Evidence mapPaperPMID 39090447Full record

ArticleDigestive diseases and sciences2024

Development and Validation of a Clinical Predictive Nomogram for Assessing the Risk of Recurrence of Acute Pancreatitis in Combined Hypertriglyceridemia.

Shuaiyong Wen, Yu Zhang, Guijie Zhao, Kun Zhang, Yunfeng Cui

Abstract readValidation Study
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Article in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Shuaiyong WenTianjin Medical University, Tianjin, 300070, China.
Yu ZhangTianjin Medical University, Tianjin, 300070, China.
Guijie ZhaoTianjin Medical University, Tianjin, 300070, China.
Kun ZhangDepartment of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, 300100, China.
Yunfeng CuiTianjin Medical University, Tianjin, 300070, China. nkyycyf@tmu.edu.cn.

Funding

Key Program of the Natural Science Foundation of Tianjin 21JCZDJC00550Scientific Research Fund of Tianjin Municipal Administration of Traditional Chinese Medicine 20211006the Tianjin Nankai Hospital 2022 Annual Key Special Project NKYY-IIT-2022-009-2Tianjin 131 Talents Project 201938Tianjin Science and Technology Project of Traditional Chinese Medicine 2022005
6 · The paper itself

Abstract

backgroundThe objective of this study is to develop and validate a new nomogram-based scoring system for anticipating the recurrence of acute pancreatitis (AP) in combined hypertriglyceridemia (HTG).

methodsA total of 292 patients diagnosed with AP combined with HTG participated in this research. Among them, 201 patients meeting the inclusion criteria were randomly divided into training and validation sets at a ratio of 7:3. Clinical data were collected for all patients. In the training set, predictive indicators were chosen through backward stepwise multivariable logistic regression analysis. Subsequently, a nomogram was developed based on the selected indicators. Finally, the model's performance was validated in both the training and validation sets.

resultsBy employing backward stepwise multivariable logistic regression analysis, we identified diabetes, gallstones, alcohol consumption, and triglyceride levels as predictive indicators. Subsequently, a clinical nomogram that incorporates these four independent risk factors was constructed. Model validation demonstrated an AUC of 0.726 (95% CI 0.644-0.809) in the training set and an AUC of 0.712 (95% CI 0.583-0.842) in the validation set, indicating a good discriminative ability. The Hosmer-Lemeshow test yielded P-values of 0.882 and 0.536 in the training and validation sets, respectively, suggesting good calibration. Calibration curves further confirmed good agreement. Ultimately, decision curve analysis (DCA) emphasized the clinical utility of our model.

conclusionWe have developed a nomogram for predicting the recurrence of AP combined with HTG in patients, and this nomogram demonstrates good discriminative ability, calibration, and clinical utility. This tool holds the potential to assist clinicians in offering more personalized treatment strategies for AP combined with HTG.

Indexed as

HypertriglyceridemiaNomogramsPancreatitisRecurrenceAcute DiseaseAdultFemaleGallstonesHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsRisk AssessmentRisk FactorsTriglyceridesTriglyceridesHypertriglyceridemiaNomogramPancreatitisRecurrence

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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 Socratic graph.