Evidence map›Paper›PMID 23207714›Full record

ReviewTechniques in coloproctology2013

The treatment of anal fistulas with biologically derived products: is innovation better than conventional surgical treatment? An update.

Roberto Cirocchi, Stefano Trastulli, Umberto Morelli, Jacopo Desiderio, Carlo Boselli, Amilcare Parisi, Giuseppe Noya

Abstract readReview
PubMed Publisher
In one paragraph

Review in Techniques in coloproctology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Surgery for anal fistulae: state of the art.International journal of colorectal disease · 2021
    Review
  8. Observational
  9. Review
  10. Review
  11. Biomaterials in the treatment of anal fistula: hope or hype?Clinics in colon and rectal surgery · 2014
    Review
  12. Article
  13. 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 at 3 institutions in 2 countries.

Roberto CirocchiDepartment of General Surgery, St. Maria Hospital, University of Perugia, Via Tristano di Joannuccio, 05100, Terni, Italy.
Stefano Trastulli
Umberto Morelli
Jacopo Desiderio
Carlo Boselli
Amilcare Parisi
Giuseppe Noya
University of Perugia · ITSanta Maria Nuova Hospital · ITUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New technical approaches involving biologically derived products have been applied in the treatment for anal fistulas in order to avoid the risk of fecal incontinence. The aim of this review was to evaluate the scientific evidence present in the literature regarding these techniques. Trials comparing surgery (fistulotomy, advancement mucosal flap closure and placement of seton) versus fibrin glue, fistula plug or acellular dermal matrix were considered. In fibrin glue versus traditional surgical treatment the healing rate was higher in the surgery group, and the recurrence rate was lower in the traditional surgery group, but these results were not statistically relevant. In acellular dermal matrix (ADM) versus traditional surgical treatment the recurrence rate of fistulas was significantly lower in the ADM group, but non-significant differences were recorded in incontinence and anal deformity. Our review shows that there are no significant advantages of the new techniques involving biologically derived products. Further randomized controlled trials are needed.

Indexed as

Absorbable ImplantsDigestive System Surgical ProceduresFecal IncontinenceFibrin Tissue AdhesiveHumansRectal FistulaRecurrenceTreatment OutcomeWound HealingFibrin Tissue Adhesive

Identifiers

PMID23207714
OpenAlexW2087254858

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.