Evidence map›Paper›PMID 30387335›Full record

ArticleJournal of Zhejiang University. Science. B

Hyperbaric oxygen therapy improves the effect of keloid surgery and radiotherapy by reducing the recurrence rate.

Ke-Xin Song, Shu Liu, Ming-Zi Zhang, Wei-Zhong Liang, Hao Liu, Xin-Hang Dong, You-Bin Wang, Xiao-Jun Wang

Open access · bronzeAbstract read
In one paragraph

Article in Journal of Zhejiang University. Science. B. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
2.5field-weighted citation impact, top 10% 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

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

  1. Pooled it
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  3. Hyperbaric oxygen therapy for late radiation tissue injury.The Cochrane database of systematic reviews · 2023
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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

8 authors at 3 institutions in 1 country.

Ke-Xin SongDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Shu LiuSchool of Medicine, North China University of Science and Technology, Tangshan 063000, China.
Ming-Zi ZhangDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Wei-Zhong LiangDepartment of Plastic Surgery, China Meitan General Hospital, Beijing 100028, China.
Hao LiuDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Xin-Hang DongDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
You-Bin WangDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Xiao-Jun WangDepartment of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNMeitan General Hospital · CNNorth China University of Science and Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveKeloids are exuberant cutaneous scars that form due to abnormal growth of fibrous tissue following an injury. The primary aim of this study was to assess the efficacy and mechanism of hyperbaric oxygen therapy (HBOT) to reduce the keloid recurrence rate after surgical excision and radiotherapy.

methods(1) A total of 240 patients were randomly divided into two groups. Patients in the HBOT group (O group) received HBOT after surgical excision and radiotherapy. Patients in the other group were treated with only surgical excision and radiotherapy (K group). (2) Scar tissue from recurrent patients was collected after a second operation. Hematoxylin and eosin (H&E) staining was used to observe keloid morphology. Certain inflammatory factors (interleukin-6 (IL-6), hypoxia-inducible factor-1α (HIF-1α), tumor necrosis factor-α (TNF-α), nuclear factor κB (NF-κB), and vascular endothelial growth factor (VEGF)) were measured using immunohistochemical staining.

results(1) The recurrence rate of the O group (5.97%) was significantly lower than that of the K group (14.15%), P<0.05. Moreover, patients in the O group reported greater satisfaction than those in the K group (P<0.05). (2) Compared with the recurrent scar tissue of the K group, the expression levels of the inflammatory factors were lower in the recurrent scar tissue of the O group.

conclusionsAdjunctive HBOT effectively reduces the keloid recurrence rate after surgical excision and radiotherapy by improving the oxygen level of the tissue and alleviating the inflammatory process.

Indexed as

Hyperbaric OxygenationAdolescentAdultFemaleHumansHypoxia-Inducible Factor 1, alpha SubunitInflammationInterleukin-6KeloidMaleMiddle AgedNF-kappa B p50 SubunitPerfusionRecurrenceSurveys and QuestionnairesTumor Necrosis Factor-alphaHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitIL6 protein, humanInterleukin-6NF-kappa B p50 SubunitNFKB1 protein, humanTumor Necrosis Factor-alphaVascular Endothelial Growth Factor AVEGFA protein, humanKeloid; Hyperbaric oxygen therapy; Surgical excision; Radiotherapy; Recurrence rate

Identifiers

PMID30387335
PMCPMC6238115
OpenAlexW2903038739

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.