Evidence map›Paper›PMID 28851399›Full record

Trial reportTrials2017

A mixed-methods feasibility and external pilot study to inform a large pragmatic randomised controlled trial of the effects of surgical wound dressing strategies on surgical site infections (Bluebelle Phase B): study protocol for a randomised controlled trial.

Bluebelle Study Group, Barnaby C Reeves, Lazaros Andronis, Jane M Blazeby, Natalie S Blencowe, Melanie Calvert, Joanna Coast, Tim Draycott, Jenny L Donovan, Rachael Gooberman-Hill and 23 more

Open access · goldAbstract readComparative StudyMulticenter StudyPragmatic Clinical Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 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

33 authors at 6 institutions in 1 country.

Bluebelle Study Group
Barnaby C ReevesSchool of Clinical Sciences, University of Bristol, Bristol, UK. barney.reeves@bristol.ac.uk.
Lazaros AndronisHealth Economics Unit, School of Health and Population Sciences, University of Birmingham, Birmingham, UK.
Jane M BlazebySchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Natalie S BlencoweSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Melanie CalvertCentre for Patient Reported Outcomes Research, University of Birmingham, Birmingham, UK.
Joanna CoastSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Tim DraycottNorth Bristol NHS Trust, Bristol, UK.
Jenny L DonovanSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Rachael Gooberman-HillMusculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, Bristol, UK.
Robert J LongmanUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Laura MagillAcademic Department of Surgery, Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK.
Jonathan M MathersInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Thomas D PinkneyAcademic Department of Surgery, Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK.
Chris A RogersSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Leila RooshenasSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Andrew TorranceDepartment of Surgery, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Nicky J WeltonSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Mark WoodwardUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Kate AshtonSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Katarzyna D BeraUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Gemma L ClaytonSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Lucy A CullifordSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Jo C DumvilleSchool of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UK.
Daisy ElliottSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Lucy EllisSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Hannah Gould-BrownSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Rhiannon C MacefieldSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Christel McMullanAcademic Department of Surgery, Queen Elizabeth Hospital, University of Birmingham, Birmingham, UK.
Caroline PopeSchool of Clinical Sciences, University of Bristol, Bristol, UK.
Dimitrios SiassakosNorth Bristol NHS Trust, Bristol, UK.
Sean StrongSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Helen TalbotUniversity Hospitals Bristol NHS Foundation Trust, Bristol, UK.
University Hospitals Bristol NHS Foundation Trust · GBUniversity of Bristol · GBQueen Elizabeth Hospital Birmingham · GBNorth Bristol NHS Trust · GBSandwell & West Birmingham Hospitals NHS Trust · GBUniversity of Manchester · GB

Funding

British Heart FoundationDepartment of Health 12/200/04Medical Research Council G0802413Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) are common, occurring in up to 25% of > 4 million operations performed in England each year. Previous trials of the effect of wound dressings on the risk of developing a SSI are of poor quality and underpowered. METHODS/

designThis study is a feasibility and pilot trial to examine the feasibility of a full trial that will compare simple dressings, no dressing and tissue-glue as a dressing. It is examining the overall acceptability of trial participation, identifying opportunities for refinement, testing the feasibility of and validating new outcome tools to assess SSI, wound management issues and patients' wound symptom experiences. It is also exploring methods for avoiding performance bias and blinding outcome assessors by testing the feasibility of collecting wound photographs taken in theatre immediately after wound closure and, at 4-8 weeks after surgery, taken by participants themselves or their carers. Finally, it is identifying the main cost drivers for an economic evaluation of dressing types. Integrated qualitative research is exploring acceptability and reasons for non-adherence to allocation. Adults undergoing primary elective or unplanned abdominal general surgery or Caesarean section are eligible. The main exclusion criteria are abdominal or other major surgery less than three months before the index operation or contraindication to dressing allocation. The trial is scheduled to recruit for nine months. The findings will be used to inform the design of a main trial. DISCUSSION: This pilot trial is the first pragmatic study to randomise participants to no dressing or tissue-glue as a dressing versus a simple dressing. Early evidence from the ongoing pilot shows that recruitment is proceeding well and that the interventions are acceptable to participants. Combined with the qualitative findings, the findings will inform whether a main, large trial is feasible and, if so, how it should be designed.

trial registrationISRCTN49328913 . Registered on 20 October 2015.

Indexed as

BandagesCesarean SectionAbdomenClinical ProtocolsFeasibility StudiesFemaleHumansMalePilot ProjectsResearch DesignSurgical WoundSurgical Wound InfectionTime FactorsTissue AdhesivesTreatment OutcomeUnited KingdomTissue AdhesivesAbdominal surgeryCaesarean sectionFeasibility studyPilot studyRandomised controlled trialSurgical site infectionWound dressing

Identifiers

PMID28851399
PMCPMC5576037
OpenAlexW2751069390

What OpenQuestion holds

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LicenceCC BY
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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.