Evidence map›Paper›PMID 30262764›Full record

ArticleJournal of clinical medicine2018

Serum Urokinase-Type Plasminogen Activator Receptor Does Not Outperform C-Reactive Protein and Procalcitonin as an Early Marker of Severity of Acute Pancreatitis.

Witold Kolber, Beata Kuśnierz-Cabala, Paulina Dumnicka, Małgorzata Maraj, Małgorzata Mazur-Laskowska, Michał Pędziwiatr, Piotr Ceranowicz

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  14. Evaluation of Prognostic Factors of Severity in Acute Biliary Pancreatitis.International journal of molecular sciences · 2020
    Observational
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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

7 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.
Beata Kuśnierz-CabalaDepartment of Diagnostics, Chair of Clinical Biochemistry, Faculty of Medicine, Jagiellonian University Medical College, Kopernika 15A St., 31-501 Krakow, Poland. mbkusnie@cyf-kr.edu.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, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16 St., 31-531 Krakow, Poland. malgorzata.maraj@gmail.com.
Małgorzata Mazur-LaskowskaDiagnostics Department of University Hospital in Krakow, Kopernika 15B St., 31-501 Krakow, Poland. mbmazur@cyf-kr.edu.pl.
Michał Pędziwiatr2nd Department of Surgery, Faculty of Medicine, Jagiellonian University Medical College, Kopernika 21 St., 31-501 Krakow, Poland. mpedziwiatr@gmail.com.
Piotr CeranowiczDepartment of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16 St., 31-531 Krakow, Poland. mpcerano@cyf-kr.edu.pl.
Jagiellonian University · PLKrakow Cardiovascular Research Institute · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe acute pancreatitis (SAP) concerns 10⁻20% of acute pancreatitis (AP) patients and is associated with a poor prognosis and high mortality. An early prognosis of the unfavorable outcome, transfer to an intensive care unit (ICU) and the introduction of an adequate treatment are crucial for patients' survival. Recently, the elevated circulating urokinase-type plasminogen activator receptor (uPAR) has been reported to predict SAP with a high diagnostic accuracy among patients in a tertiary center. The aim of the study was to compare the diagnostic utility of uPAR and other inflammatory markers as the predictors of the unfavorable course of AP in patients admitted to a secondary care hospital within the first 24 h of the onset of AP. The study included 95 patients, eight with a SAP diagnosis. Serum uPAR was measured on admission and in the two subsequent days. On admission, uPAR significantly predicted organ failure, acute cardiovascular failure, acute kidney injury, the need for intensive care, and death. The diagnostic accuracy of the admission uPAR for the prediction of SAP, organ failure, and ICU transfer or death was low to moderate and did not differ significantly from the diagnostic accuracy of interleukin-6, C-reactive protein, procalcitonin, D-dimer and soluble fms-like tyrosine kinase-1. In the secondary care hospital, where most patients with AP are initially admitted, uPAR measurements did not prove better than the currently used markers.

Indexed as

acute kidney injuryearly prediction of acute pancreatitis severityinterleukin 6liver failureurokinase-type plasminogen activator receptor

Identifiers

PMID30262764
PMCPMC6210514
OpenAlexW2893485157

What OpenQuestion holds

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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.