Evidence map›Paper›PMID 24028468›Full record

ArticleInternational wound journal2015

Vessel transformation in chronic wounds under topical negative pressure therapy: an immunohistochemical analysis.

Carmen C M Malsiner, Marweh Schmitz, Raymund E Horch, Andrea K Keller, Mareike Leffler

Open access · bronzeAbstract read
In one paragraph

Article in International wound journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Negative-Pressure Wound Therapy: What We Know and What We Need to Know.Advances in experimental medicine and biology · 2023
    Article
  3. Article
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  6. Review
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  10. Endoscopic Vacuum Therapy: When and How to Use It?GE Portuguese journal of gastroenterology
    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

5 authors at 1 institution in 1 country.

Carmen C M MalsinerDepartment of Plastic and Hand Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Marweh SchmitzDepartment of Plastic and Hand Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Raymund E HorchDepartment of Plastic and Hand Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Andrea K KellerDepartment of Medical Informatics, Biometry and Epidemiology, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Mareike LefflerDepartment of Plastic and Hand Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The underlying physiological mechanism of topical negative pressure (TNP) therapy is not yet completely understood. This prospective clinical study aims to clarify a potential influence of TNP therapy on vessel proliferation and hypoxia in chronic wounds. TNP was applied on chronic wounds of 16 patients (-125 mmHg) to prepare them for a plastic-surgical reconstruction using free or pedicled flaps. Tissue biopsies were taken from the wound edge and wound bed at different time points. All samples were stained with haematoxylin and eosin, hypoxia-induced factor-1α and endothelial cell markers (CD31 and CD34) for the immunohistological analysis of inflammation, hypoxia and vessel proliferation. Between day 5 and day 8 of treatment, a considerable increase in blood vessel density could be observed, reaching a maximum of approximately 200% in contrast to the vessel density prior to treatment. In addition, the number of hypoxic and inflammatory cells was found to be increased at particular time points. This study demonstrates a stimulating effect on vessel proliferation under TNP treatment. TNP appears to support (neo-) angiogenesis and transformation of chronic non-healing wounds in a physiological wound healing process when combined with surgical debridement. This effect underlines the positive influence of TNP in the treatment of chronic wounds as shown by various clinical reports.

Indexed as

Negative-Pressure Wound TherapyNeovascularization, PhysiologicSkin UlcerWound HealingAdultAgedAntigens, CD34Chronic DiseaseDebridementFemaleHumansHypoxia-Inducible Factor 1, alpha SubunitMaleMiddle AgedPlatelet Endothelial Cell Adhesion Molecule-1Prospective StudiesAntigens, CD34HIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitPlatelet Endothelial Cell Adhesion Molecule-1AngiogenesisHypoxiaTopical negative pressureVacuum-assisted closureVessel proliferation

Identifiers

PMID24028468
PMCPMC7950614
OpenAlexW2160351437

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.