Evidence map›Paper›PMID 27257567›Full record

ArticlePlastic and reconstructive surgery. Global open2016

Treatment of Peripheral Neuropathy in Leprosy: The Case for Nerve Decompression.

Eric L Wan, Andres F Rivadeneira, Renato Martinez Jouvin, A Lee Dellon

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Neurosurgical treatment of leprosy neuropathy in a low-incidence, European country.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    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

4 authors at 1 institution in 2 countries.

Eric L WanDepartment of Plastic Surgery, Johns Hopkins University, Baltimore, MD; Department of Plastic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador; and Damien House Organization, Guayaquil, Ecuador.
Andres F RivadeneiraDepartment of Plastic Surgery, Johns Hopkins University, Baltimore, MD; Department of Plastic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador; and Damien House Organization, Guayaquil, Ecuador.
Renato Martinez JouvinDepartment of Plastic Surgery, Johns Hopkins University, Baltimore, MD; Department of Plastic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador; and Damien House Organization, Guayaquil, Ecuador.
A Lee DellonDepartment of Plastic Surgery, Johns Hopkins University, Baltimore, MD; Department of Plastic Surgery, Luis Vernaza Hospital, Guayaquil, Ecuador; and Damien House Organization, Guayaquil, Ecuador.
Hospital Luis Vernaza · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Plastic surgery has a tradition of caring for patients with facial deformity and hand deformity related to leprosy. The approach, however, to the progressive deformity and disability related to chronic nerve compression is underappreciated in the world today. A cohort of patients with leprous neuropathy from an indigenous area of leprosy in Ecuador was evaluated for the presence of chronic peripheral nerve compression, and 12 patients were chosen for simultaneous upper and lower extremity, unilateral, nerve decompression at multiple levels along the course of each nerve. The results at 1 year of follow-up show that 6 patients improved into the excellent category and 4 patients improved into the good category for improved function. Based on the early results in this small cohort of patients with leprous neuropathy, an approach to peripheral nerve decompression, encompassing the concept of multiple crush at multiple levels of each nerve, seems to offer optimism to improve upper and lower extremity limb function. Long-term studies with quality-of-life outcomes would be welcome.

Identifiers

PMID27257567
PMCPMC4874281
OpenAlexW2325053421

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.