Evidence mapPaperPMID 30113426Full record

SynthesisPancreas2018

Preexisting Diabetes Elevates Risk of Local and Systemic Complications in Acute Pancreatitis: Systematic Review and Meta-analysis.

Alexandra Mikó, Nelli Farkas, András Garami, Imre Szabó, Áron Vincze, Gábor Veres, Judit Bajor, Hussain Alizadeh, Zoltán Rakonczay, Éva Vigh and 4 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pancreas, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
5.4field-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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  10. Review
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  17. Observational
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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

14 authors at 4 institutions in 3 countries.

Alexandra MikóFrom the Institute for Translational Medicine.
Nelli Farkas
András GaramiFrom the Institute for Translational Medicine.
Imre SzabóDivision of Gastroenterology, 1st Department of Internal Medicine, University of Pécs, Pécs.
Áron VinczeDivision of Gastroenterology, 1st Department of Internal Medicine, University of Pécs, Pécs.
Gábor Veres1st Department of Paediatrics, Semmelweis University, Budapest.
Judit BajorDivision of Gastroenterology, 1st Department of Internal Medicine, University of Pécs, Pécs.
Hussain AlizadehDivision of Haematology, 1st Department of Internal Medicine, University of Pécs, Pécs.
Zoltán RakonczayDepartment of Pathophysiology, University of Szeged, Szeged.
Éva Vigh
Katalin MártaFrom the Institute for Translational Medicine.
Zoltán Kiss1st Department of Paediatrics, Semmelweis University, Budapest.
Péter Hegyi
László CzakóDepartment of Pathophysiology, University of Szeged, Szeged.
University of Pecs · HUInstitute of Practical Psychology and Psychoanalysis · RUSemmelweis University · HUUniversity of Szeged · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of diabetes mellitus (DM) and acute pancreatitis (AP) increases continuously, therefore, to understand the effects of preexisting diabetes on AP is crucially needed. Here, we performed a systematic review and meta-analysis in which AP patients including DM and non-DM groups were sorted. Several outcome parameters were analyzed, and the odds ratio (OR) and standardized mean difference with 95% confidence intervals (CIs) were calculated.We found 1417 articles, of which 9 articles involving 354,880 patients were analyzed. More complications were seen in diabetic patients than in non-DM patients (OR, 1.553 [95% CI, 1.266-1.904]; P < 0.001). Intensive care unit admission (OR, 1.799 [95% CI, 1.442-2.243]; P < 0.001) and renal failure (OR, 1.585 [95% CI, 1.278-1.966]; P < 0.001) were more frequent in DM patients. There was a tendency of higher mortality and local complications (OR, 1.276 [95% CI, 0.991-1.643]; P = 0.059; and OR, 1.267 [95% CI, 0.964-1.659]; P = 0.090, respectively) in preexisting DM. Length of hospitalization was longer in DM patients (standardized mean difference, 0.217 [95% CI, 0.075-0.360]; P = 0.003). Preexisting DM negatively influences the outcome of AP and increases the risk of renal failure, local complications, and mortality.

Indexed as

Acute DiseaseComorbidityDiabetes MellitusDisease ProgressionHospitalizationHumansPancreatitisPrevalenceRisk AssessmentRisk Factors

Identifiers

PMID30113426
PMCPMC6133223
OpenAlexW2885251982

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.