Evidence map›Paper›PMID 30199890›Full record

SynthesisDiving and hyperbaric medicine2018

Meta-analysis on the effect of hyperbaric oxygen as adjunctive therapy in the outcome of anastomotic healing of experimental colorectal resections in rats.

Robin J Brouwer, Alexander C Engberts, Boudewijn Ls Borger van der Burg, Thijs Tcf van Dongen, Rob A van Hulst, Rigo Hoencamp

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Diving and hyperbaric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 12 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

6 authors at 2 institutions in 1 country.

Robin J BrouwerCorresponding author: Department of Surgery, Alrijne Hospital, Simon Smitweg 1, 2353 GA Leiderdorp, The Netherlands, rjbrouwer@alrijne.nl.
Alexander C EngbertsDepartment of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands.
Boudewijn Ls Borger van der BurgDepartment of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands.
Thijs Tcf van DongenDepartment of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands.
Rob A van HulstDepartment of Anesthesiology, Amsterdam Medical Center, Amsterdam, The Netherlands.
Rigo HoencampDepartment of Surgery, Alrijne Hospital, Leiderdorp, The Netherlands.
Alrijne Ziekenhuis · NLMinistry of Defence · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer is the third most common form of cancer and colorectal surgery is the treatment of choice in local disease. Anastomotic leakage following colorectal surgery is a major complication with a high incidence and mortality. Adjuvant hyperbaric oxygen treatment (HBOT) may be associated with reduction of anastomotic leakage. A systematic review was conducted regarding HBOT as an adjunctive therapy to colorectal surgery.

methodsSystematic review (1900-2017) using PubMed, Cochrane, EMBASE, Web of Science and EMCARE. All original published studies on the effect of HBOT as an adjunctive therapy for colorectal surgery with the creation of an anastomosis were considered.

resultsThirteen small animal trials were included for qualitative synthesis. We found no human trials. Eleven trials used bursting pressure whilst eight used hydroxyproline levels as a marker for collagen synthesis as primary outcome to assess the strength of the anastomosis. A meta-analysis performed for normal and ischaemic anastomoses showed that postoperative HBOT improves bursting pressure and hydroxyproline levels significantly in both normal (p ≤ 0.001 and p = 0.02) and ischaemic anastomoses (p ≤ 0.001 and p = 0.04).

conclusionPostoperative HBOT has a positive effect on colorectal anastomoses in rats. Further research should focus on a larger systematic animal study.

Indexed as

Hyperbaric OxygenationWound HealingAnastomosis, SurgicalAnimalsColonFemaleMaleRatsRats, Sprague-DawleyRats, WistarRectumSurgical Wound DehiscenceAnimal modelGastrointentestinal tractHyperbaric researchSurgerySystematic review

Identifiers

PMID30199890
PMCPMC6205857
OpenAlexW2891939471

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.