Evidence map›Paper›PMID 26329718›Full record

Trial reportTrials2015

A multi-centre, parallel group superiority trial of silk therapeutic clothing compared to standard care for the management of eczema in children (CLOTHES Trial): study protocol for a randomised controlled trial.

Eleanor F Harrison, Rachel H Haines, Fiona Cowdell, Tracey H Sach, Taraneh Dean, Ian Pollock, Nigel P Burrows, Hannah Buckley, Jonathan Batchelor, Hywel C Williams and 7 more

Open access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. 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

17 authors at 10 institutions in 1 country.

Eleanor F HarrisonNottingham Clinical Trials Unit, University of Nottingham, Nottingham Health Science Partners, Queen's Medical Centre, Nottingham, NG7 2UH, UK. eleanor.harrison@nottingham.ac.uk.
Rachel H HainesNottingham Clinical Trials Unit, University of Nottingham, Nottingham Health Science Partners, Queen's Medical Centre, Nottingham, NG7 2UH, UK. rachel.haines@nottingham.ac.uk.
Fiona CowdellFaculty of Health and Social Care, University of Hull, Room 204, Dearne Building, Hull, HU6 7RX, UK. f.cowdell@hull.ac.uk.
Tracey H SachNorwich Medical School, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, UK. T.Sach@uea.ac.uk.
Taraneh DeanSchool of Health Sciences and Social Work, University of Portsmouth, James Watson Building, 2 King Richard Road, Portsmouth, PO1 2FR, UK. tara.dean@port.ac.uk.
Ian PollockRoyal Free London NHS Foundation Trust, Barnet Hospital, Wellhouse Lane, Barnet, Hertfordshire, EN5 3DJ, UK. ipollock@nhs.net.
Nigel P BurrowsDepartment of Dermatology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK. nigel.burrows@addenbrookes.nhs.uk.
Hannah BuckleyPortsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Cosham, PO6 3LY, UK. hannah.buckley@porthosp.nhs.uk.
Jonathan BatchelorCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, NG7 2UH, UK. jonathan.batchelor@nottingham.ac.uk.
Hywel C WilliamsCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, NG7 2UH, UK. hywel.williams@nottingham.ac.uk.
Sandra LawtonNottingham University Hospitals NHS Trust, Queens Medical Centre, Nottingham, NG7 2UH, UK. Sandra.lawton@nuh.nhs.uk.
Sara J BrownDermatology and Genetic Medicine, Division of Cancer Research (JWCC level 7), Medical Research Institute, University of Dundee, Ninewells Hospital, Dundee, DD1 9SY, UK. s.j.brown@dundee.ac.uk.
Lucy E BradshawNottingham Clinical Trials Unit, University of Nottingham, Nottingham Health Science Partners, Queen's Medical Centre, Nottingham, NG7 2UH, UK. lucy.bradshaw@nottingham.ac.uk.
Amina AhmedPatient and Public Involvement representative, Nottingham, UK. aminaahmed26@gmail.com.
Alan A MontgomeryNottingham Clinical Trials Unit, University of Nottingham, Nottingham Health Science Partners, Queen's Medical Centre, Nottingham, NG7 2UH, UK. alan.montgomery@nottingham.ac.uk.
Eleanor J MitchellNottingham Clinical Trials Unit, University of Nottingham, Nottingham Health Science Partners, Queen's Medical Centre, Nottingham, NG7 2UH, UK. eleanor.mitchell@nottingham.ac.uk.
Kim S ThomasCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, NG7 2UH, UK. kim.thomas@nottingham.ac.uk.
University of Nottingham · GBQueen's Medical Centre · GBBarnet Hospital · GBCambridge University Hospitals NHS Foundation Trust · GBNinewells Hospital · GBNottingham University Hospitals NHS Trust · GBQueen Alexandra Hospital · GBUniversity of East Anglia · GBUniversity of Hull · GBUniversity of Portsmouth · GB

Funding

Department of Health 11/65/01
6 · The paper itself

Abstract

backgroundEczema is a chronic, itchy skin condition that can have a large impact on the quality of life of patients and their families. People with eczema are often keen to try out non-pharmacological therapies like silk therapeutic garments that could reduce itching or the damage caused by scratching. However, the effectiveness and cost-effectiveness of these garments in the management of eczema has yet to be proven. The CLOTHES Trial will test the hypothesis that 'silk therapeutic garments plus standard eczema care' is superior to 'standard care alone' for children with moderate to severe eczema. METHODS/

designParallel group, observer-blind, pragmatic, multi-centre randomised controlled trial of 6 months' duration. Three hundred children aged 1 to 15 years with moderate to severe eczema will be randomised (1:1) to receive silk therapeutic garments plus standard eczema care, or standard eczema care alone. Primary outcome is eczema severity, as assessed by trained and blinded investigators at 2, 4 and 6 months (using the Eczema Area and Severity Index (EASI)). Secondary outcomes include: patient-reported eczema symptoms (collected weekly for 6 months to capture long-term control); global assessment of severity; quality of life of the child, family and main carer; use of standard eczema treatments (emollients, corticosteroids applied topically, calcineurin inhibitors applied topically and wet wraps); frequency of infections; and cost-effectiveness. The acceptability and durability of the clothing will also be assessed, as will adherence to wearing the garments. A nested qualitative study will assess the views of a subset of children wearing the garments and their parents, and those of healthcare providers and commissioners. Randomisation uses a computer-generated sequence of permuted blocks of randomly varying size, stratified by recruiting hospital and child's age (< 2 years; 2 to 5 years; > 5 years), and concealed using a secure web-based system. The sequence of treatment allocations will remain concealed until randomisation and data collection are complete. Recruitment is taking place from November 2013 to May 2015, and the trial will be completed in 2016. Full details of results will be published in the National Institute for Health Research Journal series.

trial registrationCurrent Controlled Trials ISRCTN77261365 (registered 11 November 2013).

Indexed as

ClothingSilkAdolescentAge FactorsChildChild, PreschoolClinical ProtocolsCombined Modality TherapyDermatologic AgentsEczemaEnglandFemaleHumansInfantMalePatient ComplianceDermatologic AgentsSilk

Identifiers

PMID26329718
PMCPMC4557840
OpenAlexW1935994874

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.