Evidence map›Paper›PMID 33728579›Full record

ArticleInternal and emergency medicine2021

Demographic, clinical and laboratory characteristics for differential diagnosis of peripheral lymphadenopathy (LAP) and the etiologic distribution of LAP in adults; a multicenter, nested case-control study including 1401 patients from Turkey.

Ercan Yenilmez, Yıldız Verdi, Ayca Ilbak, Burcu Caliskan Demirkiran, Zehra Duman, Fatma Bozkurt, Derya Seyman, Ali Asan, Halime Betul Sahin Eker, Mehmet Resat Ceylan and 17 more

Abstract readMulticenter Study
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In one paragraph

Article in Internal and emergency medicine, 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
1.3field-weighted citation impact, top 21% 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, 7 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

27 authors at 10 institutions in 2 countries.

Ercan YenilmezDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, 34668, Uskudar, Istanbul, Turkey. ercanyenilmez79@gmail.com.ORCID http://orcid.org/0000-0002-1145-8856
Yıldız VerdiDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Ayca IlbakDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, 34668, Uskudar, Istanbul, Turkey.
Burcu Caliskan DemirkiranDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey.
Zehra DumanDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Fatma BozkurtDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
Derya SeymanDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Ali AsanDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Halime Betul Sahin EkerDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Adana City Hospital, Adana, Turkey.
Mehmet Resat CeylanFaculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Harran University, Sanliurfa, Turkey.
Salih EmreDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Prof. Dr. Cemil Tascıoglu City Hospital, Istanbul, Turkey.
Gozde Ozturk AltunyurtDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Kartal Lutfi Kirdar City Hospital, Istanbul, Turkey.
Saliha AyanDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Emine ParlakFaculty of Medicine, Department of Infectious Diseases and Clinical Microbiology, Ataturk University, Erzurum, Turkey.
Goknur Yapar TorosDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Dr. Abdurrahman Yurtaslan Ankara Onkoloji Training and Research Hospital, Ankara, Turkey.
Gulsen YorukDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, İstanbul Training and Research Hospital, Istanbul, Turkey.
Mehmet CeylanDepartment of Infectious Diseases and Clinical Microbiology, Bakircay University, Cigli Training and Research Hospital, Izmir, Turkey.
Leman KaraagacDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey.
Muge OzgulerDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Fethi Sekin City Hospital, Elazığ, Turkey.
Busra MeralDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey.
Muzeyyen AyDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
Cinar OzturkDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Zehra KaracaerDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Gulhane Training and Research Hospital, Ankara, Turkey.
Ersin TuralDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, 34668, Uskudar, Istanbul, Turkey.
Rıza Aytac CetinkayaDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sultan Abdulhamid Han Training and Research Hospital, 34668, Uskudar, Istanbul, Turkey.
Ilyas DokmetasDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Sukran KoseDepartment of Infectious Diseases and Clinical Microbiology, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey.
Sağlık Bilimleri Üniversitesi · TRÜsküdar University · TRBakırçay ÜniversitesiIzmir University · TRAnkara Onkoloji Eğitim ve Araştırma Hastanesi · TRAntalya Eğitim ve Araştırma Hastanesi · TRAtatürk University · TRDr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TRHaydarpaşa Numune Eğitim ve Araştırma Hastanesi · TRŞanlıurfa Mehmet Akif İnan Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral lymphadenopathy (LAP) is an important and common abnormal finding of the physical exam in general medical practice. We aimed to reveal the LAP etiology and demographic, clinical and laboratory variables that may be useful in the differential evaluation of LAP. This multicenter, nested case-control study including 1401 patients between 2014 and 2019 was conducted in 19 tertiary teaching and research hospitals from different regions in Turkey. The ratio of infectious, malign and autoimmune/inflammatory diseases was 31.3%, 5% and 0.3%, respectively. In 870 (62%) of patients had nonspecific etiology. Extrapulmonary tuberculosis (n: 235, 16.8%) was the most frequent cause of LAP. The ratio of infective etiology of LAP was significantly lower in patients older than 65 years-old compared to younger patients with the rate of 66.67% and 83.84%, respectively (p 0.016, OR 0.386, 95% Cl 0.186-0.803). The probability of malign etiology was higher both in patients who are older than 45 years-old (p < 0.001, OR 3.23, 95% Cl 1.99-5.26) and older than 65 years-old (p 0.002, OR 3.36, 95% Cl 1.69-6.68). Age, localization and duration of LAP, leukocytosis, anemia, thrombocytopenia, CRP and sedimentation rate were important parameters to differentiate infections. Size of lymph node and splenomegaly in addition to the parameters above were useful parameters for differentiating malign from benign etiology. Despite the improvements in diagnostic tools, reaching a definite differential diagnosis of lymphadenopathy is still challenging. Our results may help clinicians to decide in which cases they need an aggressive workup and set strategies on optimizing the diagnostic approach of adulthood lymphadenopathy.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesDemographyDiagnosis, DifferentialFemaleFeverHepatomegalyHumansLymphadenopathyLymph NodesMaleMiddle AgedRetrospective StudiesEtiologyLAPLymphadenopathyTurkey

Identifiers

PMID33728579
OpenAlexW3136388183

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.