Evidence map›Paper›PMID 22066961›Full record

Trial reportInternational wound journal2012

A prospective, multi-centre, randomised, open label, parallel, comparative study to evaluate effects of AQUACEL® Ag and Urgotul® Silver dressing on healing of chronic venous leg ulcers.

Keith Harding, Finn Gottrup, Arkadiusz Jawień, Jacek Mikosiński, Krystyna Twardowska-Saucha, Sławomir Kaczmarek, Maciej Sopata, Cliff Shearman, Alaine Pieronne, Dheerendra Kommala

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Dressings and topical agents for treating venous leg ulcers.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Selection of Appropriate Wound Dressing for Various Wounds.Frontiers in bioengineering and biotechnology · 2020
    Review
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Silver-doped self-assembling di-phenylalanine hydrogels as wound dressing biomaterials.Journal of materials science. Materials in medicine · 2013
    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

10 authors.

Keith HardingDepartment of Dermatology & Wound Healing, School of Medicine, Cardiff University, Cardiff, UK. hardingkg@cardiff.ac.uk
Finn Gottrup
Arkadiusz Jawień
Jacek Mikosiński
Krystyna Twardowska-Saucha
Sławomir Kaczmarek
Maciej Sopata
Cliff Shearman
Alaine Pieronne
Dheerendra Kommala

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study compared wound healing efficacy of two silver dressings, AQUACEL(®) Ag and Urgotul(®) Silver, against venous ulcers at risk of infection, over 8 weeks of treatment. The primary objective was to show non inferiority of AQUACEL(®) Ag to Urgotul(®) Silver. Patients (281) were randomised into two groups. The AQUACEL(®) Ag group had 145 patients treated with AQUACEL(®) Ag for 4 weeks followed by AQUACEL for another 4 weeks. TheUrgotul(®) Silver group had 136 patients treated with Urgotul(®) Silver for 4 weeks followed by Urgotul(®) for another 4 weeks. In both groups, ulcer size and depth, safety events and ulcer healing were compared. After 8 weeks of treatment, the AQUACEL(®) Ag group had a relative wound size reduction (49·65% ± 52·53%) compared with the Urgotul(®) Silver group (42·81% ± 60·0%). The non inferiority of the AQUACEL(®) Ag group to the Urgotul(®) Silver group was established based on the difference between them (6·84% ± 56·3%, 95% confidence interval -6·56 to 20·2) and the pre-defined non inferiority margin (-15%). Composite wound healing analysis showed that the AQUACEL(®) Ag group had statistically higher percentage of subjects with better wound progression (66·9% versus 51·9%, P = 0·0108). In general, both dressings were effective at promoting healing of venous ulcers.

Indexed as

Bandages, HydrocolloidAdultAgedAged, 80 and overCarboxymethylcellulose SodiumChronic DiseaseDrug CarriersFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSilver CompoundsTreatment OutcomeVaricose UlcerCarboxymethylcellulose SodiumDrug CarriersSilver Compounds

Identifiers

PMID22066961
PMCPMC7950382

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.