Evidence map›Paper›PMID 21776326›Full record

ArticleEplasty2011

Maggot debridement: an alternative method for debridement.

Finn Gottrup, Bo Jørgensen

Open access · greenAbstract read
In one paragraph

Article in Eplasty, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Maggot Therapy in Wound Healing: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Crustacean Proteases and Their Application in Debridement.Tropical life sciences research · 2020
    Article
  11. Article
  12. On the Cutting Edge: Wound Care for the Endovascular Specialist.Seminars in interventional radiology · 2018
    Review
  13. Article
  14. Sarconesin:Frontiers in microbiology · 2018
    Article
  15. Article
  16. TIME management by medicinal larvae.International wound journal · 2016
    Review
  17. Review
  18. Review
  19. Article
  20. New techniques for wound debridement.International wound journal · 2013
    Review
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 at 1 institution in 1 country.

Finn GottrupCopenhagen Wound Healing Center, Department of Dermatology, Bispebjerg University Hospital, Copenhagen, Denmark.
Bo Jørgensen
Bispebjerg Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledDebridement is an essential component to promote healing in a problem wound. Several techniques are available including maggot debridement therapy (MDT).

objectiveTo describe the efficacy of MDT for treating problem wound especially diabetic foot ulcers.

methodsThe topic is elucidated from different points of view: the mode of action, when to use, use in a practice, clinical results, and discussing the problem of creating evidence for the clinical effect.

resultsLiterature and own results demonstrate that MDT is a safe method with few side effects. Maggot debridement therapy is as good as or better than conventional often surgical debridement, is more selective than surgical debridement, decreases time to healing and stay of patients in the ward, and may decrease the risk of major amputations. However, the evidence of these effects of MDT on the highest level is presently lacking. A detailed description of how to use MDT in practice is provided including a visual demonstration in a video.

conclusionIn spite of lacking clinical evidence, MDT clinical experience strongly suggests that this technique is effective and safe. It can be used for most types of problem wounds, but our indication is primarily diabetic foot ulcers, because of its selectivity for debriding necrotic dead tissue. It may be a valuable alternative surgical/sharp debridement.

Identifiers

PMID21776326
PMCPMC3136394
OpenAlexW1531951525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.