Evidence map›Paper›PMID 29682897›Full record

Trial reportInternational wound journal2018

An aseptically processed, acellular, reticular, allogenic human dermis improves healing in diabetic foot ulcers: A prospective, randomised, controlled, multicentre follow-up trial.

Charles M Zelen, Dennis P Orgill, Thomas E Serena, Robert E Galiano, Marissa J Carter, Lawrence A DiDomenico, Jennifer Keller, Jarrod P Kaufman, William W Li

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 9 institutions in 1 country.

Charles M ZelenProfessional Education and Research Institute, Roanoke, Virginia.
Dennis P OrgillDivision of Plastic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Thomas E SerenaSerena Group, Cambridge, Massachusetts.
Robert E GalianoDivision of Plastic Surgery; Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Marissa J CarterStrategic Solutions, Inc., Cody, Wyoming.
Lawrence A DiDomenicoLower Extremity Institute for Research and Therapy, Youngstown, Ohio.
Jennifer KellerShenandoah Lower Extremity Research, Troutville, Virginia.
Jarrod P KaufmanGeneral Surgery, Premier Surgical, Brick, New Jersey.
William W LiThe Angiogenesis Foundation, Cambridge, Massachusetts.
Angiogenesis Foundation · USBrigham and Women's Hospital · USGlobal Strategic Solutions (United States) · USNorthwestern University · USPremier Research Group · USProfessional Education and Research Institute · USSerenaGroup Research Institute · USShenandoah Oncology · USYoungstown State University · US

Funding

Musculoskeletal Transplant Foundation DFU-01
6 · The paper itself

Abstract

Aseptically processed human reticular acellular dermal matrix (HR-ADM) has been previously shown to improve wound closure in 40 diabetic patients with non-healing foot ulcers. The study was extended to 40 additional patients (80 in total) to validate and extend the original findings. The entire cohort of 80 patients underwent appropriate offloading and standard of care (SOC) during a 2-week screening period and, after meeting eligibility criteria, were randomised to receive weekly applications of HR-ADM plus SOC or SOC alone for up to 12 weeks. The primary outcome was the proportion of wounds closed at 6 weeks. Sixty-eight percent (27/40) in the HR-ADM group were completely healed at 6 weeks compared with 15% (6/40) in the SOC group. The proportions of wounds healed at 12 weeks were 80% (34/40) and 30% (12/40), respectively. The mean time to heal within 12 weeks was 38 days for the HR-ADM group and 72 days for the SOC group. There was no incidence of increased adverse or serious adverse events between groups or any graft-related adverse events. The mean and median HR-ADM product costs at 12 weeks were $1200 and $680, respectively. HR-ADM is clinically superior to SOC, is cost effective relative to other comparable treatment modalities, and is an efficacious treatment for chronic non-healing diabetic foot ulcers.

Indexed as

Acellular DermisAgedCohort StudiesDiabetic FootFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSkin TransplantationTreatment OutcomeWound Healingdiabetic foot ulcershuman acellular dermal tissuerandomised controlled trialstandard of care

Identifiers

PMID29682897
PMCPMC7949673
OpenAlexW2801861451

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.