Evidence map›Paper›PMID 37007426›Full record

ReviewCureus2023

Serum Lipase Amylase Ratio as an Indicator to Differentiate Alcoholic From Non-alcoholic Acute Pancreatitis: A Systematic Review and Meta-Analysis.

Nishith M Ekka, Archana D Kujur, Rishi Guria, Mrityunjay Mundu, Brajesh Mishra, Sulakshana Sekhar, Amit Kumar, Jay Prakash, Hirendra Birua

Abstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Nishith M EkkaSurgery, Rajendra Institute of Medical Sciences, Ranchi, IND.
Archana D KujurPharmacology and Therapeutics, Rajendra Institute of Medical Sciences, Ranchi, IND.
Rishi GuriaInternal Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.
Mrityunjay MunduSurgery, Rajendra Institute of Medical Sciences, Ranchi, IND.
Brajesh MishraPulmonary Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.
Sulakshana SekharGeneral Surgery, Rajendra Institute of Medical Sciences, Ranchi, IND.
Amit KumarLaboratory Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.
Jay PrakashCritical Care Medicine, Rajendra Institute of Medical Sciences, Ranchi, IND.
Hirendra BiruaPediatric Surgery, Rajendra Institute of Medical Sciences, Ranchi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A lipase/amylase (L/A) ratio of more than three may be a tool for differentiating alcoholic pancreatitis from non-alcoholic pancreatitis. We conducted a systematic literature review to identify published studies. A thorough data search of various databases was conducted using keywords. Study quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 survey. Data were extracted under the following headings: country, sample size, baseline characteristics, specificity, and sensitivity of the L/A ratio. Studies were analyzed using a bivariate random-effects model, and the sensitivity and specificity of the L/A ratio were pooled separately. Summary receiver operating characteristic (SROC) curves were plotted using the hierarchical method. A total of nine studies with 1,825 patients were identified for inclusion. SROC showed estimates of the area under the curve to be 0.75 (confidence interval (CI) = 0.71-0.79). Forest plots for sensitivity and specificity showed pooled estimates of sensitivity to be 74% (95% CI = 62-83%) while that of specificity was 63% (95% CI = 47-77%). The pooled diagnostic odds ratio was estimated to be 5 (95% CI = 3-9), the pooled positive likelihood ratio was estimated at 2.0, and the pooled negative likelihood ratio was estimated to be 0.41. We concluded that an L/A ratio of more than 3 has moderate accuracy for the diagnosis of alcoholic pancreatitis.

Indexed as

alcoholicalcoholic pancreatitisdiagnosisl/a ratiolipase/amylase ratiopancreatitis

Identifiers

PMID37007426
PMCPMC10063460

What Socratic holds

Textmetadata
LicenceCC BY
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.