Evidence map›Paper›PMID 34584978›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2021

New practical scoring system to predict post-endoscopic retrograde cholangiopancreatography pancreatitis: Development and validation.

Koichi Fujita, Shujiro Yazumi, Norimitsu Uza, Akira Kurita, Masanori Asada, Yuzo Kodama, Masashi Goto, Toshiro Katayama, Takahiro Anami, Akihiko Watanabe and 3 more

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Koichi FujitaDepartment of Gastroenterology and Hepatology Yodogawa Christian Hospital Osaka Japan.
Shujiro YazumiDepartment of Gastroenterology and Hepatology Kitano Hospital Osaka Japan.ORCID https://orcid.org/0000-0002-0683-0000
Norimitsu UzaDepartment of Gastroenterology and Hepatology Kyoto University Graduate School of Medicine Kyoto Japan.
Akira KuritaDepartment of Gastroenterology and Hepatology Kitano Hospital Osaka Japan.ORCID https://orcid.org/0000-0003-3047-7662
Masanori AsadaDepartment of Gastroenterology and Hepatology Kitano Hospital Osaka Japan.
Yuzo KodamaDepartment of Gastroenterology and Hepatology Kyoto University Graduate School of Medicine Kyoto Japan.
Masashi GotoKyoto University Health Service Kyoto Japan.
Toshiro KatayamaDepartment of Medical Engineering, Faculty of Health Sciences Morinomiya University of Medical Science Osaka Japan.
Takahiro AnamiDepartment of Gastroenterology and Hepatology Yodogawa Christian Hospital Osaka Japan.
Akihiko WatanabeDepartment of Gastroenterology and Hepatology Yodogawa Christian Hospital Osaka Japan.
Atsushi SugaharaDepartment of Gastroenterology and Hepatology Yodogawa Christian Hospital Osaka Japan.
Hidekazu MukaiDepartment of Gastroenterology and Hepatology Yodogawa Christian Hospital Osaka Japan.
Takashi KawamuraKyoto University Health Service Kyoto Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimPost-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP) is the most serious adverse event of ERCP. Therefore, it is important to identify high-risk patients who require prophylactic measures. The aim of this study was to develop a practical prediction model for PEP that identifies high-risk patients.

methodsPatients who underwent ERCP at three tertiary hospitals between April 2010 and September 2012 were enrolled. The dataset was divided into a training set (two centers) and validation set (one center). Using the training set, univariable and multivariable analyses were performed to identify predictive factors for PEP. We constructed a scoring system and evaluated reproducibility using the validation set.

resultsA total of 2719 ERCPs were analyzed. PEP developed in 133 cases (4.9%). Risk factors (adjusted odds ratios [OR]) in the training set were a history of PEP (OR: 4.2), intact papilla (OR: 2.4), difficult cannulation (OR: 1.9), pancreatic guidewire-assisted biliary cannulation (OR: 2.2), pancreatic injection (OR: 2.1), pancreatic intraductal ultrasonography (IDUS)/sampling from the pancreatic duct (OR: 2.2), and biliary IDUS/sampling from the biliary tract (OR: 2.8). A scoring system was constructed using these seven clinical variables. The areas under the receiver-operating characteristic curve of this model were 0.799 in the training set and 0.791 in the validation set. In the high-risk group at a score of 3 or higher, the incidence of PEP was 13.4%, and all severe/fatal cases were in the high-risk group.

conclusionsThis scoring system helps to predict each patient's risk and select preventive measures.

Indexed as

algorithmsendoscopic retrograde cholangiopancreatographypancreatitis

Identifiers

PMID34584978
PMCPMC8454475

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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.