Evidence map›Paper›PMID 27911904›Full record

Trial reportPloS one2016

Dressing Wear Time after Breast Reconstruction: A Randomized Clinical Trial.

Daniela Francescato Veiga, Carlos Américo Veiga Damasceno, Joel Veiga-Filho, Luiz Francisley Paiva, Fernando Elias Martins Fonseca, Isaías Vieira Cabral, Natália Lana Larcher Pinto, Yara Juliano, Lydia Masako Ferreira

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01148823 (Influence of Time of Permanence of Dressing Following Breast Reconstruction on Skin Colonization and on Surgical Site Infection Rates), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

NCT01148823 nacompletednot on this map

Influence of Time of Permanence of Dressing Following Breast Reconstruction on Skin Colonization and on Surgical Site Infection Rates

TypeinterventionalSponsorDaniela Francescato VeigaRan2007 to 2014Enrolled200ConditionsSurgical Site InfectionArmsIncisions covered for 1 day, Incisions covered for 6 days
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Paper Mache Bra: A Postsurgical Breast Taping Technique.Plastic and reconstructive surgery. Global open · 2019
    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

9 authors.

Daniela Francescato VeigaDivision of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.
Carlos Américo Veiga DamascenoDepartment of Microbiology, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Joel Veiga-FilhoDivision of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Luiz Francisley PaivaDepartment of Microbiology, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Fernando Elias Martins FonsecaDivision of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Isaías Vieira CabralDivision of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Natália Lana Larcher PintoDivision of Plastic Surgery, Department of Surgery, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Yara JulianoDepartment of Bioestatistics, Universidade do Vale do Sapucaí, Pouso Alegre, Minas Gerais, Brazil.
Lydia Masako FerreiraDivision of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe evidence to support dressing standards for breast surgery wounds is empiric and scarce.

objectiveThis two-arm randomized clinical trial was designed to assess the effect of dressing wear time on surgical site infection (SSI) rates, skin colonization and patient perceptions.

methodsA total of 200 breast cancer patients undergoing breast reconstruction were prospectively enrolled. Patients were randomly allocated to group I (dressing removed on the first postoperative day, n = 100) or group II (dressing removed on the sixth postoperative day, n = 100). SSIs were defined and classified according to criteria from the Centers for Disease Control and Prevention. Samples collected before placing the dressing and after 1 day (group I) and 6 days (both groups) were cultured for skin colonization assessments. Patients preferences and perceptions with regard to safety, comfort and convenience were recorded and analyzed.

resultsA total of 186 patients completed the follow-up. The global SSI rate was 4.5%. Six patients in group I and three in group II had SSI (p = 0.497). Before dressing, the groups were similar with regard to skin colonization. At the sixth day, there was a higher colonization by coagulase-negative staphylococci in group I (p<0.0001). Patients preferred to keep dressing for six days (p<0.0001), and considered this a safer choice (p<0.05).

conclusionsDespite group I had a higher skin colonization by coagulase-negative staphylococci on the sixth postoperative day, there was no difference in SSI rates. Patients preferred keeping dressing for six days and considered it a safer choice.

trial registrationClinicalTrials.gov NCT01148823.

Indexed as

BandagesStaphylococcal InfectionsSurgical WoundSurgical Wound InfectionAdultAgedBreast NeoplasmsFemaleFollow-Up StudiesHumansMammaplastyMiddle AgedTime Factors

Identifiers

PMID27911904
PMCPMC5135046

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Registered trials

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.