Evidence map›Paper›PMID 36304084›Full record

ArticleWorld journal of gastroenterology2022

Timing of endoscopic retrograde cholangiopancreatography in the treatment of acute cholangitis of different severity.

Yao-Chi Huang, Chi-Huan Wu, Mu Hsien Lee, Sheng Fu Wang, Yung-Kuan Tsou, Cheng-Hui Lin, Kai-Feng Sung, Nai-Jen Liu

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  9. Timing of biliary decompression for acute cholangitis.World journal of gastroenterology · 2023
    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 1 country.

Yao-Chi HuangDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Chi-Huan WuDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Mu Hsien LeeDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Sheng Fu WangDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Yung-Kuan TsouDepartment of Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Cheng-Hui LinDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Kai-Feng SungDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Nai-Jen LiuDepartment of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal timing of endoscopic retrograde cholangiopancreatography (ERCP) in acute cholangitis (AC) is uncertain, especially in patients with AC of varying severity.

aimTo report whether the timing of ERCP is associated with outcomes in AC patients with different severities.

methodsAccording to the 2018 Tokyo guidelines, 683 patients who met the definite diagnostic criteria for AC were retrospectively identified. The results were first compared between patients receiving ERCP ≤ 24 h and > 24 h and then between patients receiving ERCP ≤ 48 h and > 48 h. Subgroup analyses were performed in patients with grade I, II or III AC. The primary outcome was 30-d mortality. Secondary outcomes were intensive care unit (ICU) admission rate, length of hospital stay (LOHS) and 30-d readmission rate.

resultsTaking 24 h as the critical value, compared with ERCP > 24 h, malignant biliary obstruction as a cause of AC was significantly less common in the ERCP ≤ 24 h group (5.2%

conclusionERCP ≤ 48 h conferred a survival benefit in patients with grade III AC. Early ERCP shortened the LOHS in patients with grade I and II AC.

Indexed as

CholangitisCholedocholithiasisAcute DiseaseCholangiopancreatography, Endoscopic RetrogradeHumansRetrospective StudiesAcute cholangitisEndoscopic retrograde cholangiopancreatographyLength of hospital stayseverityThirty-day mortalityTiming

Identifiers

PMID36304084
PMCPMC9594008
OpenAlexW4304617226

What OpenQuestion holds

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LicenceCC BY-NC
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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.