Evidence map›Paper›PMID 33643646›Full record

ArticleAnnals of medicine and surgery (2012)2021

Neutrophil-to-lymphocyte ratio as a predictor of complicated acute diverticulitis: A retrospective cohort study.

René M Palacios Huatuco, Diana A Pantoja Pachajoa, Nicolás Bruera, Agustín E Pinsak, Florencia Llahi, Alejandro M Doniquian, Fernando A Alvarez, Matías Parodi

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. The role of infectious parameters in the early prediction of complicated colonic diverticulitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
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

8 authors.

René M Palacios HuatucoGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Diana A Pantoja PachajoaGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Nicolás BrueraGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Agustín E PinsakGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Florencia LlahiGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Alejandro M DoniquianGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Fernando A AlvarezGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.
Matías ParodiGeneral Surgery Service, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Oncativo, 1248, Córdoba Capital, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCurrently, the debate on the usefulness of Neutrophil to Lymphocyte Ratio (NLR) as a predictor of complications in acute diverticulitis (AD) remains open, especially, the relation to the severity of the disease, the clinical impact, and the necessity of minimally invasive or emergency surgical procedures. On the other hand, its diagnostic efficacy has not been studied even in our field. The objective of the present study was to determine the utility and diagnostic precision of NLR in complicated acute diverticulitis (cAD).

methodsDescriptive, retrospective cohort and analytical study. Patients older than 18 years with a diagnosis of AD were included, from 2013 to 2018. Demographic variables, days of hospitalization, leukocyte count, neutrophils, lymphocytes, ESR, CRP, and NLR were analyzed. The sensitivity and specificity for the diagnosis of cAD were determined using ROC curves.

results325 patients were included. Of these 196 (60%) were men. The median age was 52 years. A total of 30 (9%) were categorized as cAD. The patients with cAD presented mean values in the leukocyte count (14.02 ± 4.49 × 10

conclusionNLR is a predictive marker of cAD, with a cut-off point of 4.2 being the best diagnostic approach.

Indexed as

Acute diverticulitisBiomarkersC-reactive proteinNeutrophil-to-lymphocyte ratio

Identifiers

PMID33643646
PMCPMC7895691

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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.