Evidence map›Paper›PMID 25624960›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada

SmartClamp circumcision versus conventional dissection technique in terms of parental anxiety and outcomes: A prospective clinical study.

Mert Ali Karadag, Kursat Cecen, Aslan Demir, Yuksel Kivrak, Murat Bagcioglu, Ramazan Kocaaslan, Mustafa Ari, Fatih Altunrende

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 92% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 3 institutions in 1 country.

Mert Ali KaradagKafkas University Faculty of Medicine, Department of Urology, Kars, Turkey;
Kursat CecenKafkas University Faculty of Medicine, Department of Urology, Kars, Turkey;
Aslan DemirKafkas University Faculty of Medicine, Department of Urology, Kars, Turkey;
Yuksel KivrakKafkas University Faculty of Medicine, Department of Psychiatry, Kars, Turkey;
Murat BagciogluKafkas University Faculty of Medicine, Department of Urology, Kars, Turkey;
Ramazan KocaaslanKafkas University Faculty of Medicine, Department of Urology, Kars, Turkey;
Mustafa AriMustafa Kemal University Faculty of Medicine, Department of Psychiatry, Hatay, Turkey;
Fatih AltunrendeBilim University Faculty of Medicine, Department of Urology, Istanbul, Turkey.
Kafkas University · TRIstanbul Bilim University · TRMustafa Kemal University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe prospectively analyzed parental anxiety and outcomes of the SmartClamp circumcision and the classic surgical dissection technique.

methodsA total of 250 boys underwent circumcision between 2009 and 2012 at Kars State Hospital and Kafkas University Faculty of Medicine in Turkey. The initial 125 children were circumcised by conventional dissection method and the remaining children were operated on with a SmartClamp device. Children in both groups were compared in terms of bleeding, infection, penile edema, operative time, cosmetic result, length of the inner mucosal layer, and parental anxiety. We used a State-Trait Anxiety Inventory (STAI) form to gauge how the circumcision affected parental anxiety. This form was completed by parents on postoperative day 2.

resultsThere were no statistically significant differences among the 2 groups in terms of age, bleeding, infection, and cosmetic displeasure (p > 0.05). The STAI scores of the parents from the SmartClamp group were statistically higher than that of the other group (p < 0.001). Penile edema was more common in the SmartClamp group (p = 0.039). However, the mean operative time was statistically shorter (p < 0.001) and the inner mucosal length was significantly longer in the SmartClamp group (p < 0.001).

conclusionCircumcision with the SmartClamp device was faster. Cosmetic results and complication rates were similar. Unfortunately, this technique seemed to entail the disadvantages of longer mucosal length, penile edema, and higher parental anxiety. Urologists should keep these points in mind when choosing a technique.

Identifiers

PMID25624960
PMCPMC4301962
OpenAlexW2076484709

What OpenQuestion holds

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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.