Evidence map›Paper›PMID 28664657›Full record

Observational studyInternational wound journal2017

Refractory venous leg ulcers: observational evaluation of innovative new technology.

Connie Harris, Amanda Loney, Jillian Brooke, Amanda Charlebois, Lucy Coppola, Sowmil Mehta, Norman Flett

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International wound journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. 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

7 authors at 4 institutions in 2 countries.

Connie HarrisPerfuse Medtec Inc., London, Canada.ORCID http://orcid.org/0000-0002-6775-1031
Amanda LoneyBayshore Healthcare, Hamilton, ON, Canada.
Jillian BrookeSaint Elizabeth, Markham, ON, Canada.
Amanda CharleboisSaint Elizabeth, Markham, ON, Canada.
Lucy CoppolaErie St. Clair Community Care Access Centre (ESC CCAC), Windsor, ON, Canada.
Sowmil MehtaWindsor Regional Hospital and Western University, London, Canada.
Norman FlettMcMaster University, St. Joseph's Villa, Hamilton Niagara Haldimand Brant Community Care Access Centre (HNHB CCAC), Hamilton, ON, Canada.
Home and Community Care Support Services · CACollege of Saint Elizabeth · USSt. Joseph’s Healthcare Hamilton · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This observational case series reports the evaluation of a novel neuromuscular electrical stimulation device (geko™) that stimulates the common peroneal nerve at the fibular head as an adjunctive therapy in patients with non-healing venous leg ulcers. The aim was to evaluate and determine if the geko™ device was effective in this population and should be added to the medical supply formulary. Patients whose wounds had failed to heal within 24 weeks of standard therapy were identified in two community settings in Ontario. A total of 11 patients consented to the evaluation with a combined 107-year history of recalcitrant leg ulcers. Although the pre-geko™ healing rate was unknown, all ulcers were considered non-healing. With geko™, the average weekly percentage reduction in surface area for all patients was 4·5% and for the six adherent to geko™ and best practices 7·0%. By comparison, the average weekly percentage reduction for measurable wounds in the five non-adherent patients was 1·8%. Requirements for success appear to include an arterial status adequate for healing, effective and prompt management of wound infections and adherence to the treatment schedule. The geko™ device has been added to the medical supply formulary in one centre and is pending in the other.

Indexed as

Peroneal NerveWound HealingAgedAged, 80 and overElectric Stimulation TherapyFemaleHumansLeg UlcerMaleMiddle AgedOntarioPatient ComplianceRetrospective StudiesTreatment OutcomeBlood flowgekoNeuromuscular electrical stimulationRecalcitrant venous ulcers

Identifiers

PMID28664657
PMCPMC7949764
OpenAlexW2727374895

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.