Evidence map›Paper›PMID 22839453›Full record

Trial reportTrials2012

A pilot randomised controlled trial of negative pressure wound therapy to treat grade III/IV pressure ulcers [ISRCTN69032034].

Rebecca L Ashby, Jo C Dumville, Marta O Soares, Elizabeth McGinnis, Nikki Stubbs, David J Torgerson, Nicky Cullum

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 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

14 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Reconstructive surgery for treating pressure ulcers.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Pooled it
  3. Foam dressings for treating pressure ulcers.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Dressings and topical agents for treating pressure ulcers.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Reconstructive surgery for treating pressure ulcers.The Cochrane database of systematic reviews · 2016
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Negative pressure wound therapy for treating pressure ulcers.The Cochrane database of systematic reviews · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. 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

7 authors.

Rebecca L AshbyDepartment of Health Sciences, The University of York, York, UK.
Jo C Dumville
Marta O Soares
Elizabeth McGinnis
Nikki Stubbs
David J Torgerson
Nicky Cullum

Funding

Medical Research Council G0501814
6 · The paper itself

Abstract

backgroundNegative pressure wound therapy (NPWT) is widely promoted as a treatment for full thickness wounds; however, there is a lack of high-quality research evidence regarding its clinical and cost effectiveness. A trial of NPWT for the treatment of grade III/IV pressure ulcers would be worthwhile but premature without assessing whether such a trial is feasible. The aim of this pilot randomised controlled trial was to assess the feasibility of conducting a future full trial of NPWT for the treatment of grade III and IV pressure ulcers and to pilot all aspects of the trial.

methodsThis was a two-centre (acute and community), pilot randomised controlled trial. Eligible participants were randomised to receive either NPWT or standard care (SC) (spun hydrocolloid, alginate or foam dressings). Outcome measures were time to healing of the reference pressure ulcer, recruitment rates, frequency of treatment visits, resources used and duration of follow-up.

resultsThree hundred and twelve patients were screened for eligibility into this trial over a 12-month recruitment period and 12/312 participants (3.8%) were randomised: 6 to NPWT and 6 to SC. Only one reference pressure ulcer healed (NPWT group) during follow-up (time to healing 79 days). The mean number of treatment visits per week was 3.1 (NPWT) and 5.7 (SC); 6/6 NPWT and 1/6 SC participants withdrew from their allocated trial treatment. The mean duration of follow-up was 3.8 (NPWT) and 5.0 (SC) months.

conclusionsThis pilot trial yielded vital information for the planning of a future full study including projected recruitment rate, required duration of follow-up and extent of research nurse support required. Data were also used to inform the cost-effectiveness and value of information analyses, which were conducted alongside the pilot trial.

trial registrationCurrent Controlled Trials ISRCTN69032034.

Indexed as

Negative-Pressure Wound TherapyAgedAged, 80 and overFemaleHumansMaleMiddle AgedOutcome Assessment, Health CarePilot ProjectsPressure Ulcer

Identifiers

PMID22839453
PMCPMC3533804

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Registered 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.