Evidence map›Paper›PMID 30018304›Full record

ArticleThe American journal of gastroenterology2018

Hereditary Pancreatitis in the United States: Survival and Rates of Pancreatic Cancer.

Celeste A Shelton, Chandraprakash Umapathy, Kimberly Stello, Dhiraj Yadav, David C Whitcomb

Abstract read
In one paragraph

Article in The American journal of gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 3 pooled it
9.2field-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.

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

50 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Review
  7. Article
  8. Approach to the Patient With Pancreatogenic Diabetes.The Journal of clinical endocrinology and metabolism · 2026
    Review
  9. Challenges of early detection of pancreatic cancer.The Journal of clinical investigation · 2025
    Review
  10. MisfoldingAmerican journal of physiology. Gastrointestinal and liver physiology · 2025
    Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. [Pancreatic cancer-screening or surveillance?]Radiologie (Heidelberg, Germany) · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. Endoplasmic stress-inducing variants in carboxyl ester lipase and pancreatic cancer risk.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  20. 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

5 authors at 1 institution in 1 country.

Celeste A SheltonDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, and University of Pittsburgh Medical Center, Pittsburgh, PA, uSA. Department of human Genetics, Graduate School of Public health, university of Pittsburgh, Pittsburgh, PA, uSA. Division of General Internal Medicine, university of Pittsburgh, Pittsburgh, PA, uSA. Present address: department of Gastroenterology & hepatology, university of California San Francisco Fresno, Fresno, CA, uSA. These authors contributed equally: dhiraj Yadav, David C. Whitcomb.
Chandraprakash UmapathyDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, and University of Pittsburgh Medical Center, Pittsburgh, PA, uSA. Department of human Genetics, Graduate School of Public health, university of Pittsburgh, Pittsburgh, PA, uSA. Division of General Internal Medicine, university of Pittsburgh, Pittsburgh, PA, uSA. Present address: department of Gastroenterology & hepatology, university of California San Francisco Fresno, Fresno, CA, uSA. These authors contributed equally: dhiraj Yadav, David C. Whitcomb.
Kimberly StelloDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, and University of Pittsburgh Medical Center, Pittsburgh, PA, uSA. Department of human Genetics, Graduate School of Public health, university of Pittsburgh, Pittsburgh, PA, uSA. Division of General Internal Medicine, university of Pittsburgh, Pittsburgh, PA, uSA. Present address: department of Gastroenterology & hepatology, university of California San Francisco Fresno, Fresno, CA, uSA. These authors contributed equally: dhiraj Yadav, David C. Whitcomb.
Dhiraj YadavDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, and University of Pittsburgh Medical Center, Pittsburgh, PA, uSA. Department of human Genetics, Graduate School of Public health, university of Pittsburgh, Pittsburgh, PA, uSA. Division of General Internal Medicine, university of Pittsburgh, Pittsburgh, PA, uSA. Present address: department of Gastroenterology & hepatology, university of California San Francisco Fresno, Fresno, CA, uSA. These authors contributed equally: dhiraj Yadav, David C. Whitcomb.
David C WhitcombDepartment of Medicine, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, and University of Pittsburgh Medical Center, Pittsburgh, PA, uSA. Department of human Genetics, Graduate School of Public health, university of Pittsburgh, Pittsburgh, PA, uSA. Division of General Internal Medicine, university of Pittsburgh, Pittsburgh, PA, uSA. Present address: department of Gastroenterology & hepatology, university of California San Francisco Fresno, Fresno, CA, uSA. These authors contributed equally: dhiraj Yadav, David C. Whitcomb.
University of Pittsburgh · US

Funding

UPMC Clinical Center for the Study of Chronic Pancreatitis and DiabetesU01DK108306 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Frederico G. S. Toledo, Dhiraj Yadav · 2015 to 2026
$6.4M
Digestive Diseases Training ProgramT32DK063922 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ARTEEL, GAVIN E, YADAV, DHIRAJ · 2003 to 2022
$5.2M
North American Pancreatitis Study 2 (NAPS2)R01DK061451 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2002 to 2010
$4.9M
NAPS2-AS: Race Dependent Risk for PancreatitisR01DK077906 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YADAV, DHIRAJ · 2010 to 2013
$2.3M
MOLECULAR GENETICS OF HEREDITARY PANCREATITISR01DK054709 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 1999 to 2008
$2.0M
NIDDK NIH HHS R01 DK054709NIDDK NIH HHS R01 DK061451NIDDK NIH HHS R01 DK077906NIDDK NIH HHS T32 DK063922NIDDK NIH HHS U01 DK108306
6 · The paper itself

Abstract

objectivesHereditary pancreatitis (HP), an autosomal dominant disease typically caused by mutations in PRSS1, has a broad range of clinical characteristics and high cumulative risk of pancreatic cancer. We describe survival and pancreatic cancer risk in the largest HP cohort in the US.

methodsHP probands and family members prospectively recruited from 1995 to 2013 completed medical and family history questionnaires, and provided blood for DNA testing. Overall survival (until 12/31/2015) was determined from the Social Security Death Index (SSDI), National Death Index (NDI), and family members. Cause of death was obtained from the NDI.

results217 PRSS1 carriers (181 symptomatic) formed the study cohort. The most frequently detected mutations were p.R122H (83.9%) and p.N29I (11.5%). Thirty-seven PRSS1 carriers (30 symptomatic, 7 asymptomatic) were deceased at conclusion of the study (5 from pancreatic cancer). Median overall survival was 79.3 years (IQR 72.2-85.2). Risk of pancreatic cancer was significantly greater than age- and sex- matched SEER data (SIR 59, 95% CI 19-138), and cumulative risk was 7.2% (95% CI 0-15.4) at 70 years. DISCUSSION: We confirm prior observations on survival and pancreatic cancer SIR in PRSS1 subjects. Although risk of pancreatic cancer was significantly high in these patients, its cumulative risk was much lower than previous reports.

Indexed as

AdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleGenetic TestingHeterozygoteHumansMaleMedical History TakingMiddle AgedMutationPancreasPRSS1 protein, humanTrypsin

Identifiers

PMID30018304
PMCPMC6708435
OpenAlexW2883240998

What OpenQuestion holds

Textmetadata
LicenceTDM
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.