Evidence map›Paper›PMID 29096658›Full record

Trial reportWorld journal of surgical oncology2017

Safety and efficacy of intralesional steroid injection for aggressive fibromatosis.

Dumnoensun Pruksakorn, Sratwadee Lorsomradee, Areerak Phanphaisarn, Pimpisa Teeyakasem, Jeerawan Klangjorhor, Parunya Chaiyawat, Natapong Kosachunhanun, Jongkolnee Settakorn, Olarn Arpornchayanon

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in World journal of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 38% 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

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

  1. Pooled it
  2. 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 at 2 institutions in 1 country.

Dumnoensun PruksakornOrthopedic Laboratory and Research Network (OLARN), Department of Orthopedics Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. dumnoensun.p@cmu.ac.th.
Sratwadee LorsomradeeDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Areerak PhanphaisarnOrthopedic Laboratory and Research Network (OLARN), Department of Orthopedics Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pimpisa TeeyakasemOrthopedic Laboratory and Research Network (OLARN), Department of Orthopedics Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Jeerawan KlangjorhorOrthopedic Laboratory and Research Network (OLARN), Department of Orthopedics Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Parunya ChaiyawatOrthopedic Laboratory and Research Network (OLARN), Department of Orthopedics Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Natapong KosachunhanunEndocrinology Unit, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Jongkolnee SettakornDepartment of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Olarn ArpornchayanonBangkok Hospital Chiang Mai, Chiang Mai, Thailand.
Chiang Mai University · THBangkok Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of recurrent aggressive fibromatosis (AF) following surgical resection is a clinical challenge. Non-steroidal anti-inflammatory drugs (NSAIDs) have been reported to be an effective option for controlling the disease. However, long-term NSAID use can result in unfavorable complications. This study was a trial of the use of intralesional steroid injection (ILSI) including investigation of safety margins and clinical outcomes of high-dose steroids for local use treatment of AF.

methodsA prospective cohort study was conducted to evaluate the safety and efficacy of particulate corticosteroids for AF. Intralesional steroid injections of Kanolone® guided by ultrasound were given monthly for three consecutive months with 1 mg/kg/episode (a total of 3 mg/kg). Patients were followed up monthly for 3 months at the time of each monthly injection and then for an additional 3 months after the last injection. Complications from the procedure and clinical outcomes were monitored.

resultsEight recurrent AF patients completed the full 6-month evaluation process. No procedure-related complications were reported either during the injection period or the follow-up period. None of the patients developed Cushingoid features. The highest number of complication events, all of which were mild or detectable only by laboratory analysis, occurred during the month following the second injection. Triamcinolone levels were significantly increased 24 h after injection, and four of the eight cases developed hypothalamic-pituitary-axis suppression. Tumors were stabilized in 83.3% of the cases during the study period, and pain and functional ability scores improved significantly.

conclusionsIntralesional steroid injection appears to be a safe and effective alternative treatment for recurrent AF.

trial registrationTCTR20150409001 ; Registered date: 9 April 2015; The safety and result of intratumoral steroid injection for aggressive fibromatosis.

Indexed as

AdolescentAdultAnti-Inflammatory Agents, Non-SteroidalCushing SyndromeDermatologic Surgical ProceduresDesmoid TumorsDose-Response Relationship, DrugFemaleGlucocorticoidsHumansHypothalamo-Hypophyseal SystemInjections, IntralesionalMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisAnti-Inflammatory Agents, Non-SteroidalGlucocorticoidsTriamcinolone AcetonideAggressive fibromatosisDesmoidInjectionsIntralesionSteroids

Identifiers

PMID29096658
PMCPMC5667493
OpenAlexW2766525377

What OpenQuestion holds

Textmetadata
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.