Evidence map›Paper›PMID 41479737›Full record

ArticleWorld journal of clinical cases2025

Risk of incident pancreatitis in patients with celiac disease: A population-based matched retrospective cohort study.

Arunkumar Krishnan, Daniel Teran, Diptasree Mukherjee

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Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Arunkumar KrishnanDepartment of Supportive Oncology, Atrium Health Levine Cancer, Charlotte, NC 28204, United States.
Daniel TeranDepartment of Medicine, West Virginia University School of Medicine, Morgantown, WV 26506, United States.
Diptasree MukherjeeDepartment of Supportive Oncology, Atrium Health Levine Cancer, Charlotte, NC 28204, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCeliac disease (CD) is an autoimmune disorder associated with an increased risk of pancreatitis, yet large-scale studies examining long-term risk and specific etiologies in CD patients are scarce.

aimTo assess the long-term risk of pancreatitis in CD patients.

methodsWe conducted a population-based cohort study with consecutive patients diagnosed with CD using the TriNeTx research network. Each patient was matched to a patient in the control group using a 1:1 propensity score matching to minimize confounding effects. The primary outcomes were the incidence of acute pancreatitis and chronic pancreatitis, and the secondary outcome was to assess the etiologies of pancreatitis. The incidence was estimated using a Cox proportional hazards model with a hazard ratio (HR) and 95% confidence interval (CI).

resultsA total of 160228 patients were identified to have CD, and the remaining 250725 individuals without CD were considered as controls. At 7-year follow-up, CD patients exhibited a significantly higher risk of acute pancreatitis (HR = 2.05; 95%CI: 1.93-2.17) and chronic pancreatitis (HR = 1.42; 95%CI: 1.31-1.54) compared to controls. Elevated risks for alcohol-induced (HR = 1.35), biliary (HR = 1.37), and idiopathic pancreatitis (HR = 1.49) were also observed. Findings remained robust across all follow-up intervals and sensitivity analyses.

conclusionPatients with CD have a substantially increased long-term risk of acute and chronic pancreatitis, including alcohol-related, biliary, and idiopathic subtypes. These findings support the routine surveillance of pancreatitis in CD management and highlight the need for further research into disease-specific risk factors and mitigation approaches.

Indexed as

Acute pancreatitisCeliac diseaseChronic pancreatitisPancreasPancreatitisPancreatitis etiologyPopulation-based study

Identifiers

PMID41479737
PMCPMC12754077

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