Evidence map›Paper›PMID 31638914›Full record

SynthesisBMC gastroenterology2019

Minimally invasive drainage versus open surgical debridement in SAP/SMAP - a network meta-analysis.

Kai Zhang, Xiaole Zhu, Chaoqun Hou, Chenyuan Shi, Yi Miao, Qiang Li

Open access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 1 institution in 1 country.

Kai ZhangPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Xiaole ZhuPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Chaoqun HouPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Chenyuan ShiPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.
Yi MiaoPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China. miaoyi@njmu.edu.cn.ORCID http://orcid.org/0000-0001-5129-2603
Qiang LiPancreatic Center & Department of General Surgery, The First Affliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China. liqiang020202@163.com.
Nanjing Medical University · CN

Funding

Jiangsu Biobank of Clinical Resource BM2015004The Innovation Capability Development Project of Jiangsu Province No. BM2015004the Priority Academic Program Development of Jiangsu Higher Education Institutions JX10231801
6 · The paper itself

Abstract

backgroundThe efficacy of some therapeutic methods (open surgical debridement (OSD), conservative treatment (CST) and minimally invasive drainage (MID)) for severe acute pancreatitis (SAP) and moderately severe acute pancreatitis (MSAP) has been widely evaluated. However, the results remained controversial. We performed this study to illuminate whether any difference in incidence exists on patients with SAP/MSAP treated with OSD and MID.

methodsEligible articles were collected base of a comprehensive review of PUBMED, EMBASE, COCHRANE, CKNI and WANGFANG for published randomized controlled trials. Two steps of meta-analysis were performed, routine pair-wise meta-analysis and network meta-analysis.

resultsThirteen studies were included in this study. Participants were classed as 5 groups, CST, early MID (EMID), late MID (LMID), early OSD (EOSD) and late OSD (LOSD). And MID contains endoscopic drainage (ESD), percutaneous catheter drainage (PCD) and minimally invasive surgery (MIS). Compared with CST, MID could decrease both mortality and multiple organ dysfunction syndrome (MODS) rate but OSD couldn't. Both EMID and MID can significantly decrease the mortality and MODS rate compared to CST. PCD might be most likely to have a benefit compared to CST.

conclusionExisting evidence for the use of MID in SAP/MSAP is reliable and it can be used as early treatment. OSD, if necessary, should be avoided or delayed as long as possible.

Indexed as

DebridementConservative TreatmentDrainageEndoscopyHumansMinimally Invasive Surgical ProceduresMultiple Organ FailurePancreatitisPostoperative ComplicationsSeverity of Illness IndexComplicationsInvestigationsNetwork meta-analysisOrgan failure

Identifiers

PMID31638914
PMCPMC6802312
OpenAlexW2980997828

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.