Evidence map›Paper›PMID 25246797›Full record

SynthesisVascular health and risk management2014

Economic and outcomes consequences of TachoSil®: a systematic review.

Giorgio L Colombo, Daria Bettoni, Sergio Di Matteo, Camilla Grumi, Cinzia Molon, Daniela Spinelli, Gaetano Mauro, Alessia Tarozzo, Giacomo M Bruno

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Vascular health and risk management, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Could TachoSil application in cardiac surgery be potentially dangerous? A review of the literature.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Collagen fleece (TachosilWorld journal of clinical cases · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Potential utility of new surgical hemostatic film using HydrofitJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2020
    Article
  17. Article
  18. Compression-induced structural and mechanical changes of fibrin-collagen composites.Matrix biology : journal of the International Society for Matrix Biology · 2017
    Article
  19. Article
  20. 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

9 authors at 5 institutions in 1 country.

Giorgio L ColomboDepartment of Drug Sciences, University of Pavia, Pavia, Italy ; Studi Analisi Valutazioni Economiche (SAVE), Milan, Italy.
Daria BettoniHospital Pharmacy, Spedali Civili Brescia, Brescia, Italy.
Sergio Di MatteoStudi Analisi Valutazioni Economiche (SAVE), Milan, Italy.
Camilla GrumiHospital Pharmacy, Spedali Civili Brescia, Brescia, Italy.
Cinzia MolonCittà della Salute e della Scienza di Torino, Presidio Molinette, Turin, Italy.
Daniela SpinelliAzienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Gaetano MauroScuola di Specializzazione in Farmacia Ospedaliera, Università La Sapienza, Roma, Italy.
Alessia TarozzoCittà della Salute e della Scienza di Torino, Presidio Molinette, Turin, Italy.
Giacomo M BrunoStudi Analisi Valutazioni Economiche (SAVE), Milan, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda Ospedaliera Universitaria Pisana · ITSapienza University of Rome · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTachoSil(®) is a medicated sponge coated with human fibrinogen and human thrombin. It is indicated as a support treatment in adult surgery to improve hemostasis, promote tissue sealing, and support sutures when standard surgical techniques are insufficient. This review systematically analyses the international scientific literature relating to the use of TachoSil in hemostasis and as a surgical sealant, from the point of view of its economic impact.

methodsWe carried out a systematic review of the PubMed literature up to November 2013. Based on the selection criteria, papers were grouped according to the following outcomes: reduction of time to hemostasis; decrease in length of hospital stay; and decrease in postoperative complications.

resultsTwenty-four scientific papers were screened, 13 (54%) of which were randomized controlled trials and included a total of 2,116 patients, 1,055 of whom were treated with TachoSil. In the clinical studies carried out in patients undergoing hepatic, cardiac, or renal surgery, the time to hemostasis obtained with TachoSil was lower (1-4 minutes) than the time measured with other techniques and hemostatic drugs, with statistically significant differences. Moreover, in 13 of 15 studies, TachoSil showed a statistically significant reduction in postoperative complications in comparison with the standard surgical procedure. The range of the observed decrease in the length of hospital stay for TachoSil patients was 2.01-3.58 days versus standard techniques, with a statistically significant difference in favor of TachoSil in eight of 15 studies.

conclusionThis analysis shows that TachoSil has a role as a supportive treatment in surgery to improve hemostasis and promote tissue sealing when standard techniques are insufficient, with a consequent decrease in postoperative complications and hospital costs.

Indexed as

Drug CostsBlood Loss, SurgicalCost-Benefit AnalysisDrug CombinationsFibrinogenHemostaticsHemostatic TechniquesHospital CostsHumansLength of StayOutcome and Process Assessment, Health CarePostoperative HemorrhageThrombinTime FactorsTreatment OutcomeDrug CombinationsFibrinogenHemostaticsTachoSilThrombincost analysiseconomic evaluationoutcomes researchsystematic reviewTachoSil®

Identifiers

PMID25246797
PMCPMC4166367
OpenAlexW2023783499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.