Evidence map›Paper›PMID 30134355›Full record

ArticlePancreas2018

Practice Patterns and Utilization of Tube Feedings in Acute Pancreatitis Patients at a Large US Referral Center.

Jorge D Machicado, Amir Gougol, Pedram Paragomi, Stephen J OʼKeefe, Kenneth Lee, Adam Slivka, David C Whitcomb, Dhiraj Yadav, Georgios I Papachristou

Abstract read
In one paragraph

Article in Pancreas, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Impact of abdominal imaging on the diagnosis of acute pancreatitis in patients with painless lipase elevation.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. New insights into acute pancreatitis.Nature reviews. Gastroenterology & hepatology · 2019
    Review
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

9 authors.

Jorge D Machicado
Amir Gougol
Pedram Paragomi
Stephen J OʼKeefe
Kenneth LeeDepartment of Surgery, University of Pittsburgh Medical Center.
Adam Slivka
David C Whitcomb
Dhiraj Yadav
Georgios I Papachristou

Funding

Predicting persistent Organ Failure early in Acute PancreatitisI01CX000272 · VA · VETERANS HEALTH ADMINISTRATION · PI PAPACHRISTOU, GEORGIOS I · 2012 to 2014
–
CSRD VA I01 CX000272
6 · The paper itself

Abstract

objectivesClinical trials on tube feedings (TFs) have not been sufficiently powered to change practice patterns in acute pancreatitis (AP). We aimed to describe the use, duration, and resource utilization of TF in AP patients at an expert US center.

methodsOf 423 AP patients prospectively enrolled at the University of Pittsburgh Medical Center from 2004 to 2014, 139 (33%) received TF. Data on TF were assessed in 100 (72%) of 139 patients with complete data available.

resultsPatients on TF were more likely to be male, be obese, have alcohol etiology, and have moderately severe (34% vs 19%) or severe AP (62% vs. 3%) (P < 0.05). Tube feedings were started after a median of 5 days (interquartile range, 3-8 days) from admission and were administered for a median of 39 days (interquartile range, 19-58 days). A nasojejunal route (95%) with an oligomeric formula (92%) was the preferred TF strategy. Feeding tube complications led to at least 1 endoscopic tube replacement in 42% of patients and to an unexpected health care visit in 29% of those discharged on TF (16/55 patients).

conclusionsTube feedings form an important component in the management of patients with moderately severe and severe AP. Further studies should define the optimal utilization of TF and ways to reduce TF-related complications.

Indexed as

Practice Patterns, Physicians'Acute DiseaseAdultAgedEnteral NutritionFemaleHumansLength of StayMaleMiddle AgedPancreatitisReferral and ConsultationSeverity of Illness IndexUnited States

Identifiers

PMID30134355
PMCPMC6131057

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.