Evidence map›Paper›PMID 31152333›Full record

ArticleDigestive diseases and sciences2019

Quality of Care Indicators in Patients with Acute Pancreatitis.

Gyanprakash Ketwaroo, Robert Jay Sealock, Steven Freedman, Phil A Hart, Mohamed Othman, Wahid Wassef, Peter Banks, Santhi Swaroop Vege, Timothy Gardner, Dhiraj Yadav and 2 more

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Acute pancreatitis: mechanisms and therapeutic approaches.Signal transduction and targeted therapy · 2026
    Review
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Gyanprakash KetwarooDepartment of Medicine, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX, 77030, USA. Gyanprakash.Ketwaroo@bcm.edu.ORCID 0000-0001-9357-6401
Robert Jay SealockDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Steven FreedmanDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Phil A HartDivision of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Mohamed OthmanDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Wahid WassefDivision of Gastroenterology, University of Massachusetts Medical School, Worcester, MA, USA.
Peter BanksBrigham and Women's Hospital, Boston, MA, USA.
Santhi Swaroop VegeDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Timothy GardnerDartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Dhiraj YadavDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Sunil ShethDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Fasiha KanwalDepartment of Medicine, Michael E. DeBakey VA Medical Center, 2002 Holcombe Blvd, Houston, TX, 77030, USA.

Funding

DYSBIOTIC MICROBIOME IN PANCREATITIS, DIABETES, AND PANCREATIC CANCERU01DK108326 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI FISHER, WILLIAM E · 2015 to 2024
$5.2M
NIDDK NIH HHS U01 DK108326
6 · The paper itself

Abstract

backgroundAcute pancreatitis (AP) is a common and expensive condition. Improving quality of care in AP is vital to minimizing cost and improving patient outcomes. However, there has been little work accomplished toward developing and validating explicit quality indicators (QIs) in AP.

aimsTo define quality of care in patients with AP by developing explicit QIs using standardized techniques.

methodsWe used the UCLA/RAND Delphi panel approach to combine a comprehensive literature review with the collective judgment of experts to identify a defined set of process measures for AP.

resultsWe produced 164 candidate QIs after a comprehensive literature review. After Delphi review, 75 had a median rating ≥ 7. We excluded 11 QIs where the disagreement index exceeded 1.0 and combined indicators overlapping in content to produce a final list of 22 QIs. Overall, 8 QIs related to diagnosis, prevention, or determination of etiology, 2 QIs focused on determination of severity, 3 QIs captured fluid resuscitation, 2 QIs measured nutrition, 1 QI use of antibiotics, and 6 QIs captured endoscopic or surgical management.

conclusionsWe have developed 22 QIs spanning the spectrum of AP management including diagnosis, risk stratification, and pharmacological and endoscopic therapy. These QIs will facilitate future quality improvement by practitioners and organizations who treat patients with AP and further identify areas that are amenable to improvement to enhance patient care. We anticipate that this QI set will represent the first step in determining a framework for demonstrating value in the care of patients with AP.

Indexed as

Quality ImprovementQuality Indicators, Health CareAnti-Bacterial AgentsDelphi TechniqueEndoscopy, Digestive SystemFluid TherapyHumansNutrition AssessmentPancreatitisPatient AcuityResuscitationReview Literature as TopicRisk AssessmentAnti-Bacterial AgentsAcute pancreatitisDelphiQualityQuality improvement

Identifiers

PMID31152333

What OpenQuestion holds

Textmetadata
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.