Evidence map›Paper›PMID 35492338›Full record

ArticleFrontiers in medicine2022

Comparable Triglyceride Reduction With Plasma Exchange and Insulin in Acute Pancreatitis - A Randomized Trial.

Jakob Gubensek, Milena Andonova, Alexander Jerman, Vanja Persic, Barbara Vajdic-Trampuz, Ana Zupunski-Cede, Nejc Sever, Samo Plut

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02622854 (Comparison of Plasma Exchange and Conservative Management in Non-severe Acute Hypertriglyceridemic Pancreatitis With Mildly Elevated Triglycerides), which is not on this map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% 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.

NCT02622854 nacompletednot on this map

Comparison of Plasma Exchange and Conservative Management in Non-severe Acute Hypertriglyceridemic Pancreatitis With Mildly Elevated Triglycerides

TypeinterventionalSponsorUniversity Medical Centre LjubljanaRan2016 to 2020Enrolled22ConditionsAcute PancreatitisArmsplasma exchange, conservative treatment
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  12. Article
  13. Plasmapheresis for Hypertriglyceridemia-induced Acute Pancreatitis: A Systematic Review and Meta-summary of Case Reports.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Review
  14. Article
  15. Chronic and Idiopathic Pancreatitis-A Personalized Treatment Approach.United European gastroenterology journal · 2025
    Review
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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

8 authors at 2 institutions in 1 country.

Jakob GubensekDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Milena AndonovaDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Alexander JermanDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Vanja PersicDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Barbara Vajdic-TrampuzDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Ana Zupunski-CedeDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Nejc SeverDepartment of Gastroenterology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Samo PlutFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Ljubljana University Medical Centre · SIUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Both insulin and plasma exchange (PE) are used in hypertriglyceridemic acute pancreatitis (HTG-AP). Our aim was to compare the efficacy of both treatments. Methods: A randomized, parallel group study performed in a tertiary hospital in 22 HTG-AP patients with non-severe prognosis and triglycerides between 15 and 40 mmol/L. Patients were randomized to daily PE or insulin infusion until triglycerides were <10 mmol/L. Primary outcome was % reduction in triglycerides within 24 h. Secondary outcomes were days needed to lower triglycerides <10 mmol/L, highest CRP and percentage of patients with a severe course of pancreatitis. Results: There was a trend toward a greater decrease in triglycerides within the first 24 h in the PE group (67 ± 17% vs. 53 ± 17%, Conclusion: There was no significant difference, but only a trend toward a greater decrease in triglycerides with PE, and the clinical course was also comparable. These results do not support universal use of PE in patients with HTG-AP. Clinical Trial Registration: [ClinicalTrials.gov], identifier [NCT02622854].

Indexed as

acute hypertriglyceridemic pancreatitisapheresis – therapeuticconservative treatmentfree fatty acidshypertriglyceridemia

Identifiers

PMID35492338
PMCPMC9039231
OpenAlexW4223504743

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.