Evidence map›Paper›PMID 29046093›Full record

ArticleAnnals of the Royal College of Surgeons of England2018

Video-assisted anal fistula treatment: a high volume unit initial experience.

F Y Cheung, N D Appleton, S Rout, R Kalaiselvan, J A Nicholson, A Samad, M Chadwick, R Rajaganeshan

Open access · greenAbstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. 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

8 authors at 2 institutions in 1 country.

F Y CheungDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
N D AppletonDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
S RoutDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
R KalaiselvanDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
J A NicholsonDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
A SamadDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
M ChadwickDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
R RajaganeshanDepartment of General Surgery, St Helens and Knowsley Teaching Hospitals NHS Trust, Whiston Hospital , Prescot , UK.
St Helens and Knowsley Teaching Hospitals NHS Trust · GBWhiston Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Perianal fistulas are a common problem. Video-assisted anal fistula treatment is a new technique for the management of this difficult condition. We describe our initial experience with the technique to facilitate the treatment of established perianal fistulas. Methods We reviewed a prospectively maintained database relating to consecutive patients undergoing video-assisted anal fistula treatment in a single unit. Results Seventy-eight consecutive patients had their perianal fistulas treated with video-assistance from November 2014 to June 2016. Complete follow-up data were available in 74 patients, with median follow-up of 14 months (interquartile range 7-19 months). There were no complications and all patients were treated as day cases. Most patients had recurrent disease, with 57 (77%) having had previous fistula surgery. At follow-up, 60 (81%) patients reported themselves 'cured' (asymptomatic) including 5 patients with Crohn's disease and one who had undergone 10 previous surgical procedures. Logistical stepwise regression did not demonstrate any statistically significant factors that may have been considered to affect outcome (age, gender, diabetes, previous I&D, Crohn's disease, smoking, type of fistula). Conclusions Our data have shown that video-assisted anal fistula treatment is safe and effective in the management of perianal fistulas in our patients and this suggests it may be applied to all patients regardless of comorbidity, underlying pathology or type of fistula.

Indexed as

Endoscopy, GastrointestinalVideo-Assisted SurgeryFemaleHumansMaleProspective StudiesRectal FistulaAnal fistulaProctology

Identifiers

PMID29046093
PMCPMC5849203
OpenAlexW2765396679

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.