Evidence map›Paper›PMID 33541865›Full record

ArticleGut2021

Identification and validation of a multivariable prediction model based on blood plasma and serum metabolomics for the distinction of chronic pancreatitis subjects from non-pancreas disease control subjects.

M Gordian Adam, Georg Beyer, Nicole Christiansen, Beate Kamlage, Christian Pilarsky, Marius Distler, Tim Fahlbusch, Ansgar Chromik, Fritz Klein, Marcus Bahra and 6 more

Open access · hybridAbstract readValidation Study
In one paragraph

Article in Gut, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.5field-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

26 citing papers in PubMed, 58 citations in OpenAlex.

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  13. A Reproducibility Crisis for Clinical Metabolomics Studies.Trends in analytical chemistry : TRAC · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

M Gordian Adam *Metanomics Health GmbH, Berlin, Berlin, Germany.
Georg Beyer *Department of Medicine II, Ludwig-Maximilians-Universitat Munchen, Munchen, Bayern, Germany.
Nicole ChristiansenTrinamiX GmbH, Ludwigshafen am Rhein, Rheinland-Pfalz, Germany.
Beate KamlageMetanomics Health GmbH, Berlin, Berlin, Germany.
Christian PilarskyDepartment of Surgery, Erlangen University Hospital, Erlangen, Bayern, Germany.
Marius DistlerClinic and Outpatient Clinic for Visceral-, Thorax- and Vascular Surgery, Dresden University Hospital, Dresden, Sachsen, Germany.
Tim FahlbuschSt. Josef Hospital, Department of Surgery, Ruhr University Bochum, Bochum, Nordrhein-Westfalen, Germany.
Ansgar ChromikAskleipios Clinic Harburg, Department for General and Visceral Surgery, Asklepios Hospital Group, Hamburg, Hamburg, Germany.
Fritz KleinDepartment of Surgery, Charité Universitätsmedizin Berlin Campus Charite Mitte, Berlin, Berlin, Germany.
Marcus BahraDepartment of Surgery, Charité Universitätsmedizin Berlin Campus Charite Mitte, Berlin, Berlin, Germany.
Waldemar UhlSt. Josef Hospital, Department of Surgery, Ruhr University Bochum, Bochum, Nordrhein-Westfalen, Germany.
Robert GrützmannDepartment of Surgery, Erlangen University Hospital, Erlangen, Bayern, Germany.
Ujjwal M MahajanDepartment of Medicine II, Ludwig-Maximilians-Universitat Munchen, Munchen, Bayern, Germany.ORCID 0000-0002-7238-8775
Frank U WeissDepartment of Medicine A, University Medicine Greifswald, Greifswald, Mecklenburg-Vorpommern, Germany.ORCID 0000-0003-3369-6369
Julia Mayerle *Department of Medicine II, Ludwig-Maximilians-Universitat Munchen, Munchen, Bayern, Germany.ORCID 0000-0002-3666-6459
Markus M Lerch *Department of Medicine A, University Medicine Greifswald, Greifswald, Mecklenburg-Vorpommern, Germany markus.lerch@med.uni-greifswald.de.
Ludwig-Maximilians-Universität München · DECharité - Universitätsmedizin Berlin · DESt. Josef-Hospital · DESyneos Health (Germany) · DEUniversitätsklinikum Erlangen · DEUniversitätsmedizin Greifswald · DEAsklepios Klinikum Harburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic pancreatitis (CP) is a fibroinflammatory syndrome leading to organ dysfunction, chronic pain, an increased risk for pancreatic cancer and considerable morbidity. Due to a lack of specific biomarkers, diagnosis is based on symptoms and specific but insensitive imaging features, preventing an early diagnosis and appropriate management.

designWe conducted a type 3 study for multivariable prediction for individual prognosis according to the TRIPOD guidelines. A signature to distinguish CP from controls (n=160) was identified using gas chromatography-mass spectrometry and liquid chromatography-tandem mass spectrometry on ethylenediaminetetraacetic acid (EDTA)-plasma and validated in independent cohorts.

resultsA Naive Bayes algorithm identified eight metabolites of six ontology classes. After algorithm training and computation of optimal cut-offs, classification according to the metabolic signature detected CP with an area under the curve (AUC) of 0.85 ((95% CI 0.79 to 0.91). External validation in two independent cohorts (total n=502) resulted in similar accuracy for detection of CP compared with non-pancreatic controls in EDTA-plasma (AUC 0.85 (95% CI 0.81 to 0.89)) and serum (AUC 0.87 (95% CI 0.81 to 0.95)).

conclusionsThis is the first study that identifies and independently validates a metabolomic signature in plasma and serum for the diagnosis of CP in large, prospective cohorts. The results could provide the basis for the development of the first routine laboratory test for CP.

Indexed as

MetabolomicsPlasmaBayes TheoremBiomarkersCase-Control StudiesChromatography, GasChromatography, LiquidFemaleHumansMaleMass SpectrometryPancreatitis, ChronicPredictive Value of TestsPrognosisProof of Concept StudyBiomarkerschronic pancreatitislipid metabolismliver cirrhosisliver metabolismpancreatic disorders

Identifiers

PMID33541865
PMCPMC8515121
OpenAlexW3128346754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.