Evidence map›Paper›PMID 34064691›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Serum and Urine Biomarker Leucine-Rich Alpha-2 Glycoprotein 1 Differentiates Pediatric Acute Complicated and Uncomplicated Appendicitis.

Mohit Kakar, Marisa Maija Berezovska, Renars Broks, Lasma Asare, Mathilde Delorme, Emile Crouzen, Astra Zviedre, Aigars Reinis, Arnis Engelis, Juta Kroica and 2 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Mohit KakarDepartment of Pediatric Surgery, Children's Clinical University Hospital, LV-1004 Riga, Latvia.ORCID 0000-0001-5765-8207
Marisa Maija BerezovskaDepartment of Pediatric Surgery, Children's Clinical University Hospital, LV-1004 Riga, Latvia.ORCID 0000-0001-8553-0163
Renars BroksDepartment of Biology and Microbiology, Riga Stradins University, LV-1007 Riga, Latvia.
Lasma AsareStatistical Unit, Riga Stradins University, LV-1007 Riga, Latvia.
Mathilde DelormeFaculty of Medicine, Riga Stradins University, LV-1007 Riga, Latvia.
Emile CrouzenFaculty of Medicine, Riga Stradins University, LV-1007 Riga, Latvia.
Astra ZviedreDepartment of Pediatric Surgery, Children's Clinical University Hospital, LV-1004 Riga, Latvia.
Aigars ReinisDepartment of Biology and Microbiology, Riga Stradins University, LV-1007 Riga, Latvia.
Arnis EngelisDepartment of Pediatric Surgery, Children's Clinical University Hospital, LV-1004 Riga, Latvia.
Juta KroicaDepartment of Biology and Microbiology, Riga Stradins University, LV-1007 Riga, Latvia.
Amulya SaxenaDepartment of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Fdn Trust, Imperial College London, London SW10 9NH, UK.
Aigars PetersonsDepartment of Pediatric Surgery, Children's Clinical University Hospital, LV-1004 Riga, Latvia.
Riga Stradiņš University · LVChildren's Clinical University Hospital · LVChelsea and Westminster Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis prospective, single-center cohort study analyzes the potential of inflammatory protein mediator leucine-rich alpha-2 glycoprotein 1 (LRG1) for the early and accurate diagnosis of acute appendicitis (AA), and differentiation of acute complicated (AcA) from uncomplicated appendicitis (AuA).

methodsParticipants were divided into the AcA, AuA, and control groups, and their serum (s-LRG1) and urine LRG1 (u-LRG1) levels were assayed preoperatively on the second and fifth postoperative days.

results153 patients participated, 97 had AA. Preoperative u-LRG1 with a cut-off value of 0.18 μg/mL generated an area under the receiver operated characteristic (AUC) curve of 0.70 (95% CI 0.62-0.79) for AA versus control (

conclusionsLRG1 exhibited excellent diagnostic performance as an inexpensive, non-invasive, rapid, and accurate biomarker able to reflect the pathogenesis of AA. LRG1 has the potential to replace advanced imaging to diagnose clinically ambiguous AA cases.

Indexed as

biomarkerspediatric appendicitisserum LRG1urine LRG1

Identifiers

PMID34064691
PMCPMC8151968
OpenAlexW3161205198

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.