Evidence map›Paper›PMID 26975486›Full record

SynthesisAsian journal of andrology

Use of a disposable circumcision suture device versus conventional circumcision: a systematic review and meta-analysis.

Zhong-Chao Huo, Gang Liu, Xiao-Yan Li, Fei Liu, Wen-Ju Fan, Ru-Hua Guan, Pei-Feng Li, De-Yang Mo, Yong-Zhi He

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. [Clinical effectiveness of disposable circumcision suture in children: a prospective randomized controlled trial].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2018
    Article
  14. Safety, Complications, and Procedural Efficiency of Neonatal Circumcision Devices: A Network Meta-Analysis.International braz j urol : official journal of the Brazilian Society of Urology
    Review
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.

Zhong-Chao HuoDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Gang LiuDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Xiao-Yan LiDepartment of Operating Room, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Fei LiuResearch Center of Medical Sciences, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Wen-Ju FanDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Ru-Hua GuanGraduate School, North China University of Science and Technology, Tangshan 063000, Hebei, China.
Pei-Feng LiDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
De-Yang MoDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.
Yong-Zhi HeDepartment of Urology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review assessed the safety and efficacy of the disposable circumcision suture device (DCSD) and conventional circumcision (CC) in the treatment of redundant prepuce and phimosis. Two independent reviewers conducted a literature search for randomized controlled trials (RCTs) using the DCSD and CC for the treatment of redundant prepuce or phimosis in China and abroad. Nine RCTs (1898 cases) were included. Compared with the CC group, the DCSD group had a shorter operative time (standardized mean difference [SMD] = -21.44; 95% confidence intervals [95% CIs] [-25.08, -17.79]; P < 0.00001), shorter wound healing time (SMD = -3.66; 95% CI [-5.46, -1.85]; P < 0.0001), less intraoperative blood loss (SMD = -9.64; 95% CI [-11.37, -7.90]; P < 0.00001), better cosmetic penile appearance (odds ratio [OR] =8.77; 95% CI [5.90, 13.02]; P < 0.00001), lower intraoperative pain score, lower 24-h postoperative pain score, lower incidence of infection, less incision edema, and fewer adverse events. There were no differences between the CC and DCSD groups in the incidences of dehiscence, or hematoma. The results of this meta-analysis indicate that the DCSD appears to be safer and more effective than CC. However, additional high-quality RCTs with larger study populations are needed.

Indexed as

SuturesCircumcision, MaleDisposable EquipmentForeskinHumansInfant, NewbornMalePenisPhimosisPostoperative Pain

Identifiers

PMID26975486
PMCPMC5427795

What OpenQuestion holds

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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.