Evidence map›Paper›PMID 35704081›Full record

SynthesisPediatric surgery international2022

Utility of Pentraxin-3 as a biomarker for diagnosis of acute appendicitis: a systematic review and meta-analysis.

Sachit Anand, Niklas Pakkasjärvi, Minu Bajpai, Nellai Krishnan, Chandramouli Goswami, Janne S Suominen, Devendra Kumar Yadav, Prabudh Goel

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric surgery international, 2022. 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
1.1field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. The diagnostic value of serum hepcidin in acute appendicitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. 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 3 institutions in 2 countries.

Sachit AnandDepartment of Pediatric Surgery, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
Niklas PakkasjärviDepartment of Pediatric Surgery, Turku University Hospital and University of Turku, Turku, Finland. niklas.pakkasjarvi@tyks.fi.
Minu BajpaiDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Nellai KrishnanDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Chandramouli GoswamiDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Janne S SuominenDepartment of Pediatric Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Devendra Kumar YadavDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Prabudh GoelDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · INUniversity of Helsinki · FIKokilaben Dhirubhai Ambani Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically summarize all relevant data and to define the current evidence on the utility of Pentraxin-3 (PTX3) as a biomarker for acute appendicitis (AA) in children.

methodsThis review was conducted in accordance with the PRISMA guidelines. PubMed, Embase, Scopus, and Web of Science databases were systematically searched for studies comparing the levels of PTX3 in patients with AA vs healthy controls or non-specific abdominal pain (NSAP). Mean differences were calculated for all outcomes and the inverse variance method was used for weighted mean difference. The methodological quality of the included studies was assessed using the Downs and Black scale.

resultsFive comparative studies were included. Significantly elevated levels of PTX3 in cases with AA vs healthy controls (WMD: 9.56, 95% CI 7.24-11.88, p < 0.00001), and patients with AA vs NSAP (WMD: 8.05, 95% CI 6.81-9.29, p < 0.00001) were demonstrated. Similarly, in separate meta-analyses, the levels of PTX3 were significantly elevated in children with AA vs healthy controls (WMD: 11.18, 95% CI 10.03-12.34, p < 0.00001), and children with AA vs NSAP (WMD: 8.35, 95% CI 6.88-9.82, p < 0.00001).

conclusionsPTX3-levels are elevated in AA, but differentiation between perforated and non-perforated appendicitis demands other methods.

Indexed as

AppendicitisAbdominal PainAcute DiseaseBiomarkersChildHumansBiomarkersAcute appendicitisAcute phase proteinBiomarkerChildrenComplicated appendicitisNon-specific abdominal painPentraxin-3Perforated appendicitis

Identifiers

PMID35704081
PMCPMC9259520
OpenAlexW4282967078

What OpenQuestion holds

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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.