Evidence map›Paper›PMID 27783162›Full record

Trial reportInternational journal of colorectal disease2017

A randomized controlled trial of subcutaneous closed-suction Blake drains for the prevention of incisional surgical site infection after colorectal surgery.

Jun Watanabe, Mitsuyoshi Ota, Makoto Kawamoto, Yago Akikazu, Yusuke Suwa, Hirokazu Suwa, Masashi Momiyama, Atsushi Ishibe, Kazuteru Watanabe, Hidenobu Masui and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
0.9field-weighted citation impact, top 22% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Jun WatanabeDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan. nabe-jun@comet.ocn.ne.jp.ORCID http://orcid.org/0000-0002-7187-3664
Mitsuyoshi OtaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Makoto KawamotoDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan.
Yago AkikazuDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan.
Yusuke SuwaDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan.
Hirokazu SuwaDepartment of Surgery, Gastroenterological Center, Yokohama City University, Yokohama, Japan.
Masashi MomiyamaDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, 236-0004, Japan.
Atsushi IshibeDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, 236-0004, Japan.
Kazuteru WatanabeDepartment of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine, Yokohama, 236-0004, Japan.
Hidenobu MasuiDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan.
Kaoru NagahoriDepartment of Surgery, Yokosuka Kyosai Hospital, 1-16 Yonegahama street, Yokosuka, 238-8558, Japan.
Yokosuka Kyosai Hospital · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effects of subcutaneous closed-suction Blake drain for preventing incisional surgical site infections (SSIs) after colorectal surgery have never been evaluated in a randomized controlled trial (RCT). Thus, we performed a RCT to evaluate the clinical benefits of using a subcutaneous closed-suction Blake drain in patients undergoing colorectal surgery.

methodConsecutive patients who underwent colorectal surgery were enrolled in this study. Patients were randomly assigned to the subcutaneous closed-suction drainage arm or the control (no subcutaneous drainage) arm. The primary endpoint was incidence rate of incisional SSIs. And, we performed logistic regression analysis to detect predictive factors for incisional SSIs after colorectal surgery.

resultsFrom November 2012 to September 2014, a total of 240 patients were enrolled in this study. One-hundred-seventeen patients who were treated by the control arm and 112 patients by the subcutaneous drainage arm were judged to be eligible for analysis. The incidence of incisional SSIs rate was 8.7 % in the overall patients. The incidence of incisional SSIs rate was 12.8 % in the control arm and 4.5 % in the subcutaneous drainage arm. There was significantly reduction of the incidence in the subcutaneous drainage arm than in the control arm (p = 0.025). Logistic regression analysis demonstrated that thickness of subcutaneous fat >3.0 cm, forced expiratory volume in 1 s as percent of forced vital capacity (FEV1.0 %) >70 %, and subcutaneous drain were independent predictors of postoperative incisional SSIs (p = 0.008, p = 0.004, and p = 0.017, respectively).

conclusionThe results of our RCT suggest that a subcutaneous Blake drain is beneficial for preventing incisional SSIs in patients undergoing colorectal surgery.

Indexed as

AgedColorectal SurgeryFemaleHumansIncidenceMalePrognosisSubcutaneous TissueSuctionSurgical Wound InfectionTreatment OutcomeClosed-suction drainColorectal cancerRisk factorSubcutaneous drainSurgical site infection

Identifiers

PMID27783162
OpenAlexW2536810744

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.