Evidence map›Paper›PMID 37113967›Full record

ArticleAnnals of medicine and surgery (2012)2023

Intermediate risk of choledocholithiasis: are we on the right path?

Felipe Girón, Lina M Rodríguez, Danny Conde, Carlos E Rey Chaves, Marco Vanegas, David Venegas, Fernando Gutiérrez, Ricardo Nassar, Juan D Hernández, Daniel Jiménez and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

13 authors at 5 institutions in 2 countries.

Felipe GirónDepartment of Surgery, Fundación Santa Fe de Bogotá.ORCID 0000-0002-2138-8791
Lina M RodríguezSchool of Medicine, Universidad de los Andes.ORCID 0000-0001-5186-3402
Danny CondeDepartment of Surgery, Hospital Universitario Mayor Méderi.ORCID 0000-0002-1365-4674
Carlos E Rey ChavesSchool of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.ORCID 0000-0001-6888-5595
Marco VanegasSchool of Medicine, Universidad del Rosario.ORCID 0000-0002-5298-3825
David VenegasSchool of Medicine, Universidad del Rosario.ORCID 0000-0001-8296-1419
Fernando GutiérrezSchool of Medicine, Universidad del Rosario.ORCID 0000-0003-4412-9802
Ricardo NassarDepartment of Surgery, Fundación Santa Fe de Bogotá.
Juan D HernándezDepartment of Surgery, Fundación Santa Fe de Bogotá.ORCID 0000-0001-7502-4961
Daniel JiménezDepartment of Surgery, Hospital Universitario Mayor Méderi.ORCID 0000-0002-1806-8631
Ricardo E Núñez-RochaSchool of Medicine, Universidad de los Andes.ORCID 0000-0002-1097-2634
Laura NiñoSchool of Medicine, Universidad del Rosario.ORCID 0000-0001-6942-1389
Susana RojasSchool of Medicine, Universidad del Rosario.
Hospital Universitario Mayor, MederiFundación Santa Fe de Bogotá · COUniversidad de Los Andes · BOPontificia Universidad Javeriana · COUniversidad del Rosario · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk of choledocholithiasis should be assessed in every patient undergoing cholecystectomy to define the next step. The American Society for Gastrointestinal Endoscopy proposed a stratified predictor scale of choledocholithiasis. Therefore, we aimed to describe our experience managing patients with an intermediate risk of choledocholithiasis according to the American Society for Gastrointestinal Endoscopy guidelines and the actual presence of bile duct stones in magnetic resonance cholangiopancreatography. Methods: A retrospective observational study with a prospective database was conducted. The analysis included sociodemographic data, laboratory values, and imaging. Bivariate, multivariate, and receiver operating characteristic analysis were performed. Results: Three hundred twenty-seven patients had an intermediate risk for choledocholithiasis. Half the patients were at least 65 years old. 24.77% were diagnosed with choledocholithiasis. Bile duct dilation was documented in only 3.06% of cases. Diagnosis of choledocholithiasis is associated with an age odds ratio (OR): 1.87 ( Conclusions: High variability in the accuracy of imaging techniques results in a large number of patients classified as intermediate risk without choledocholithiasis in cholangioresonance. Therefore, enhancing the criteria to define intermediate risk for patients in order to optimize resources is of paramount importance.

Indexed as

ASGE guidelinescholedocholithiasis riskcholelithiasisMRCP

Identifiers

PMID37113967
PMCPMC10129273
OpenAlexW4362591705

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.