Evidence map›Paper›PMID 37794123›Full record

Observational studySurgical endoscopy2023

Prospective validation of the Israeli Score for the prediction of common bile duct stones in patients with acute calculous cholecystitis.

Paola Fugazzola, Lorenzo Cobianchi, Francesca Dal Mas, Enrico Cicuttin, Tommaso Dominioni, Simone Frassini, Matteo Tomasoni, Jacopo Viganò, Fausto Catena, Luca Ansaloni and 1 more

Open access · greenAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. 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

11 authors at 4 institutions in 1 country.

Paola FugazzolaDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy. paola.fugazzola@gmail.com.ORCID 0000-0002-6227-9276
Lorenzo CobianchiDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Francesca Dal MasDepartment of Management, Ca' Foscari University of Venice, Venice, Italy.
Enrico CicuttinDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Tommaso DominioniDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Simone FrassiniDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Matteo TomasoniDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Jacopo ViganòDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
Fausto CatenaGeneral and Emergency Surgery, Bufalini Hospital, Cesena, Italy.
Luca AnsaloniDivision of General Surgery, Fondazione IRCCS Policlinico San Matteo, 27100, Pavia, Italy.
S.P.Ri.M.A.C.C. Collaborative Group
Policlinico San Matteo Fondazione · ITUniversity of Pavia · ITCa' Foscari University of Venice · ITOspedale “M. Bufalini” di Cesena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExisting guidelines for predicting common bile duct stones (CBDS) are not specific for acute calculous cholecystitis (ACC). This paper is a posthoc analysis of the S.P.Ri.M.A.C.C study aiming to prospectively validate on a large independent cohort of patients the Israeli Score (IS) in predicting CBDS in patients with ACC.

methodsThe S.P.Ri.M.A.C.C. study is an observational multicenter prospective study endorsed by the World Society of Emergency Surgery (WSES). Between September 1st, 2021, and September 1st, 2022, 1201 participants were included. The Chi-Square test was used to compare categorical data. A Cochran-Armitage test was run to determine whether a linear trend existed between the IS and the presence of CBDS. To assess the accuracy of the prediction model, the receiver operating characteristic (ROC) curve was generated, and the area under the ROC curve (AUC) was calculated. Logistic regression was run to obtain Odds Ratio (OR). A two-tailed p < 0.05 was considered statistically significant.

resultsThe rate of CBDS was 1.8% in patients with an IS of 0, 4.2% in patients with an IS of 1, 24.5% in patients with 2 and 56.3% in patients with 3 (p < 0.001). The Cochran-Armitage test of trend showed a statistically significant linear trend, p < 0.001. Patients with an IS of 3 had 64.4 times (95% CI 24.8-166.9) higher odds of having associated CBDS than patients with an IS of 0. The AUC of the ROC curve of IS for the prediction of CBDS was 0.809 (95% CI 0.752-0.865, p < 0.001). By applying the highest cut-off point (3), the specificity reached 99%, while using the lowest cut-off value (0), the sensitivity reached 100%.

conclusionThe IS is a reliable tool to predict CBDS associated with ACC. The algorithm derived from the IS could optimize the management of patients with ACC.

Indexed as

Cholecystitis, AcuteCholedocholithiasisGallstonesCholangiopancreatography, Endoscopic RetrogradeCommon Bile DuctHumansIsraelProspective StudiesRetrospective StudiesAcute cholecystitisCholedocholithiasisCommon bile duct stone

Identifiers

PMID37794123
OpenAlexW4387344441

What OpenQuestion holds

Textmetadata
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.