Evidence map›Paper›PMID 33446814›Full record

Trial reportScientific reports2021

Evidence for diagnosis of early chronic pancreatitis after three episodes of acute pancreatitis: a cross-sectional multicentre international study with experimental animal model.

Péter J Hegyi, Alexandra Soós, Emese Tóth, Attila Ébert, Viktória Venglovecz, Katalin Márta, Péter Mátrai, Alexandra Mikó, Judit Bajor, Patrícia Sarlós and 27 more

Open access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Reevaluating the role of TRPV6 deficiency in human and mouse pancreatitis.American journal of physiology. Gastrointestinal and liver physiology · 2026
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  15. Endoscopic Management of Recurrent Acute Pancreatitis.Journal of clinical medicine · 2025
    Review
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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

37 authors at 17 institutions in 8 countries.

Péter J HegyiInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Alexandra SoósDepartment of Medicine, University of Szeged, Szeged, Hungary.
Emese TóthDepartment of Medicine, University of Szeged, Szeged, Hungary.
Attila ÉbertDepartment of Pharmacology and Pharmacotherapy, Szeged, Hungary.
Viktória VengloveczDepartment of Pharmacology and Pharmacotherapy, Szeged, Hungary.
Katalin MártaInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Péter MátraiInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Alexandra MikóInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Judit BajorDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Patrícia SarlósDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Áron VinczeDivision of Gastroenterology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.
Adrienn HalászSzent György Teaching Hospital of County Fejér, Székesfehérvár, Hungary.
Ferenc IzbékiSzent György Teaching Hospital of County Fejér, Székesfehérvár, Hungary.
Zoltán SzepesDepartment of Medicine, University of Szeged, Szeged, Hungary.
László CzakóDepartment of Medicine, University of Szeged, Szeged, Hungary.
György KovácsDepartment of Internal Medicine, Division of Gastroenterology, University of Debrecen, Debrecen, Hungary.
Mária PappDepartment of Internal Medicine, Division of Gastroenterology, University of Debrecen, Debrecen, Hungary.
Zsolt DubravcsikBács-Kiskun County Hospital, Kecskemét, Hungary.
Márta VargaDr. Réthy Pál Hospital, Békéscsaba, Hungary.
József HamvasPeterfy Hospital and Trauma, Trauma Emergency Room, Esztergom, Hungary.
Balázs C NémethDepartment of Medicine, University of Szeged, Szeged, Hungary.
Melania MacarieCounty Emergency Clinical Hospital - Gastroenterology and, University of Medicine, Pharmacy, Sciences and Technology, Târgu Mureș, Romania.
Ali Tüzün InceSchool of Medicine, Hospital of Bezmialem Vakif University, Istanbul, Turkey.
Dmitry S BordinA.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Elena A DubtsovaA.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Mariya A KiryukovaA.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Igor E KhatkovA.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia.
Tanya BideevaSemashko Central Clinical Hospital, Moscow, Russia.
Artautas MickeviciusClinic of Gastroenterology, Nephrourology and Abdominal Surgery, Faculty of Medicine, Vilnius University, Vilnius,, Lithuania.
Elena Ramírez-MaldonadoConsorci Sanitari del Garraf, Sant Pere de Ribes, Barcelona, Spain.
Ville SallinenDepartment of Abdominal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Bálint ErőssInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Dániel PécsiInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Andrea SzentesiInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
Andrea PárniczkyInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary.
László TiszlaviczDepartment of Pathology, University of Szeged, Szeged, Hungary.
Péter HegyiInstitute for Translational Medicine, Medical School, Szentágothai Research Centre, University of Pécs, Pécs, Hungary. hegyi.peter@pte.hu.
University of Szeged · HUUniversity of Pecs · HUFejér Megyei Szent György Egyetemi Oktató Kórház · HUMoscow Clinical Scientific Center · RUUniversity of Debrecen · HUBács-Kiskun Megyei Kórház · HUBezmiâlem Vakıf Üniversitesi · TRCentral Clinical Hospital No 2 named Semashko · RUConsorci Sanitari Garraf · ESHeim Pál Gyermekkórház · HUMoscow State University of Medicine and Dentistry · RUPéterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ · HUSlovak Medical University · SKTver State Medical University · RUUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș · ROUniversity of Helsinki · FIVilnius University · LT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pancreatitis (CP) is an end-stage disease with no specific therapy; therefore, an early diagnosis is of crucial importance. In this study, data from 1315 and 318 patients were analysed from acute pancreatitis (AP) and CP registries, respectively. The population from the AP registry was divided into AP (n = 983), recurrent AP (RAP, n = 270) and CP (n = 62) groups. The prevalence of CP in combination with AP, RAP2, RAP3, RAP4 and RAP5 + was 0%, 1%, 16%, 50% and 47%, respectively, suggesting that three or more episodes of AP is a strong risk factor for CP. Laboratory, imaging and clinical biomarkers highlighted that patients with RAP3 + do not show a significant difference between RAPs and CP. Data from CP registries showed 98% of patients had at least one AP and the average number of episodes was four. We mimicked the human RAPs in a mouse model and found that three or more episodes of AP cause early chronic-like morphological changes in the pancreas. We concluded that three or more attacks of AP with no morphological changes to the pancreas could be considered as early CP (ECP).The new diagnostic criteria for ECP allow the majority of CP patients to be diagnosed earlier. They can be used in hospitals with no additional costs in healthcare.

Indexed as

RegistriesAnimalsCross-Sectional StudiesDisease Models, AnimalEarly DiagnosisFemaleHumansMaleMiceMiddle AgedPancreatitisPancreatitis, Chronic

Identifiers

PMID33446814
PMCPMC7809468
OpenAlexW3123601857

What OpenQuestion holds

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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.