Evidence map›Paper›PMID 36797320›Full record

SynthesisScientific reports2023

No evidence for the benefit of PPIs in the treatment of acute pancreatitis: a systematic review and meta-analysis.

István László Horváth, Stefania Bunduc, Balázs Hankó, Dénes Kleiner, Alexandra Demcsák, Bence Szabó, Péter Hegyi, Dezső Csupor

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Management of acute pancreatitis in the "no man's land".Internal and emergency medicine · 2025
    Review
  4. 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
  5. Review
  6. 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

8 authors at 4 institutions in 3 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.
Balázs HankóUniversity Pharmacy Department of Pharmacy Administration, Hőgyes Endre utca 7-9, 1092, Budapest, Hungary.
Dénes KleinerCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Alexandra DemcsákDepartment of Surgery, University of California Los Angeles, 675 Charles E Young Dr. S MRL 2220, Los Angeles, CA, 90095, USA.
Bence SzabóCentre for Translational Medicine, Semmelweis University, Üllői út 26, 1085, Budapest, Hungary.
Péter HegyiCentre 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.
Institute of Organic Chemistry · HUSemmelweis University · HUInstitutul Clinic Fundeni · ROUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although current guidelines do not recommend the use of proton pump inhibitors (PPIs) in the standard of care of acute pancreatitis (AP), they are often prescribed in clinical practice, mainly for ulcer stress prophylaxis. In this systematic review and meta-analysis we evaluated the association between the use of PPIs in the management of AP and various clinical outcomes. We conducted the systematic research in six databases without restrictions on January 24th, 2022. We investigated adult patient with AP, who were treated with PPI compared to conventional therapy. The pooled odds ratios, mean differences, and corresponding 95% confidence intervals were calculated with random effect model. We included six RCTs and three cohort studies, consisting of 28,834 patients. We found a significant decrease in the rate of pancreatic pseudocyst formation in patients who received PPI treatment. PPI use was associated with a higher risk of GI bleeding, however this finding could be due to the patients' comorbid conditions. We found no significant difference in the rates of 7-day mortality, length of hospital stay, and acute respiratory distress syndrome between the groups. The available data on this topic are limited; therefore, further well designed RCTs are needed to evaluate the potential benefits and adverse effects of PPIs in AP.

Indexed as

PancreatitisPeptic UlcerAcute DiseaseAdultGastrointestinal HemorrhageHumansProton Pump InhibitorsProton Pump Inhibitors

Identifiers

PMID36797320
PMCPMC9935541
OpenAlexW4321110704

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.