Evidence map›Paper›PMID 31183443›Full record

Trial reportBJS open2019

Randomized clinical trial of single skin sterilization with a povidone-iodine applicator

Y Kambara, K Hiramatsu, T Kato, Y Sibata, M Yoshihara, T Aoba, T Aiba, N Yamaguchi, T Kamiya

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Review
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 2 institutions in 3 countries.

Y KambaraDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
K HiramatsuDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.ORCID 0000-0002-5176-0734
T KatoDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
Y SibataDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
M YoshiharaDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
T AobaDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
T AibaDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
N YamaguchiDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
T KamiyaDepartment of General Surgery Toyohashi Municipal Hospital Toyohashi Japan.
Akashi Municipal City Hospital · JPRed Cross Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The efficacy of widely used povidone-iodine applicators for skin sterilization in abdominal surgery is unclear. The aim of this trial was to evaluate whether sterilization with a povidone-iodine applicator was not inferior to a conventional sterilization method. Methods: Patients undergoing elective abdominal surgery were assigned randomly to receive single sterilization with the applicator or conventional sterilization. The primary endpoint was wound infection rate. Secondary endpoints were rate of organ/space surgical-site infection (SSI), adverse effects of povidone-iodine, amount of povidone-iodine used and total cost of sterilization. Results: Of 498 patients eligible for the study between April 2015 and September 2017, 240 were assigned and analysed in the applicator group and 246 in the conventional group. Wound infection was detected in 16 patients (6·7 per cent) in the applicator group and 16 (6·5 per cent) in the conventional group (absolute difference 0·0016 (90 per cent c.i. -0·037 to 0·040) per cent; Conclusion: In abdominal surgery, this povidone-iodine applicator was not inferior to conventional sterilization in terms of the wound infection rate, and it is cheaper. Registration number: UMIN000018231 (http://www.umin.ac.jp/ctr/).

Indexed as

AbdomenAdultAgedAged, 80 and overAnti-Infective Agents, LocalElective Surgical ProceduresFemaleHumansJapanMaleMiddle AgedPovidone-IodineProspective StudiesSkinSterilizationSurgical Wound InfectionAnti-Infective Agents, LocalPovidone-Iodine

Identifiers

PMID31183443
PMCPMC6551405
OpenAlexW2916644398

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.