Evidence map›Paper›PMID 41488824›Full record

ArticleGastroenterology research2025

The Impact of Chronic Pancreatitis Etiology on Clinical Outcomes: A Population-Based Propensity-Matched Analysis.

Khaled Elfert, Mohammed Abusuliman, Mohamed Eldesouki, Omar T Ahmed, Hazem Abosheaishaa, Azizullah Beran, Mouhand Mohamed, Mahmoud Nassar, Shailendra Singh, Sherif Elhanafi

Abstract read
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Article in Gastroenterology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Khaled ElfertDivision of Gastroenterology, West Virginia University School of Medicine, Morgantown, WV, USA.
Mohammed AbusulimanDepartment of Internal Medicine, Henry Ford Health System, Detroit, MI, USA.
Mohamed EldesoukiDepartment of Internal Medicine, New York Medical College at St. Michael's Medical Center, Newark, NJ, USA.
Omar T AhmedDivision of Gastroenterology and Hepatology, University of Illinois at Chicago, Chicago, IL, USA.
Hazem AbosheaishaaDepartment of Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, NY, USA.
Azizullah BeranDivision of Gastroenterology, Indiana University School of Medicine, Indianapolis, IN, USA.
Mouhand MohamedDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Mahmoud NassarDepartment of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, NY, USA.
Shailendra SinghDivision of Gastroenterology, West Virginia University School of Medicine, Morgantown, WV, USA.
Sherif ElhanafiDivision of Gastroenterology and Hepatology, Texas Tech University Health Sciences Center, El Paso, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic pancreatitis (CP) is a complex disease with various underlying etiologies, including alcohol consumption, smoking, autoimmune disorders, genetic predispositions, and other less common causes. Despite extensive research, the impact of these different etiologies on disease progression, complication rates, and long-term outcomes remains insufficiently understood. In particular, the distinction between alcohol-related chronic pancreatitis (ARCP) and non-alcohol-related chronic pancreatitis (NARCP) is not well established in terms of prognosis and therapeutic needs. Methods: We conducted a retrospective cohort study utilizing the TriNetX US Collaborative Network to compare baseline characteristics and clinical outcomes of ARCP versus NARCP. Propensity score matching (PSM) was applied to balance baseline characteristics between both cohorts. Primary outcome was mortality, while secondary outcomes included exocrine pancreatic insufficiency (EPI), pseudocyst formation, development of diabetes and pancreatic cancer, and need for endoscopic retrograde cholangiopancreatography (ERCP) and celiac plexus injection. Results: A total of 203,432 patients with CP were identified, including 11,696 ARCP and 200,560 with NARCP. After PSM (11,678 per group), ARCP was associated with significantly lower rates of mortality (13.0% vs. 16.2%; risk ratio (RR) 0.80), diabetes (22.9% vs. 35.8%; RR 0.64), exocrine pancreatic insufficiency (2.0% vs. 6.1%; RR 0.32), pancreatic cancer (1.1% vs. 8.4%; RR 0.14), and pseudocyst formation (7.1% vs. 9.7%; RR 0.73) compared to NARCP (all P < 0.001). ARCP patients also had lower rates of celiac plexus injection (0.1% vs. 0.8%; RR 0.12) and ERCP (2.3% vs. 10.2%; RR 0.23) (both P < 0.001). Conclusion: In this large, retrospective cohort study, patients with ARCP demonstrated lower rates of mortality, complications, and need for interventions compared to those with NARCP. These findings highlight potential differences in disease progression and clinical management between ARCP and NARCP. Further studies are needed to elucidate underlying mechanisms contributing to these disparities and to refine patient-specific treatment approaches.

Indexed as

Alcohol-related chronic pancreatitisChronic pancreatitisNon-alcohol-related chronic pancreatitis

Identifiers

PMID41488824
PMCPMC12758045

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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.