Evidence map›Paper›PMID 36289288›Full record

SynthesisScientific reports2022

The combination of ulinastatin and somatostatin reduces complication rates in acute pancreatitis: a systematic review and meta-analysis of randomized controlled trials.

István László Horváth, Stefania Bunduc, Péter Fehérvári, Szilárd Váncsa, Rita Nagy, Gantsetseg Garmaa, Dénes Kleiner, Péter Hegyi, Bálint Erőss, Dezső Csupor

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Acute Pancreatitis Review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  17. Article
  18. Review
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

10 authors at 5 institutions in 2 countries.

István László HorváthCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Stefania BunducCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Péter FehérváriCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Szilárd VáncsaCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Rita NagyCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Gantsetseg GarmaaCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Dénes KleinerCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Bálint ErőssCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Dezső CsuporCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary. csupor.dezso@szte.hu.
Semmelweis University · HUUniversity of Pecs · HUCarol Davila University of Medicine and Pharmacy · ROInstitute of Organic Chemistry · HUUniversity of Veterinary Medicine · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Currently, there is no specific pharmaceutical agent for treating acute pancreatitis (AP). Somatostatin and its analogues have been used to prevent the autolysis of the pancreas in AP, however, their effectiveness has not been confirmed. This investigation aimed to examine the efficacy of ulinastatin, a protease inhibitor, combined with somatostatin analogues in the treatment of AP. We conducted a systematic database search in 4 databases to identify randomized controlled trials in which the efficacy of ulinastatin in combination with somatostatin analogue was compared to somatostatin analogue alone in patients with AP. Since the patient populations of analysed papers were slightly different, we used random effect models to pool odds ratios (OR) and mean differences (MD) and the corresponding 95% confidence intervals (CI). A total of 9 articles comprising 1037 patients were included in the meta-analysis. The combination therapy significantly reduced the complication rates for acute respiratory distress syndrome, acute kidney injury, and multiple organ dysfunction. Symptoms were relieved threefold with the combination therapy compared to somatostatin alone, and combination therapy significantly shortened the length of hospital stay. The decrease in mortality was not statistically significant..

Indexed as

PancreatitisAcute DiseaseGlycoproteinsHumansProtease InhibitorsRandomized Controlled Trials as TopicSomatostatinGlycoproteinsProtease InhibitorsSomatostatinurinastatin

Identifiers

PMID36289288
PMCPMC9606296
OpenAlexW4307564083

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.