Evidence map›Paper›PMID 27027596›Full record

ReviewWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society2016

Current concepts related to hypertrophic scarring in burn injuries.

Ryan S Chiang, Anna A Borovikova, Kassandra King, Derek A Banyard, Shadi Lalezari, Jason D Toranto, Keyianoosh Z Paydar, Garrett A Wirth, Gregory R D Evans, Alan D Widgerow

Abstract readReview
In one paragraph

Review in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Pipeline of Devices and Aesthetics: What Is Left?The Journal of clinical and aesthetic dermatology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Evidence Supporting Conservative Scar Management Interventions Following Burn Injury: A Review Article.Journal of burn care & research : official publication of the American Burn Association · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Ryan S ChiangCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Anna A BorovikovaCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Kassandra KingCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Derek A BanyardCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Shadi LalezariCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Jason D TorantoCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Keyianoosh Z PaydarCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Garrett A WirthCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.
Gregory R D EvansChairman Plastic Surgery Department, University of California, Irvine, California, USA.
Alan D WidgerowCenter for Tissue Engineering, Plastic Surgery Department, University of California, Irvine, California, USA.

Funding

Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Institute for Clinical and Translational ScienceUL1TR000153 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M · 2012 to 2015
$12.1M
NCATS NIH HHS UL1 TR000153NCATS NIH HHS UL1 TR000154
6 · The paper itself

Abstract

Scarring following burn injury and its accompanying aesthetic and functional sequelae still pose major challenges. Hypertrophic scarring (HTS) can greatly impact patients' quality of life related to appearance, pain, pruritus and even loss of function of the injured body region. The identification of molecular events occurring in the evolution of the burn scar has increased our knowledge; however, this information has not yet translated into effective treatment modalities. Although many of the pathophysiologic pathways that bring about exaggerated scarring have been identified, certain nuances in burn scar formation are starting to be recognized. These include the effects of neurogenic inflammation, mechanotransduction, and the unique interactions of burn wound fluid with fat tissue in the deeper dermal layers, all of which may influence scarring outcome. Tension on the healing scar, pruritus, and pain all induce signaling pathways that ultimately result in increased collagen formation and myofibroblast phenotypic changes. Exposure of the fat domes in the deep dermis is associated with increased HTS, possibly on the basis of altered interaction of adipose-derived stem cells and the deep burn exudate. These pathophysiologic patterns related to stem cell-cytokine interactions, mechanotransduction, and neurogenic inflammation can provide new avenues of exploration for possible therapeutic interventions.

Indexed as

BurnsCicatrix, HypertrophicCompression BandagesHumansMechanotransduction, CellularPruritusQuality of LifeStem Cell TransplantationWound Healing

Identifiers

PMID27027596
PMCPMC5802966

What OpenQuestion holds

Textmetadata
LicenceTDM
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.