Evidence map›Paper›PMID 30767636›Full record

SynthesisJournal of wound care2019

The role of collagenase ointment in acute burns: a systematic review and meta-analysis.

Christopher H Pham, Zachary J Collier, Mike Fang, Anna Howell, Timothy J Gillenwater

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of wound care, 2019. 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
2.2field-weighted citation impact, top 13% 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, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Enzyme Therapy: Current Challenges and Future Perspectives.International journal of molecular sciences · 2021
    Review
  7. Article
  8. 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

5 authors at 3 institutions in 1 country.

Christopher H PhamResident; Keck School of Medicine, University of Southern California, Los Angeles, US.
Zachary J CollierResident; Division of Plastic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, US.
Mike FangBiostatistician; Department of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, US.
Anna HowellResident; Division of Plastic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, US.
Timothy J GillenwaterAssistant Professor; Keck School of Medicine, University of Southern California, Los Angeles, US. Division of Plastic Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, US.
Marymount University · USUniversity of Southern California · USCase Western Reserve University · US

Funding

BIOMETRIC-GENETIC ANALYSIS OF CARDIOVASCULAR DISEASET32HL007567 · NHLBI · LOUISIANA STATE UNIV HSC NEW ORLEANS · PI ZHU, XIAOFENG · 1985 to 2021
$6.0M
NHLBI NIH HHS T32 HL007567
6 · The paper itself

Abstract

objective: A systematic review and meta-analysis was performed to summarise the state of the literature in regard to the efficacy and uses of clostridial collagenase ointment (CCO) in the burn patient.

method: A systematic review of articles available on PubMed, Scopus and OvidSP Medline was performed. Keywords used in the search process included burns, thermal injury, collagenase, enzymatic debridement, wound care. Reviews, case reports, independent abstracts, consensus and opinion papers were excluded. A meta-analysis was performed for articles fitting inclusion criteria.

results: Following screening, six relevant articles were identified for systematic review. Few studies, with limited sample sizes, argue that CCO may be an effective debriding agent. It may also accelerate wound healing and avoid the pain associated with mechanical debridement. CCO lacks antimicrobial activity but the risk of burn wound infection does not appear to be significantly different than when using silver-impregnated products. CCO is more expensive than traditional wound care products but may help halt burn depth conversion and prevent the need for surgery.

conclusion: CCO may be a safe and effective debridement agent for burn wounds with respect to decreasing wound healing time and minimising pain without increasing the risk of infection. It should be used on a case-by-case basis due to its financial cost, which may be offset by its ability to manage burns non-operatively.

Indexed as

Administration, CutaneousBurnsCollagenasesHumansOintmentsWound HealingCollagenasesOintmentsburnscollagenaseenzymatic debridementsystematic reviewthermal injuries

Identifiers

PMID30767636
PMCPMC6383798
OpenAlexW2913949736

What OpenQuestion holds

Textmetadata
LicenceTDM
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.