Evidence map›Paper›PMID 29925813›Full record

Observational studyInternational journal of molecular sciences2018

Does the Automatic Measurement of Interleukin 6 Allow for Prediction of Complications during the First 48 h of Acute Pancreatitis?

Witold Kolber, Paulina Dumnicka, Małgorzata Maraj, Beata Kuśnierz-Cabala, Piotr Ceranowicz, Michał Pędziwiatr, Barbara Maziarz, Małgorzata Mazur-Laskowska, Marek Kuźniewski, Mateusz Sporek and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Circulating Markers of Necroptosis in Acute Pancreatitis.Digestive diseases and sciences · 2024
    Article
  8. Review
  9. Interleukins: pathophysiological role in acute pancreatitis.Archives of medical science : AMS · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Review
  16. Observational
  17. 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

11 authors at 2 institutions in 1 country.

Witold KolberDepartment of Surgery, Complex of Health Care Centers in Wadowice, Karmelicka 5 St., 34-100 Wadowice, Poland. wkolber@wp.pl.
Paulina DumnickaDepartment of Medical Diagnostics, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St., 30-688 Krakow, Poland. paulina.dumnicka@uj.edu.pl.
Małgorzata MarajDepartment of Physiology, Jagiellonian University Medical College, Grzegorzecka 16 St., 31-531 Krakow, Poland. malgorzatamaraj@gmail.com.
Beata Kuśnierz-CabalaDepartment of Diagnostics, Chair of Clinical Biochemistry, Jagiellonian University Medical College, Kopernika 15A St., 31-501 Krakow, Poland. mbkusnie@cyf-kr.edu.pl.
Piotr CeranowiczDepartment of Physiology, Jagiellonian University Medical College, Grzegorzecka 16 St., 31-531 Krakow, Poland. mpcerano@cyf-kr.edu.pl.
Michał Pędziwiatr2nd Department of Surgery, Jagiellonian University Medical College, Kopernika 21 St., 31-501 Krakow, Poland. mpedziwiatr@gmail.com.ORCID 0000-0001-9073-2667
Barbara MaziarzDepartment of Diagnostics, Chair of Clinical Biochemistry, Jagiellonian University Medical College, Kopernika 15A St., 31-501 Krakow, Poland. mbmaziar@cyf-kr.edu.pl.
Małgorzata Mazur-LaskowskaDiagnostics Department of University Hospital in Krakow, Kopernika 15B St., 31-501 Krakow, Poland. mbmazur@cyf-kr.edu.pl.
Marek KuźniewskiDepartment of Nephrology, Jagiellonian University Medical College, Kopernika 15 St., 31-501 Krakow, Poland. marek.kuzniewski@uj.edu.pl.
Mateusz SporekDepartment of Anatomy, Jagiellonian University Medical College, Kopernika 12 St., 31-034 Krakow, Poland. msporek1983@gmail.com.
Jerzy WalochaDepartment of Anatomy, Jagiellonian University Medical College, Kopernika 12 St., 31-034 Krakow, Poland. jwalocha@poczta.onet.pl.
Jagiellonian University · PLKrakow Cardiovascular Research Institute · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute pancreatitis (AP) in most patients takes a course of self-limiting local inflammation. However, up to 20% of patients develop severe AP (SAP), associated with systemic inflammation and/or pancreatic necrosis. Early prediction of SAP allows for the appropriate intensive treatment of severe cases, which reduces mortality. Serum interleukin-6 (IL-6) has been proposed as a biomarker to assist early diagnosis of SAP, however, most data come from studies utilizing IL-6 measurements with ELISA. Our aim was to verify the diagnostic usefulness of IL-6 for the prediction of SAP, organ failure, and need for intensive care in the course of AP using a fully automated assay. The study included 95 adult patients with AP of various severity (29 mild, 58 moderately-severe, 8 severe) admitted to a hospital within 24 h from the onset of symptoms. Serum IL-6 was measured using electochemiluminescence immunoassay in samples collected on admission and on the next day of hospital stay. On both days, patients with SAP presented the highest IL-6 levels. IL-6 correlated positively with other inflammatory markers (white blood cell and neutrophil counts, C-reactive protein, procalcitonin), the markers of renal injury (kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin), and the markers of endothelial dysfunction (angiopoietin-2, soluble fms-like tyrosine kinase-1). IL-6 on admission significantly predicted SAP, vital organ failure, and the need for intensive care or death, with areas under the receiver operating curve between 0.75 and 0.78, not significantly different from multi-variable prognostic scores. The fully automated assay allows for fast and repeatable measurements of serum IL-6, enabling wider clinical use of this valuable biomarker.

Indexed as

Acute DiseaseAdultArea Under CurveBiomarkersEarly DiagnosisFemaleHumansImmunoassayInterleukin-6Luminescent MeasurementsMaleMiddle AgedMultiple Organ FailurePancreatitisPrognosisProspective StudiesBiomarkersIL6 protein, humanInterleukin-6acute pancreatitisinterleukin 6organ failureprediction of acute pancreatitisseverity

Identifiers

PMID29925813
PMCPMC6032432
OpenAlexW2809528232

What OpenQuestion holds

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LicenceCC BY
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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.