Evidence map›Paper›PMID 34268662›Full record

Observational studyDigestive diseases and sciences2022

Role of Pancreatic Stone Protein as an Early Biomarker for Risk Stratification of Acute Pancreatitis.

Carlos Rodríguez Rojas, Luis García de Guadiana-Romualdo, Senador Morán Sánchez, Josef Prazak, Virginia Algara Soriano, Yok-Ai Que, Romy Benninga, María Dolores Albaladejo-Otón

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  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

8 authors at 2 institutions in 2 countries.

Carlos Rodríguez Rojas *Laboratory Medicine Department, Hospital Universitario Santa Lucía, C/ Mezquita, s/n, Paraje Los Arcos, 30202, Cartagena, Murcia, Spain.
Luis García de Guadiana-Romualdo *Laboratory Medicine Department, Hospital Universitario Santa Lucía, C/ Mezquita, s/n, Paraje Los Arcos, 30202, Cartagena, Murcia, Spain. guadianarom@yahoo.es.ORCID 0000-0003-3028-3198
Senador Morán SánchezGastroenterology Department, Hospital Universitario Santa Lucía, C/ Mezquita, s/n, Paraje Los Arcos, 30202, Cartagena, Murcia, Spain.
Josef PrazakDepartment of Intensive Care Medicine, Inselspital; Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Virginia Algara SorianoGastroenterology Department, Hospital Universitario Santa Lucía, C/ Mezquita, s/n, Paraje Los Arcos, 30202, Cartagena, Murcia, Spain.
Yok-Ai QueDepartment of Intensive Care Medicine, Inselspital; Bern University Hospital, University of Bern, 3010, Bern, Switzerland.
Romy BenningaAbionic SA, 1066, Epalinges, Switzerland.
María Dolores Albaladejo-OtónLaboratory Medicine Department, Hospital Universitario Santa Lucía, C/ Mezquita, s/n, Paraje Los Arcos, 30202, Cartagena, Murcia, Spain.
Santa Lucía University General Hospital · ESUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly risk stratification of acute pancreatitis is crucial to improve clinical outcomes. The objective of this study was to evaluate the ability of pancreatic stone protein (PSP) to predict acute pancreatitis severity and to compare it with the biomarkers and severity scores currently used for that purpose. PATIENTS AND

methodsProspective single-center observational study enrolling 268 adult patients with acute pancreatitis. Biomarkers including PSP were measured upon admission to the Emergency Department and severity scores as SOFA, PANC-3, and BISAP were computed. Patients were classified into mild-moderate (non-severe) and severe acute pancreatitis according to the Determinant-Based Classification Criteria. Area under the curve (AUC) and regression analysis were used to analyze the discrimination abilities and the association of biomarkers and scores with severity.

resultsTwo hundred and thirty-five patients (87.7%) were classified as non-severe and 33 (12.3%) as severe acute pancreatitis. Median [IQR] PSP was increased in patients with severe acute pancreatitis (890 μg/L [559-1142] vs. 279 μg/L [141-496]; p < 0.001) and it was the best predictor (ROC AUC: 0.827). In multivariate analysis, PSP and urea were the only independent predictors for severe acute pancreatitis and a model combining them both ("biomarker model") showed an AUC of 0.841 for prediction of severe acute pancreatitis, higher than the other severity scores.

conclusionsPSP is a promising biomarker for predicting the severity of acute pancreatitis upon admission. A model combining PSP and urea might further constitute a potential tool for early risk stratification of this disease.

Indexed as

PancreatitisAcute DiseaseAdultBiomarkersHumansLithostathinePredictive Value of TestsPrognosisProspective StudiesRisk AssessmentROC CurveSeverity of Illness IndexUreaBiomarkersLithostathineUreaAcute pancreatitisPancreatic stone proteinPrognosisSeverity

Identifiers

PMID34268662
OpenAlexW3180127990

What OpenQuestion holds

Textmetadata
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.