Evidence map›Paper›PMID 41835252›Full record

ArticleFrontiers in surgery2026

The association between inflammatory indices and acute pancreatitis severity: a retrospective cohort study.

Huicong Ma, Na Li, Huaisheng Zhang, Zepeng Shen, Jie Yang, Qiaojie Bi, Xiaoxiao Miao

Abstract read
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Diagnostic Performance of the Uric Acid-To-Albumin Ratio in Predicting Severity of Acute Pancreatitis.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Article
  2. Review
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

7 authors.

Huicong Ma *Institute of Emergency and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, Shandong, China.
Na Li *Institute of Emergency and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, Shandong, China.
Huaisheng Zhang *Department of Emergency Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China.
Zepeng ShenDepartment of Emergency Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China.
Jie YangDepartment of Emergency Surgery, The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China.
Qiaojie Bi *Institute of Emergency and Critical Care Medicine, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, Shandong, China.
Xiaoxiao Miao *Qingdao Traditional Chinese Medicine Hospital, Qingdao Hiser Hospital Affiliated with Qingdao University, Qingdao, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute pancreatitis (AP) is a heterogeneous inflammatory disease, with ∼20% of patients progressing to moderate-to-severe (MSAP) or severe AP (SAP), conditions associated with high mortality. Early risk stratification is therefore critical. This study systematically evaluated and compared 12 inflammatory biomarkers for predicting AP severity. Methods: This retrospective cohort included 1,981 hospitalized AP patients (January 2018-December 2023). According to the revised Atlanta criteria, patients were classified into mild AP (MAP, Results: In the fully adjusted model, nine biomarkers were significantly associated with MSAP/SAP risk: MLR (OR = 1.29, 95%CI: 1.15-1.45), LMR (OR = 0.75, 95%CI: 0.66-0.85), CAR (OR = 3.82, 95%CI: 3.18-4.64), CALLY (OR = 0.56, 95%CI: 0.49-0.64), CCR (OR = 4.84, 95%CI: 3.98-5.96), CLR (OR = 2.12, 95%CI: 1.84-2.46), RDW/Alb (OR = 1.74, 95%CI: 1.54-1.99), NAR (OR = 1.44, 95%CI: 1.27-1.64), and SIRI (OR = 1.29, 95%CI: 1.15-1.46). CCR demonstrated the highest observed accuracy (AUC = 0.768, 95%CI: 0.737-0.799). Threshold effect analysis revealed a nonlinear association, with an inflection point at 15: no significant association was observed below this threshold (OR = 1.015, Conclusion: Among 12 inflammatory biomarkers, CCR showed the strongest predictive value for MSAP/SAP, with a critical threshold of 15. As an easily obtainable marker, CCR may serve as a practical early warning tool to guide clinical management and risk stratification in AP.

Indexed as

acute pancreatitisbiomarkerC-reactive protein-to-calcium ratioinflammatory biomarkersseverity predictionthreshold effect

Identifiers

PMID41835252
PMCPMC12979465

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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.