Evidence map›Paper›PMID 28344798›Full record

ArticleUnited European gastroenterology journal2017

Long-term outcomes of Botulinum toxin in the treatment of chronic anal fissure: 5 years of follow-up.

Sandra Barbeiro, Catarina Atalaia-Martins, Pedro Marcos, Cláudia Gonçalves, Manuela Canhoto, Bruno Arroja, Filipe Silva, Isabel Cotrim, Liliana Eliseu, Antonieta Santos and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in United European gastroenterology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

11 authors at 1 institution in 1 country.

Sandra BarbeiroDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Catarina Atalaia-MartinsDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Pedro MarcosDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Cláudia GonçalvesDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Manuela CanhotoDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Bruno ArrojaDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Filipe SilvaDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Isabel CotrimDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Liliana EliseuDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Antonieta SantosDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Helena VasconcelosDepartment of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Instituto Politécnico de Leiria · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic anal fissure is a frequent and disabling disease, often affecting young adults. Botulinum toxin and lateral internal sphincterotomy are the main therapeutic options for refractory cases. Botulinum toxin is minimally invasive and safer compared with surgery, which carries a difficult post-operative recovery and fecal incontinence risk. The long-term efficacy of Botulinum toxin is not well known.

objectiveThe aim of this study was to evaluate the long-term efficacy and safety of Botulinum toxin in the treatment of chronic anal fissure.

methodsThis was a retrospective study at a single center, including patients treated with Botulinum toxin from 2005 to 2010, followed over at least a period of 5 years. All patients were treated with injection of 25U of Botulinum toxin in the intersphincteric groove. The response was registered as complete, partial, refractory and relapse.

resultsBotulinum toxin was administered to 126 patients, 69.8% (

conclusionThe use of Botulinum toxin to treat patients with chronic anal fissure was safe and effective in long-term follow-up.

Indexed as

Botulinum toxinchemical sphincterotomyChronic anal fissureefficacylong-term outcomesafety

Identifiers

PMID28344798
PMCPMC5349361
OpenAlexW2461116768

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.