Evidence map›Paper›PMID 27821142›Full record

Trial reportTrials2016

Negative pressure wound therapy versus usual care for Surgical Wounds Healing by Secondary Intention (SWHSI trial): study protocol for a randomised controlled pilot trial.

Catherine Arundel, Hannah Buckley, Emma Clarke, Nicky Cullum, Stephen Dixon, Jo Dumville, Caroline Fairhurst, Anna Firth, Eileen Henderson, Karen Lamb and 7 more

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Outpatient Wound Clinics During COVID-19 Maintained Quality but Served Fewer Patients.Journal of the American Medical Directors Association · 2022
    Article
  6. Article
  7. Article
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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

17 authors at 5 institutions in 1 country.

Catherine ArundelYork Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK. catherine.arundel@york.ac.uk.ORCID 0000-0003-0512-4339
Hannah BuckleyYork Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK.
Emma ClarkeHull and East Yorkshire Hospitals NHS Trust, Hull, UK.
Nicky CullumSchool of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
Stephen DixonPatient and Public Involvement Group Representative, Hull, UK.
Jo DumvilleSchool of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
Caroline FairhurstYork Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK.
Anna FirthHull and East Yorkshire Hospitals NHS Trust, Hull, UK.
Eileen HendersonHull and East Yorkshire Hospitals NHS Trust, Hull, UK.
Karen LambLeeds Community Healthcare NHS Trust, Leeds, UK.
Elizabeth McGinnisLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Angela OswaldHull and East Yorkshire Hospitals NHS Trust, Hull, UK.
Pedro Saramago GoncalvesCentre for Health Economics, University of York, York, UK.
Marta SoaresCentre for Health Economics, University of York, York, UK.
Nikki StubbsLeeds Community Healthcare NHS Trust, Leeds, UK.
David TorgersonYork Trials Unit, Department of Health Sciences, University of York, York, YO10 5DD, UK.
Ian ChetterHull and East Yorkshire Hospitals NHS Trust, Hull, UK.
University of York · GBHull and East Yorkshire Hospitals NHS Trust · GBLeeds Community Healthcare NHS Trust · GBUniversity of Manchester · GBLeeds Teaching Hospitals NHS Trust · GB

Funding

Department of Health RP-PG-0609-10171
6 · The paper itself

Abstract

backgroundMost incisions following surgery heal by primary intention, with the edges of the wound apposed with sutures or clips. However, some wounds may break open or be left to heal from the bottom up (i.e. healing by secondary intention). Surgical Wounds Healing by Secondary Intention (SWHSI) are often more complex to manage, and require additional treatments during the course of healing. There is significant uncertainty regarding the best treatment for these complex wounds, with limited robust evidence regarding the clinical and cost-effectiveness of different dressings and treatments; one such treatment is Negative Pressure Wound Therapy (NPWT) which is frequently used in the management of SWHSI. Previous randomised controlled trials (RCTs) of NPWT have failed to recruit to time and target, thus we aimed to conduct a pilot RCT to assess the feasibility of conducting a future, full-scale RCT.

methodsThis pilot RCT will test the methods and feasibility of recruiting, randomising, and retaining participants into a larger trial of NPWT verses usual care for patients with SWHSI. Participants will be randomised to receive either NPWT or usual care (no NPWT) and will be followed up for 3 months. DISCUSSION: This study will provide a full assessment of methods for, and feasibility of, recruiting, randomising, and retaining patients with SWHSI in a trial of NPWT versus usual care. On the basis of this pilot trial, a full trial may be proposed in the future which will provide additional, robust evidence on the clinical and cost-effectiveness of NPWT in the management of SWHSI.

trial registrationClinical Trial Registry: ISRCTN12761776 , registered on 10 December 2015 - retrospective registration.

Indexed as

Clinical ProtocolsNegative-Pressure Wound TherapyWound HealingHumansPilot ProjectsSurgical WoundHealingNegative pressure wound therapyRandomised controlled trialSecondary intentionSurgical wounds

Identifiers

PMID27821142
PMCPMC5100221
OpenAlexW2551712214

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.