Evidence map›Paper›PMID 16135924›Full record

Trial reportAnnals of surgery2005

Metabolic and hormonal changes of severely burned children receiving long-term oxandrolone treatment.

Rene Przkora, Marc G Jeschke, Robert E Barrow, Oscar E Suman, Walter J Meyer, Celeste C Finnerty, Arthur P Sanford, Jong Lee, David L Chinkes, Ronald P Mlcak and 1 more

Open access · greenAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgery, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
5.6field-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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Recombinant human growth hormone for treating burns and donor sites.The Cochrane database of systematic reviews · 2014
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Intensive insulin therapy in severely burned pediatric patients: a prospective randomized trial.American journal of respiratory and critical care medicine · 2010
    Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Oxandrolone Coadministration Does Not Alter Plasma Propranolol Concentrations in Severely Burned Pediatric Patients.Journal of burn care & research : official publication of the American Burn Association
    Trial
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

11 authors at 2 institutions in 1 country.

Rene PrzkoraDepartment of Surgery, University of Texas Medical Branch, Shriners Hospitals for Children, Galveston, TX 77550, USA.
Marc G Jeschke
Robert E Barrow
Oscar E Suman
Walter J Meyer
Celeste C Finnerty
Arthur P Sanford
Jong Lee
David L Chinkes
Ronald P Mlcak
David N Herndon
The University of Texas Medical Branch at Galveston · USShriners Hospitals for Children · US

Funding

Project 9: The role of androgen/corticosteroid in fat, muscle and glucose metabolism of burn victimsP50GM060338 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SZABO, CSABA · 2000 to 2017
$24.2M
POSTDOCTORAL TRAINING IN TRAUMA &BURNST32GM008256 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI Celeste Campbell Finnerty, Oscar E. Suman-Vejas · 1990 to 2026
$4.0M
Physiological Adaptations to Exercise in Burned ChildrenK01HL070451 · NHLBI · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI SUMAN, OSCAR E · 2002 to 2006
$639k
NHLBI NIH HHS K01 HL070451NHLBI NIH HHS K01-HL070451NIGMS NIH HHS P01-GM60338-01NIGMS NIH HHS P50 GM060338NIGMS NIH HHS T32 GM008256NIGMS NIH HHS T32-GM08256-07PHS HHS H133A70019
6 · The paper itself

Abstract

objectiveWhen given to children for 1 year after a severe burn, oxandrolone significantly improves lean body mass, bone mineral content, and muscle strength. The beneficial effects of oxandrolone on height and weight were observed 1 year after treatment was discontinued. To study the efficacy of oxandrolone in severely burned children for 12 months after burn and 12 months after the drug was discontinued. SUMMARY BACKGROUND DATA: Oxandrolone attenuates body catabolism during the acute phase after burn. It is unclear whether oxandrolone would have any beneficial effects during long-term treatment or if there were any effects after the drug was stopped.

methodsSixty-one children with 40% total body surface area burns were enrolled in this study. Patients were randomized into those to receive oxandrolone (n = 30) or placebo (n = 31) for the first 12 months. Treatment was discontinued after 12 months, and the patients were studied without the drug for the following 12 months. At discharge and 6, 12, 18, and 24 months after burn, height, weight, body composition, resting energy expenditure, muscle strength, and serum human growth hormone, insulin-like growth factor-I (IGF-1), IGF binding protein-3, insulin, cortisol, parathyroid hormone, tri-iodothyronine uptake (T3 uptake), and free thyroxine index (FTI) were measured. Statistical analysis used Tukey multiple comparison test. Significance was accepted at P < 0.05.

resultsOxandrolone improved lean body mass, bone mineral content and muscle strength compared with controls during treatment, P < 0.05. Serum IGF-1, T3 uptake, and FTI were significantly higher during drug treatment compared with controls, P < 0.05. Significant increases in height and weight with oxandrolone were observed after the end of treatment.

conclusionsOxandrolone improved body composition and strength in severely burned children during the 12 months of treatment. Its effect on height and weight continued after treatment was discontinued.

Indexed as

AdolescentAnabolic AgentsBody Mass IndexBody SizeBone DensityBurnsChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleMetabolic DiseasesMuscle, SkeletalOxandroloneTime FactorsAnabolic AgentsOxandrolone

Identifiers

PMID16135924
PMCPMC1357746
OpenAlexW2003608077

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.