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Surgical management of pancreatic necrosis

Overview of attention for article published in Journal of Trauma and Acute Care Surgery, The, August 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

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49 X users
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2 Facebook pages

Citations

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48 Dimensions

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86 Mendeley
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Title
Surgical management of pancreatic necrosis
Published in
Journal of Trauma and Acute Care Surgery, The, August 2017
DOI 10.1097/ta.0000000000001510
Pubmed ID
Authors

Nathan T. Mowery, Brandon R. Bruns, Heather G. MacNew, Suresh Agarwal, Toby M. Enniss, Mansoor Khan, Weidun Alan Guo, Jeremy W. Cannon, Matthew E. Lissauer, Therese M. Duane, Amy N. Hildreth, Peter A. Pappas, Lynn M. Gries, Meghann Kaiser, Bryce R.H. Robinson

Abstract

Pancreatic or peripancreatic tissue necrosis confers substantial morbidity and mortality. New modalities have created a wide variation in approaches and timing of interventions for necrotizing pancreatitis. As acute care surgery evolves, its practitioners are increasingly being called upon to manage these complex patients. A systematic review of the MEDLINE database using PubMed was performed. English language articles regarding pancreatic necrosis from 1980 to 2014 were included. Letters to the editor, case reports, book chapters, and review articles were excluded. Topics of investigation included operative timing, the use of adjuvant therapy and the type of operative repair. GRADE methodology was applied to question development, outcome prioritization, evidence quality assessments, and recommendation creation. 88 studies were included and underwent full review. Increasing the time to surgical intervention had an improved outcome in each of the time periods evaluated (72 hours, 12-14, 30 days) with a significant improvement in outcomes if surgery was delayed 30 days. The use of percutaneous and endoscopic procedures were shown to postpone surgery and potentially be definitive. The use of minimally invasive surgery for debridement and drainage has been shown to be safe and associated with reduce morbidity and mortality. Acute Care Surgeons are uniquely trained to care for those with pancreatic necrosis due their training in critical care and complex surgery with ongoing shock. In adult patients with pancreatic necrosis, we recommend that pancreatic necrosectomy be delayed until at least day 12. During the first 30 days of symptoms with infected necrotic collections, we conditionally recommend surgical debridement only if the patients fail to improve after radiologic or endoscopic drainage. Finally, even with documented infected necrosis, we recommend that patients undergo a step-up approach to surgical intervention as the preferred surgical approach. Systematic review/guideline, level III.

X Demographics

X Demographics

The data shown below were collected from the profiles of 49 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 86 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 86 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 10 12%
Student > Doctoral Student 10 12%
Other 9 10%
Student > Postgraduate 9 10%
Student > Bachelor 7 8%
Other 18 21%
Unknown 23 27%
Readers by discipline Count As %
Medicine and Dentistry 47 55%
Nursing and Health Professions 3 3%
Pharmacology, Toxicology and Pharmaceutical Science 2 2%
Agricultural and Biological Sciences 1 1%
Arts and Humanities 1 1%
Other 4 5%
Unknown 28 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 29. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 October 2021.
All research outputs
#1,359,836
of 25,546,214 outputs
Outputs from Journal of Trauma and Acute Care Surgery, The
#362
of 7,815 outputs
Outputs of similar age
#26,682
of 327,913 outputs
Outputs of similar age from Journal of Trauma and Acute Care Surgery, The
#12
of 85 outputs
Altmetric has tracked 25,546,214 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 94th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,815 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.3. This one has done particularly well, scoring higher than 95% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 327,913 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 85 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.