Evidence map›Paper›PMID 26669687›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016

Is Achenbach's syndrome a surgical emergency? A systematic review.

A Kordzadeh, P L Caine, A Jonas, K M Rhodes, Y P Panayiotopolous

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Achenbach Syndrome: A Case Report.Clinical practice and cases in emergency medicine · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Achenbach syndrome as a rare cause of painful, blue finger.Journal of vascular surgery cases and innovative techniques · 2021
    Article
  8. Article
  9. Review
  10. Achenbach's syndrome.BMJ case reports · 2020
    Article
  11. Achenbach syndrome.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Article
  12. Analysis of 24 patients with Achenbach's syndrome.World journal of clinical cases · 2019
    Article
  13. An Acute Blue Finger: A Case of Achenbach's Syndrome.European journal of case reports in internal medicine · 2019
    Article
  14. Achenbach's syndrome in an elderly woman.Journal of general and family medicine · 2018
    Article
  15. 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

5 authors at 1 institution in 1 country.

A KordzadehDepartment of Vascular and Endovascular Surgery, Mid Essex Hospital Services NHS Trust, Essex, UK. Alikordzadeh@gmail.com.
P L CaineDepartment of Vascular and Endovascular Surgery, Mid Essex Hospital Services NHS Trust, Essex, UK.
A JonasDepartment of Vascular and Endovascular Surgery, Mid Essex Hospital Services NHS Trust, Essex, UK.
K M RhodesDepartment of Accident and Emergency, Broomfield Hospital, Mid Essex Hospital Services NHS Trust, Court Road, Essex, CM1 7ET, UK.
Y P PanayiotopolousDepartment of Vascular and Endovascular Surgery, Mid Essex Hospital Services NHS Trust, Essex, UK.
Mid Essex Hospital Services NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study is to establish the nature (urgent vs. non-urgent), demographics, presentation and management of Achenbach's syndrome and to formulate an algorithmic approach for their diagnosis and management. MATERIALS AND

methodsA systematic review and met-aggregation of literature from 1944 to 2015 in English language in MedLine, Embase and Cochrane database were conducted.

resultsAchenbach's syndrome is a female-dominant disease with median age of 49.5 years (range 22-76) (age ≤60, n = 11/12, 91 %). It presents with unilateral volar discoloration of a finger (100 %). It is associated with pain (n = 7/12, 58. %), edema (n = 7/12, 58 %), and paresthesia (n = 3/12, 25 %). The median time to resolution of symptoms without any intervention was 4 days (range 2-14).

conclusionAS is self-limiting and a non-urgent surgical condition. It can be differentiated from other pathologies by clinical spectrum, patient demographics and in doubtful circumstances (acute limb ischemia) by Doppler sonography. An algorithmic approach can avoid hospital admissions, partially unnecessary investigation and assist in patient assurance.

Indexed as

Acute DiseaseAlgorithmsAngiographyDiagnosis, DifferentialFingersHandHematomaHemorrhagic DisordersHumansSyndromeAchenbach syndromeAlgorithmic approachDiagnostic toolsDifferential diagnosisManagementSystematic review

Identifiers

PMID26669687
OpenAlexW2227828154

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.