Evidence map›Paper›PMID 37685553›Full record

ReviewJournal of clinical medicine2023

Utility of Ischemia-Modified Albumin as a Biomarker for Acute Appendicitis: A Systematic Review and Meta-Analysis.

Apoorv Singh, Zenon Pogorelić, Aniket Agrawal, Carlos Martin Llorente Muñoz, Deepika Kainth, Ajay Verma, Bibekanand Jindal, Sandeep Agarwala, Sachit Anand

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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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

9 authors at 5 institutions in 3 countries.

Apoorv SinghDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0001-5365-5543
Zenon PogorelićDepartment of Surgery, School of Medicine, University of Split, 21000 Split, Croatia.ORCID 0000-0002-1517-720X
Aniket AgrawalDepartment of Pediatric Surgery, Kokilaben Dhirubhai Ambani Hospital, Mumbai 400053, India.
Carlos Martin Llorente MuñozSurgical Clinic Medix-Muñoz, 28000 Madrid, Spain.ORCID 0000-0002-4698-9593
Deepika KainthDivision of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110029, India.
Ajay VermaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0002-0772-105X
Bibekanand JindalDepartment of Pediatric Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India.
Sandeep AgarwalaDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
Sachit AnandDepartment of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0002-0447-2350
All India Institute of Medical Sciences · INClínica Rementería · ESJawaharlal Institute of Post Graduate Medical Education and Research · INKokilaben Dhirubhai Ambani Hospital · INUniversity of Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute appendicitis is a frequently encountered surgical emergency. Despite several scoring systems, the possibility of delayed diagnosis persists. In addition, a delayed diagnosis leads to an increased risk of complicated appendicitis. Hence, there is a need to identify biological markers to help clinicians rapidly and accurately diagnose and prognosticate acute appendicitis with a high sensitivity and specificity. Although several markers have been evaluated, the pressing concern is still the low specificity of these markers. One such marker is serum ischemia-modified albumin (IMA), which can be a novel biomarker for accurately diagnosing and prognosticating acute appendicitis.

methodsThe authors conducted a systematic search of the PubMed, EMBASE, Web of Science, and Scopus databases through February 2023 as per the PRISMA guidelines. The difference in the levels of IMA between patients with acute appendicitis vs. healthy controls, and the difference in the levels of IMA between patients with complicated vs. non-complicated acute appendicitis were taken as the outcome measures. Statistical analysis was performed using a random effects model and mean difference (MD) was calculated. The methodological quality of the studies was assessed by utilizing the Newcastle-Ottawa scale.

resultsA total of six prospective comparative studies were included in the meta-analysis. The analysis revealed that the mean level of serum IMA was significantly raised in the acute appendicitis group (MD 0.21, 95% CI 0.05 to 0.37,

conclusionsSerum IMA is a viable potential marker for diagnosing and prognosticating acute appendicitis. However, due to the limited methodological quality of available studies, further prospectively designed and adequately powered studies are needed.

Indexed as

appendicitisbiomarkercomplicated appendicitisischemia-modified albuminmeta-analysissystematic review

Identifiers

PMID37685553
PMCPMC10487779
OpenAlexW4386134674

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.