Evidence map›Paper›PMID 21712971›Full record

SynthesisDeutsches Arzteblatt international2011

Negative-pressure wound therapy: systematic review of randomized controlled trials.

Frank Peinemann, Stefan Sauerland

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Deutsches Arzteblatt international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT02444598 nacompletednot on this mapstarted 2015, after this paper: background citation

A Prospective, Randomized, Controlled Trial of Negative-pressure Wound Therapy Use in Conflict-related Extremity Wounds (VACoCREW Trial)

TypeinterventionalSponsorKarolinska InstitutetRan2015 to 2019Enrolled116ConditionsWounds, Gunshot, Arm Injuries, Leg Injuries, Wound InfectionArmsVaccum Assisted Closure device, Conventional wound dressings
NCT05653297 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Study of The Use of Negative Pressure Wound Therapy in Traumatic Skin & Soft Tissue Loss

Typeobservational_patient_registrySponsorAssiut UniversityRan2023 to 2024Enrolled50ConditionsPost Traumatic Skin LossArmsVacuum-Assisted Closure
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Negative pressure wound therapy for open traumatic wounds.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Effectiveness of combined local therapy with antibiotics and fibrin vs. vacuum-assisted wound therapy in soft tissue infections: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  17. Review
  18. Review
  19. Review
  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

2 authors.

Frank PeinemannInstitut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG), Köln. frank.peinemann@iqwig.de
Stefan Sauerland

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn negative-pressure wound therapy (NPWT), a wound is covered with an airtight dressing, and negative pressure is applied. This is thought to promote healing. We evaluated NPWT with an updated, systematic review of the literature.

methodsWe systematically searched the PubMed and Cochrane Library databases for randomized, controlled trials (RCTs) of NPWT for the treatment of acute or chronic wounds. The primary outcome was complete wound closure.

resultsWe found reports of 9 RCTs in addition to the 12 covered by earlier IQWiG reviews of this topic. Five of the 9 new trials involved NPWT systems that are not on the market. The frequency of complete wound closure is stated in only 5 of the 9 new reports; a statistically significant effect in favor of NPWT was found in only two trials.The results of 8 of the 9 new trials are hard to interpret, both because of apparent bias and because diverse types of wounds were treated.

conclusionAlthough there may be a positive effect of NPWT, we did not find clear evidence that wounds heal any better or worse with NPWT than with conventional treatment. Good RCTs are still needed to evaluate NPWT.

Indexed as

BiasEndpoint DeterminationHumansNegative-Pressure Wound TherapyRandomized Controlled Trials as TopicWound Healing

Identifiers

PMID21712971
PMCPMC3123764

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.