Pancreatitis aguda: de la evidencia al caso real / Acute Pancreatitis: from the evidence to the reality

Pancreatitis is classified as acute or chronic.Usually, acute pancreatitis is a consequence of gallstones or is idiopathic...Since the early 20th century, Moynihan described the acute pancreatitis as the most terrible intraabdominal calamity, and subsequently emphasized the prevalent role of surgical tyreatment to remove the toxins accumulated in the abdominal cavity. Likewise this treatment modality was adapted by most surgeons and it was maintained during 20 years as the key to optimal management...A opatient with acute pancreatitis was studied along, the evidence available was revised and also its real applicability since the retrospective analysis of the case, in a pathogenesis with several diagnostic and therapeutic guidelines determined by their usefulness but not because of evidence and viceversa enhanced by this one but with a difficult application

Significación estadística versus significado clínico / Statistical signification vs. clinical meaning

We are living a change of paradigm. We are entering a new period based on the authority of clinical assays which delay the experience along the years. The interpretation of a statistic search through "p" lets us see the participation of hazard in a scientific study. So if it is statistically significative it is not necessarily clinically relevant. Therefore, the clinical significance based on the NNT is the one which will help to take a decision