Evidence map›Paper›PMID 31098861›Full record

SynthesisTechniques in coloproctology2019

A systematic review of classification systems for pilonidal sinus.

E M Beal, M J Lee, D Hind, A P Wysocki, F Yang, S R Brown

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  6. Observational
  7. Article
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  14. Observational
  15. Closed-incision negative-pressure wound therapy after Bascom's cleft lift surgery for pilonidal sinus disease: A randomized study comparing healing.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  16. Review
  17. Observational
  18. Research and practice priorities in pilonidal sinus disease: a consensus from the PITSTOP study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  19. Classification and stratification in pilonidal sinus disease: findings from the PITSTOP cohort.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  20. 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

6 authors at 4 institutions in 2 countries.

E M BealUniversity of Sheffield, The Innovation Centre, 217 Portobello, Sheffield, S1 4DP, UK. erin.beal@sheffield.ac.uk.
M J LeeDepartment of General Surgery, Sheffield Teaching Hospitals, Sheffield, UK.
D HindUniversity of Sheffield, The Innovation Centre, 217 Portobello, Sheffield, S1 4DP, UK.
A P WysockiDepartment of Surgery, Logan Hospital, Meadowbrook, QLD, Australia.
F YangUniversity of Sheffield, The Innovation Centre, 217 Portobello, Sheffield, S1 4DP, UK.
S R BrownDepartment of General Surgery, Sheffield Teaching Hospitals, Sheffield, UK.
Sheffield Teaching Hospitals NHS Foundation Trust · GBUniversity of Sheffield · GBGriffith University · AULogan Hospital · AU

Funding

Department of Health HTA/17/17/02
6 · The paper itself

Abstract

backgroundPilonidal sinus disease (PSD) is a simple chronic inflammatory condition resulting from loose hairs forcibly inserted into vulnerable tissue in the natal cleft. It is an acquired disease with a slight familial tendency. There is no agreement on optimum treatment and the multitude of therapeutic options cannot be compared due to the lack of a universally adopted classification of the disease. The aim of our study was to perform a systematic review of the literature to determine how presentations of PSD are classified and reported.

methodsA systematic review of the English language literature was undertaken searching studies published after 1980.

resultsEight classification systems of PSD were identified. Most classification systems were based on anatomical pathology hypotheses. The location and number of sinuses were the main factors defining classification systems. No articles were retrieved that assessed the validity and/or reliability of the classification system employed. Furthermore, there was no evidence to suggest a correlation between prognosis outcome and subgroup.

conclusionsBased on the evidence available from the literature reviewed we have no recommendations regarding the use of the current classification of PSD. A well-recognised and practical classification system to guide clinical practice is required.

Indexed as

HumansPilonidal SinusPrognosisClassification systemColorectal surgeryPilonidal sinus disease

Identifiers

PMID31098861
PMCPMC6620258
OpenAlexW2945550605

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.