Evidence map›Paper›PMID 33654368›Full record

ArticleAnnals of gastroenterology2021

Acute biliary pancreatitis has better outcomes but increased resource utilization compared to acute alcohol-induced pancreatitis: insights from a nationwide study.

Sachit Sharma, Christian Nehme, Muhammad Aziz, Simcha Weissman, Ahmad Khan, Ashu Acharya, Ishaan Vohra, Sami Ghazaleh, Ali Nawras, Douglas G Adler

Abstract read
In one paragraph

Article in Annals of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Changing etiology of acute pancreatitis in Kashmir: Implications for outcomes and healthcare utilization.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  2. Article
  3. Article
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

10 authors.

Sachit SharmaDepartment of Medicine, University of Toledo Medical Center, Toledo, OH (Sachit Sharma, Christian Nehme, Muhammad Aziz, Ashu Acharya, Sami Ghazaleh).
Christian NehmeDepartment of Medicine, University of Toledo Medical Center, Toledo, OH (Sachit Sharma, Christian Nehme, Muhammad Aziz, Ashu Acharya, Sami Ghazaleh).
Muhammad AzizDepartment of Medicine, University of Toledo Medical Center, Toledo, OH (Sachit Sharma, Christian Nehme, Muhammad Aziz, Ashu Acharya, Sami Ghazaleh).
Simcha WeissmanDepartment of Medicine, Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ (Simcha Weissman).
Ahmad KhanDepartment of Medicine, West Virginia University Health Sciences Center Charleston Division, Charleston, WV (Ahmad Khan).
Ashu AcharyaDepartment of Medicine, University of Toledo Medical Center, Toledo, OH (Sachit Sharma, Christian Nehme, Muhammad Aziz, Ashu Acharya, Sami Ghazaleh).
Ishaan VohraDepartment of Medicine, John H. Stroger Jr, Hospital of Cook County, Chicago, IL (Ishaan Vohra).
Sami GhazalehDepartment of Medicine, University of Toledo Medical Center, Toledo, OH (Sachit Sharma, Christian Nehme, Muhammad Aziz, Ashu Acharya, Sami Ghazaleh).
Ali NawrasDepartment of Gastroenterology, The University of Toledo Medical Center, Toledo, OH (Ali Nawras).
Douglas G AdlerDepartment of Gastroenterology, University of Utah, Salt Lake City, UT (Douglas G. Adler), USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe differences in outcomes between acute biliary pancreatitis (ABP) and acute alcohol-induced pancreatitis (AAP) have not been well studied. We sought to examine the differences between ABP and AAP as regards to in-hospital outcomes and resource utilization, using a large nationwide database.

methodsWe queried the National Inpatient Sample databases 2016 and 2017 using the International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM) coding system to identify the patients with a primary diagnosis of AAP and ABP. The primary outcome was all-cause in-hospital mortality. Secondary outcomes were hospital length of stay (LOS), hospitalization charge/cost, shock, acute kidney injury (AKI), intensive care unit (ICU) admission, and home discharge. Analysis was performed with STATA software.

resultsThere was no significant difference in mortality between patients with AAP and ABP (0.42% vs. 0.82%, adjusted odds ratio [aOR] 0.95, 95% confidence interval [CI] 0.69-1.31; P=0.79). Patients with ABP had a significantly longer LOS (+0.48 days, P<0.001). Patients with ABP had significantly higher adjusted mean hospitalization charges ($+19,958, P<0.001) and costs ($+4,848, P<0.001). Patients with ABP had a significantly lower likelihood of shock (aOR 0.75, 95%CI 0.59-0.95; P=0.02), AKI (aOR 0.76, 95%CI 0.71-0.82; P<0.001) or ICU admission (aOR 0.74, 95%CI 0.62-0.88; P=0.001). They were more likely to be discharged home (aOR 1.26, 95%CI 1.18-1.34; P<0.001).

conclusionAlthough there was no difference in all-cause mortality, patients with ABP had better hospitalization outcomes but greater resource utilization.

Indexed as

acute alcohol-induced pancreatitisAcute biliary pancreatitismortalityoutcomesresource utilization

Identifiers

PMID33654368
PMCPMC7903563

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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.