Evidence map›Paper›PMID 29282577›Full record

SynthesisSurgical endoscopy2018

Wound protectors in reducing surgical site infections in lower gastrointestinal surgery: an updated meta-analysis.

Lisa Zhang, Basheer Elsolh, Sunil V Patel

Registry-linked trialAbstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04550156 (Evaluation of the Introduction of a Colorectal Bundle in Left Sided Colorectal Resections), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04550156 nacompletednot on this mapstarted 2020, after this paper: background citation

Evaluation of the Introduction of a Colorectal Bundle in Left Sided Colorectal Resections

TypeinterventionalSponsorUniversity Hospital, Basel, SwitzerlandRan2020 to 2022Enrolled1,141ConditionsColorectal Disorders, Surgery--Complications, Colorectal Cancer, Anastomotic LeakArmsColorectal Bundle
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Reducing surgical site infection rates in colorectal surgery - a quality improvement approach to implementing a comprehensive bundle.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
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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

3 authors.

Lisa ZhangDepartment of Surgery, Kingston General Hospital, 76 Stuart Street Victory 3, Kingston, ON, K7L 2V7, Canada. lisa.zhang@queensu.ca.
Basheer ElsolhDepartment of Surgery, University of Toronto, Toronto, ON, Canada.
Sunil V PatelDepartment of Surgery, Kingston General Hospital, 76 Stuart Street Victory 3, Kingston, ON, K7L 2V7, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) is a common complication in gastrointestinal surgery. Wound protection devices are being increasingly used in the attempt to reduce infection rates. We performed a meta-analysis to determine if wound protectors reduce the incidence of SSIs in lower gastrointestinal surgery.

methodsMEDLINE and EMBASE databases were searched between 1946 and 2016. Randomized controlled trials comparing wound protector versus no wound protector in lower gastrointestinal surgery were included. Our primary outcome was surgical site infection. Subgroup analysis was conducted comparing single-ring versus dual-ring wound protectors.

resultsTwelve RCTs with 3029 participants were included. There was a significant decrease in the odds of developing SSI in the wound protector group (OR 0.64, 95% CI 0.45-0.90, P < 0.01, I

conclusionsWound protector use is associated with decreased odds of developing SSI in patients undergoing lower gastrointestinal surgery. There was a subgroup effect when comparing dual-ring to single-ring devices.

Indexed as

Surgical DrapesDigestive System Surgical ProceduresEquipment DesignHumansRandomized Controlled Trials as TopicSurgical Wound InfectionAppendixColorectal surgeryGastrointestinal surgerySurgical site infectionWound infection

Identifiers

PMID29282577

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.