Evidence map›Paper›PMID 33350291›Full record

ArticleTurkish journal of medical sciences2021

The prognostic value of fat necrosis deposits on CT imaging in acute pancreatitis

Şehnaz Evrimler, Münteha Çakmakçı, Adnan Karaibrahimoğlu, Mustafa Kayan

Open access · greenAbstract read
In one paragraph

Article in Turkish journal of medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

4 authors at 1 institution in 1 country.

Şehnaz EvrimlerDepartment of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, TurkeyORCID 0000-0002-9907-0011
Münteha ÇakmakçıDepartment of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, TurkeyORCID 0000-0001-5820-4194
Adnan KaraibrahimoğluDepartment of Biostatistics, Faculty of Medicine, Süleyman Demirel University, Isparta, TurkeyORCID 0000-0002-8277-0281
Mustafa KayanDepartment of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, TurkeyORCID 0000-0001-5255-7132
Süleyman Demirel University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Investigate the prognostic value of the fat necrosis deposit (FND) pattern in acute pancreatitis. Materials and methods: The contrast-enhanced computed tomography (CT) images of 35 necrotizing pancreatitis (NP) and 51 edematous pancreatitis (EP) cases were included in our retrospective study. Computed tomography severity index (CTSI) and Ranson scores were calculated. Images were evaluated for FND, complications (infection/ hemorrhage), walled-off necrosis (WON), and venous thrombosis (VT). We developed a new grading system called fat necrosis deposit-CTSI (FND-CTSI), which was the sum of FND and CTSI scores. The relationship between grading systems and mortality, length of hospital-intensive care unit stay, surgical and percutaneous interventions were evaluated. Results: FND-CTSI scores were significantly higher in NP than EP (P < 0.001). FND-CTSI demonstrated a significant correlation with CTSI (r:0.91, P < 0.001) and Ranson score (r:0.24, P = 0.025). CTSI was significantly higher in only mass form amongst the FND groups (P < 0.001). There was a significant difference in WON, complications, and mortality between FND groups (P < 0.05). CTSI and FND-CTSI scores were both significantly associated with WON, VT, surgical intervention, mortality (P < 0.001), and the presence of complications (P = 0.013 and P = 0.007, respectively). FND-CTSI was also significantly associated with percutaneous intervention (P = 0.019), while CTSI was not (P > 0.05). According to ROC analysis, AUC values of FND-CTSI were higher than CTSI for the detection of WON, complications, mortality, and percutaneous intervention (P < 0.05). FND-CTSI showed a highly significant correlation with the length of hospital and intensive care unit stays (P < 0.001). Conclusion: FND-CTSI can be used in acute pancreatitis grading and considered as a prognostic factor.

Indexed as

Acute DiseaseAdultAgedEdemaFat NecrosisFemaleHumansMaleMiddle AgedPancreatitis, Acute NecrotizingPrognosisRetrospective StudiesSeverity of Illness IndexTomography, X-Ray ComputedComputerized tomographyfat necrosispancreatitis

Identifiers

PMID33350291
PMCPMC8203172
OpenAlexW3114355889

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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.