Evidence map›Paper›PMID 26268583›Full record

ArticleDiabetic foot & ankle2015

Intralesional epidermal growth factor for diabetic foot wounds: the first cases in Turkey.

Bulent M Ertugrul, Cagri Buke, Ozlem Saylak Ersoy, Bengisu Ay, Dilek Senen Demirez, Oner Savk

Open access · hybridAbstract read
In one paragraph

Article in Diabetic foot & ankle, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 23 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Bulent M ErtugrulDepartment of Infectious Diseases and Clinical Microbiology, University of Adnan Menderes School of Medicine, Aydin, Turkey; bertugrul@adu.edu.tr.
Cagri BukeDepartment of Infectious Diseases and Clinical Microbiology, University of Ege School of Medicine, Izmir, Turkey.
Ozlem Saylak ErsoyDepartment of Infectious Diseases and Clinical Microbiology, University of Adnan Menderes School of Medicine, Aydin, Turkey.
Bengisu AyDepartment Infectious Diseases and Clinical Microbiology, Istanbul Pendik Government Hospital, Istanbul, Turkey.
Dilek Senen DemirezDepartment of Plastic and Reconstructive Surgery, Antalya Training and Education Hospital, Antalya, Turkey.
Oner SavkDepartment of Orthopaedics and Traumatology, University of Adnan Menderes School of Medicine, Aydin, Turkey.
Adnan Menderes University · TRAntalya Eğitim ve Araştırma Hastanesi · TREge University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntralesional recombinant epidermal growth factor (EGF) was produced in the Centre for Genetic Engineering and Biotechnology (CIGB), Cuba, in 1988 and licensed in 2006. Because it may accelerate wound healing, it is a potential new treatment option in patients with a diabetic foot wound (whether infected or not) as an adjunct to standard treatment (i.e. debridement, antibiotics). We conducted the initial evaluation of EGF for diabetic foot wounds in Turkey.

methodsWe enrolled 17 patients who were hospitalized in various medical centers for a foot ulcer and/or infection and for whom below the knee amputation was suggested to all except one. All patients received 75 μg intralesional EGF three times per week on alternate days.

resultsThe appearance of new granulation tissue on the wound site (≥75%) was observed in 13 patients (76%), and complete wound closure was observed in 3 patients (18%), yielding a 'complete recovery' rate of 94%. The most common side effects were tremor (n=10, 59%) and nausea (n=6, 35%). In only one case,a serious side effect requiring cessation of EGF treatment was noted. That patient experienced severe hypotension at the 16th application session, and treatment was discontinued. At baseline, a total of 21 causative bacteria were isolated from 15 patients, whereascultures were sterile in two patients. The most frequently isolated species was Pseudomonas aeruginosa.

conclusionThus, this preliminary study suggests that EGF seems to be a potential adjunctive treatment option in patients with limb-threatening diabetic foot wounds.

Indexed as

diabetic footintralesional epidermal growth factortreatment

Identifiers

PMID26268583
PMCPMC4534624
OpenAlexW1956599995

What OpenQuestion holds

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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.