Evidence map›Paper›PMID 30897605›Full record

ArticleJournal of pediatric gastroenterology and nutrition2019

Chronic Pancreatitis: Pediatric and Adult Cohorts Show Similarities in Disease Progress Despite Different Risk Factors.

Sarah J Schwarzenberg, Aliye Uc, Bridget Zimmerman, Michael Wilschanski, C Mel Wilcox, David C Whitcomb, Steven L Werlin, David Troendle, Gong Tang, Adam Slivka and 43 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Prevalence of primary painless chronic pancreatitis: A systematic review and meta-analysis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Risk Factors and Mechanisms for Diabetes in Pancreatitis.Gastroenterology clinics of North America · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Exocrine Pancreatic Insufficiency in Children - Challenges in Management.Pediatric health, medicine and therapeutics · 2023
    Review
  16. Article
  17. Review
  18. An assessment of pancreatology education in North American pediatric gastroenterology fellowship programs.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  19. Observational
  20. Current State of Imaging of Pediatric Pancreatitis:AJR. American journal of roentgenology · 2021
    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

53 authors.

Sarah J SchwarzenbergUniversity of Minnesota Masonic Children's Hospital, Minneapolis, MN.
Aliye UcUniversity of Iowa, Stead Family Children's Hospital.
Bridget ZimmermanDepartment of Biostatistics, University of Iowa, Iowa City, IA.
Michael WilschanskiHadassah Hebrew University Hospital, Jerusalem, Israel.
C Mel WilcoxDepartment of Medicine, University of Alabama Birmingham, Birmingham, AL.
David C WhitcombDepartment of Medicine.
Steven L WerlinMedical College of Wisconsin, Milwaukee, WI.
David TroendleUniversity of Texas Southwestern Medical School, Dallas, TX.
Gong TangDepartment of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Adam SlivkaDepartment of Medicine.
Vikesh K SinghDepartment of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD.
Stuart ShermanDepartment of Medicine, Indiana University, Indianapolis, IN.
Uzma ShahMassachusetts General Hospital for Children, Harvard Medical School, Boston, MA.
Bimaljit S SandhuRichmond Gastroenterology Associates, St. Mary's Hospital, Richmond, VA.
Joseph RomagnuoloPalmetto Health, Columbia Gastroenterology Associates, Columbia, SC.
Sue RheeUniversity of California San Francisco Benioff Children's Hospital, San Francisco, CA.
John F PohlUniversity of Utah, Salt Lake City, UT.
Emily R PeritoUniversity of California San Francisco Benioff Children's Hospital, San Francisco, CA.
Chee Y OoiSchool of Women's and Children's Health, Medicine, University of New South Wales and Sydney Children's Hospital Randwick Sydney, Australia.
Jaimie D NathanCincinnati Children's Hospital Medical Center, Cincinnati, OH.
Thiruvengadam MunirajYale University, New Haven, CT.
Veronique D MorinvilleMontreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Brian McFerronRiley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN.
Maria MascarenhasChildren's Hospital of Philadelphia, Philadelphia, PA.
Asim MaqboolChildren's Hospital of Philadelphia, Philadelphia, PA.
Quin LiuCedars-Sinai Medical Center, Los Angeles, CA.
Tom K LinCincinnati Children's Hospital Medical Center, Cincinnati, OH.
Michele LewisDepartment of Medicine, Mayo Clinic, Jacksonville, FL.
Sohail Z HusainChildren's Hospital of Pittsburgh, Pittsburgh, PA.
Ryan HimesBaylor College of Medicine, Houston, TX.
Melvin B HeymanUniversity of California San Francisco Benioff Children's Hospital, San Francisco, CA.
Nalini GudaAurora Health Care, St. Luke's Medical Center, Milwaukee, WI.
Tanja GonskaHospital for Sick Children, Toronto, Ontario, Canada.
Matthew J GieferSeattle Children's Hospital, Seattle, WA.
Andres GelrudGastroHealth, Miami, FL.
Cheryl E GariepyNationwide Children's Hospital, Columbus, OH.
Timothy B GardnerDepartment of Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Steven D FreedmanHarvard Medical School, Boston, MA.
Christopher E ForsmarkDepartment of Medicine, University of Florida, Gainesville, FL.
Douglas S FishmanBaylor College of Medicine, Houston, TX.
Gregory A CoteAurora Health Care, St. Luke's Medical Center, Milwaukee, WI.
Darwin ConwellDepartment of Medicine, Ohio State University, Columbus, OH.
Randall E BrandDepartment of Medicine.
Melena BellinUniversity of Minnesota Masonic Children's Hospital, Minneapolis, MN.
Bradley BarthUniversity of Texas Southwestern Medical School, Dallas, TX.
Peter A BanksDepartment of Medicine, Brigham and Women's Hospital, Boston, MA.
Michelle A AndersonDepartment of Medicine, University of Michigan, Ann Arbor, MI.
Stephen T AmannDigestive Health Specialists, Tupelo, MS.
Samer AlkaadeDepartment of Medicine, Saint Louis University, St. Louis, MO.
Maisam Abu-El-HaijaCincinnati Children's Hospital Medical Center, Cincinnati, OH.
Judah N AbberbockDepartment of Biostatistics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Mark E LoweWashington University School of Medicine.
Dhiraj YadavDepartment of Medicine.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Amy Leanne Ryan · 1998 to 2026
$30.5M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Year 9 Administrative Supplement to INSPPIRE 2U01DK108334 · NIDDK · UNIVERSITY OF IOWA · PI MARK E. LOWE, Aliye Uc · 2015 to 2026
$10.5M
University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
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
The Ohio State University Pancreatic Disorders Network (OSU-PDN)U01DK108327 · NIDDK · OHIO STATE UNIVERSITY · PI CONWELL, DARWIN LEWIS, HART, PHILIP A. · 2015 to 2024
$5.5M
DYSBIOTIC MICROBIOME IN PANCREATITIS, DIABETES, AND PANCREATIC CANCERU01DK108326 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI FISHER, WILLIAM E · 2015 to 2024
$5.2M
North American Pancreatitis Study 2 (NAPS2)R01DK061451 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITCOMB, DAVID CLEMENT · 2002 to 2010
$4.9M
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1 TR000442NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR024153NIDDK NIH HHS P30 DK054759NIDDK NIH HHS R01 DK061451NIDDK NIH HHS R01 DK077906NIDDK NIH HHS R01 DK097820NIDDK NIH HHS R21 DK096327NIDDK NIH HHS R56 DK061451NIDDK NIH HHS U01 DK108306NIDDK NIH HHS U01 DK108320NIDDK NIH HHS U01 DK108326NIDDK NIH HHS U01 DK108327NIDDK NIH HHS U01 DK108334
6 · The paper itself

Abstract

objectivesThe aim of the present study was to investigate the natural history of chronic pancreatitis (CP); patients in the North American Pancreatitis Study2 (NAPS2, adults) and INternational Study group of Pediatric Pancreatitis: In search for a cuRE (INSPPIRE, pediatric) were compared.

methodsDemographics, risk factors, disease duration, management and outcomes of 224 children and 1063 adults were compared using appropriate statistical tests for categorical and continuous variables.

resultsAlcohol was a risk in 53% of adults and 1% of children (P < 0.0001); tobacco in 50% of adults and 7% of children (P < 0.0001). Obstructive factors were more common in children (29% vs 19% in adults, P = 0.001). Genetic risk factors were found more often in children. Exocrine pancreatic insufficiency was similar (children 26% vs adult 33%, P = 0.107). Diabetes was more common in adults than children (36% vs 4% respectively, P < 0.0001). Median emergency room visits, hospitalizations, and missed days of work/school were similar across the cohorts. As a secondary analysis, NAPS2 subjects with childhood onset (NAPS2-CO) were compared with INSPPIRE subjects. These 2 cohorts were more similar than the total INSPPIRE and NAPS2 cohorts, including for genetic risk factors. The only risk factor significantly more common in the NAPS2-CO cohort compared with the INSPPIRE cohort was alcohol (9% NAPS2-CO vs 1% INSPPIRE cohorts, P = 0.011).

conclusionsDespite disparity in age of onset, children and adults with CP exhibit similarity in demographics, CP treatment, and pain. Differences between groups in radiographic findings and diabetes prevalence may be related to differences in risk factors associated with disease and length of time of CP.

Indexed as

AdolescentAdultAlcohol DrinkingChildCohort StudiesCross-Sectional StudiesDemographyDisease ProgressionFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedNorth AmericaPancreatitis, ChronicRisk Factors

Identifiers

PMID30897605
PMCPMC6492264

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.