentAdultCohort StudiesFemaleHMGB1 ProteinHumansKeratin-18MaleMicroRNAsPilot ProjectsQuality of LifeBiomarkersHMGB1 ProteinHMGB1 protein, humanKeratin-18MicroRNAsMIRN122 microRNA, humanbiochemistrygallstone diseaseHMGB-1Keratin-18microrna-122

Identifiers

PMID29703854
PMCPMC5922517
OpenAlexW2802066228

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.