Evidence map›Paper›PMID 33122514›Full record

ArticlePancreas

Introduction and Validation of a Novel Acute Pancreatitis Digital Tool: Interrogating Large Pooled Data From 2 Prospectively Ascertained Cohorts.

Pedram Paragomi, Daniel M Spagnolo, Cameron R Breze, Amir Gougol, Rupjyoti Talukdar, Rakesh Kochhar, Mahesh Kumar Goenka, Aiste Gulla, Jose A Gonzalez, Vikesh K Singh and 19 more

Open access · greenAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Pancreas. 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
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 20 institutions in 10 countries.

Pedram ParagomiFrom the Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh Medical Center.
Daniel M SpagnoloAriel Precision Medicine, Pittsburgh, PA.
Cameron R BrezeAriel Precision Medicine, Pittsburgh, PA.
Amir GougolFrom the Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh Medical Center.
Rupjyoti TalukdarDepartment of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad.
Rakesh KochharDepartment of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh.
Mahesh Kumar GoenkaDepartment of Gastroenterology, Apollo Gleneagles Hospitals Kolkata, Kolkata, India.
Aiste GullaDepartment of Gastroenterology, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Jose A GonzalezDepartment of Gastroenterology, Universidad Autónoma de Nueva León, Monterrey, Mexico.
Vikesh K SinghDivision of Gastroenterology, Department of Medicine, John Hopkins Medical Institutions, Baltimore, MD.
Miguel FerreiraDepartment of Gastroenterology, Hospital Nacional de Itauguá, Itaugua, Paraguay.
Tyler StevensDepartment of Medicine, Division of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, OH.
Sorin T BarbuDepartment of Surgery, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.
Haq NawazDepartment of Gastroenterology, Eastern Maine Medical Center, Bangor, ME.
Silvia C GutierrezDepartment of Gastroenterology, Hospital Nacional "Profesor Alejandro Posadas", Buenos Aires, Argentina.
Narcis O ZarnescuDepartment of Gastroenterology, "Carol Davila" University of Medicine and Pharmacy, University Emergency Hospital Bucharest, Bucharest, Romania.
Livia ArchibugiDepartment of Pancreato-Biliary Endoscopy and Endosonography, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy.
Jeffrey J EaslerDivision of Gastroenterology, Department of Gastroenterology, Indiana University School of Medicine, Indianapolis, IN.
Konstantinos TriantafyllouDepartment of Medicine, Attikon University General Hospital, Athens, Greece.
Mario Pelaez-LunaDepartment of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán-Universidad\Autónoma de Mexico, Mexico City, Mexico.
Shyam ThakkarDepartment of Gastroenterology, West Virginia University, Morgantown, WV.
Carlos OcampoDepartment of Surgery, Hospital General de Argudos "Dr. Cosme Argerich", Buenos Aires, Argentina.
Enrique de-MadariaDepartment of Gastroenterology, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Gregory A CoteDivision of Gastroenterology, Department of Medicine, Medical University of South Carolina, Charleston, SC.
Bechien U WuDivision of Gastroenterology, Department of Medicine, Kaiser Permanente, Pasadena, CA.
Ioannis PothoulakisFrom the Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh Medical Center.
Mark HauptAriel Precision Medicine, Pittsburgh, PA.
David C WhitcombFrom the Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh Medical Center.
Georgios I PapachristouDepartment of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Ohio State University, Wexner Medical Center, Columbus, OH.
University of Pittsburgh Medical Center · USAriel University · ILApollo Gleneagles Hospitals · INArgerich Hospital · ARAsian Institute of Gastroenterology · INCarol Davila University of Medicine and Pharmacy · ROCleveland Clinic · USEastern Maine Medical Center · USHospital Posadas · ARIndiana University School of MedicineInstituto de investigación sanitaria y biomédica de AlicanteInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXIuliu Hațieganu University of Medicine and Pharmacy · ROKaiser Permanente · USMedStar Washington Hospital Center · USPost Graduate Institute of Medical Education and Research · INUniversidad Autónoma de Nuevo León · MXUniversity General Hospital Attikon · GRVilnius University · LTVita-Salute San Raffaele University · IT

Funding

Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
Indiana University clinical Center for acute pancreatitis and diabetes clinical research networkU01DK127382 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina, Evan L Fogel · 2020 to 2026
$2.4M
NIDDK NIH HHS P30 DK123704NIDDK NIH HHS U01 DK127382
6 · The paper itself

Abstract

objectivesAcute pancreatitis (AP) is a sudden onset, rapidly evolving inflammatory response with systemic inflammation and multiorgan failure (MOF) in a subset of patients. New highly accurate clinical decision support tools are needed to allow local doctors to provide expert care.

methodsAriel Dynamic Acute Pancreatitis Tracker (ADAPT) is a digital tool to guide physicians in ordering standard tests, evaluate test results and model progression using available data, propose emergent therapies. The accuracy of the severity score calculators was tested using 2 prospectively ascertained Acute Pancreatitis Patient Registry to Examine Novel Therapies in Clinical Experience cohorts (pilot University of Pittsburgh Medical Center, n = 163; international, n = 1544).

resultsThe ADAPT and post hoc expert-calculated AP severity scores were 100% concordant in both pilot and international cohorts. High-risk criteria of all 4 severity scores at admission were associated with moderately-severe or severe AP and MOF (both P < 0.0001) and prediction of no MOF was 97.8% to 98.9%. The positive predictive value for MOF was 7.5% to 14.9%.

conclusionsThe ADAPT tool showed 100% accuracy with AP predictive metrics. Prospective evaluation of ADAPT features is needed to determine if additional data can accurately predict and mitigate severe AP and MOF.

Indexed as

Decision Support TechniquesFemaleHumansMaleMiddle AgedPancreatitisPilot ProjectsPredictive Value of TestsPrognosisProspective StudiesReproducibility of ResultsRisk AssessmentRisk FactorsSeverity of Illness Index

Identifiers

PMID33122514
PMCPMC8128442
OpenAlexW3096127807

What OpenQuestion holds

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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.