Evidence map›Paper›PMID 31837117›Full record

ArticleInternational wound journal2020

Evaluating complications in below-knee skin cancer surgery after introduction of preoperative appointments: A 2-year retrospective cohort study.

Vivian M Lindholm, Kirsi M Isoherranen, Marika T Schröder, Sari T Pitkänen

Open access · greenAbstract read
In one paragraph

Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

4 authors at 1 institution in 1 country.

Vivian M LindholmHelsinki University Central Hospital (HUS), Skin and Allergy Hospital, Dermatology Outpatient Clinic and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0003-2707-0861
Kirsi M IsoherranenHelsinki University Central Hospital (HUS), Skin and Allergy Hospital, Dermatology Outpatient Clinic and University of Helsinki, Helsinki, Finland.
Marika T SchröderHelsinki University Central Hospital (HUS), Skin and Allergy Hospital, Dermatology Outpatient Clinic and University of Helsinki, Helsinki, Finland.
Sari T PitkänenHelsinki University Central Hospital (HUS), Skin and Allergy Hospital, Dermatology Outpatient Clinic and University of Helsinki, Helsinki, Finland.
University of Helsinki · FI

Funding

Finska LäkaresällskapetHelsinki University Central Hospital's Inflammation CenterStiftelsen Dorothea Olivia, Karl Walter och Jarl Walter Perkléns Minne
6 · The paper itself

Abstract

Below-knee dermatological surgery has a high risk of complications such as wound infection, bleeding, and necrosis. In this study, we evaluated the impact of preoperative appointments on complication risks. We searched the medical records of the Helsinki University Central Hospital (HUS) Dermatosurgery unit for all below-knee surgeries during 2016, when no preoperative nurse appointments were carried out, and compared it with 2018, when preoperative appointments for risk patients were introduced. The study included 187 patients in 2016 and 179 patients in 2018, of whom 68 (about one third) attended preoperative appointments. At the appointments, risk factors were evaluated, and compression therapy was introduced when possible. The results show complication rates of 13.4% in 2016 vs 10.1% in 2018 (P = .33), despite significantly higher risks in the 2018 patient group. The odds ratio for complications in appointment attendees vs non-attendees was reduced after adjustments to 0.58; however, this was insignificant (P = .47). The odds of complications for skin grafts were considerably higher: 11.33 vs other surgery techniques (P = .00). In conclusion, the introduction of preoperative appointments appeared to reduce complications in below-knee surgery. For graft reconstructions, complication risk is high, even with carefully planned pre- and postoperative care. Further studies are needed to evaluate preventable risk factors of below-knee graft reconstructions.

Indexed as

Appointments and SchedulesAgedDermatologic Surgical ProceduresFemaleFinlandFollow-Up StudiesHumansIncidenceMalePostoperative CarePostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsSkin Neoplasmsbelow-kneedermatological surgerypreoperative evaluationpreventionwound healing

Identifiers

PMID31837117
PMCPMC7948880
OpenAlexW2995082241

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.