ArticleClinical and experimental gastroenterology2009
Do we at all need surgery to treat thrombosed external hemorrhoids? Results of a prospective cohort study.
Article in Clinical and experimental gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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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.
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Who cites it
4 citing papers in PubMed, 14 citations in OpenAlex.
- Perianal thrombosis: no need for surgery.Langenbeck's archives of surgery · 2022Article
- Management and Treatment of External Hemorrhoidal Thrombosis.Frontiers in surgery · 2022Review
- Treatment of thrombosed external hemorrhoids in Russia: an online survey.Techniques in coloproctology · 2020Article
- Portuguese Society of Gastroenterology Consensus on the Diagnosis and Management of Hemorrhoidal Disease.GE Portuguese journal of gastroenterology · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is unknown whether surgery is the gold standard for therapy of thrombosed external hemorrhoids (TEH).
methodsA prospective cohort study of 72 adults with TEH was conducted: no surgery, no sitz baths but gentle dry cleaning with smooth toilet paper after defecation. Follow-up information was collected six months after admission by questionnaire.
resultsDespite our strict conservative management policy 62.5% (45/72) of patients (95% confidence interval [CI]: 51.0-74.0) described themselves as "healed" or "ameliorated", and 61.1% (44/72, 95% CI: 49.6-72.6) found our management policy as "valuable to test" or "impracticable". 13.9% (10/72, 95% CI: 5.7-22.1) of patients suspected to have recurrences. 4.2% did not know. Twenty-two of the 48 responding patients reported symptoms such as itching (18.8%), soiling (12.5%), pricking (10.4%), or a sore bottom (8.3%) once a month (59.1%, 13/22), once a week (27.3%, 6/22), or every day (13.6%, 3/22).
conclusionsThe dictum that surgery is the gold standard for therapy for TEH should be checked by randomized controlled trials.
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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 OpenQuestion graph.