Evidence map›Paper›PMID 31919770›Full record

SynthesisEndocrine2020

NPWT in diabetic foot wounds-a systematic review and meta-analysis of observational studies.

Przemyslaw Rys, Sebastian Borys, Jerzy Hohendorff, Aleksandra Zapala, Przemyslaw Witek, Magdalena Monica, Claudia Frankfurter, Agnieszka Ludwig-Slomczynska, Beata Kiec-Wilk, Maciej T Malecki

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
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  11. Necrotizing soft tissue infection after liposculpture; Case report.International journal of surgery case reports · 2020
    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

10 authors at 3 institutions in 2 countries.

Przemyslaw RysHTA Consulting, Krakow, Poland.
Sebastian BorysDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland.
Jerzy HohendorffDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland.
Aleksandra ZapalaHTA Consulting, Krakow, Poland.
Przemyslaw WitekDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland.
Magdalena MonicaHTA Consulting, Krakow, Poland.
Claudia FrankfurterFaculty of Medicine, University of Toronto, Toronto, ON, Canada.
Agnieszka Ludwig-SlomczynskaCenter for Medical Genomics OMICRON, Jagiellonian University Medical College, Krakow, Poland.
Beata Kiec-WilkDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland.
Maciej T MaleckiDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland. maciej.malecki@uj.edu.pl.ORCID http://orcid.org/0000-0002-4794-0820
Jagiellonian University · PLCRE Consulting (Poland) · PLUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNegative-pressure wound therapy (NPWT) is an adjunct modality in diabetic foot ulcerations (DFUs). Randomized controlled trials (RCTs) have shown its advantage over standard approaches; however, data from observational studies remain scarce.We performed a systematic review of observational non-RCTs evaluating NPWT efficacy and safety in patients with DFU.

methodsElectronic databases were searched for observational studies involving NPWT. The results of single-arm studies were presented as percentages of patients with the outcome of interest. A meta-analysis of comparative studies provided point estimates of outcomes. Continuous outcomes were reported as either weighted or standardized mean differences and dichotomous data as relative risks (RR).

resultsThe search identified 16 relevant observational studies, 12 single-arm, and 4 comparative, reporting on a total of 18,449 patients with DFU, of whom 1882 were managed with NPWT. In the NPWT-treated patients, ulcers were larger (average size range 6.6-27.9 cm

conclusionsThis systematic review of observational studies provided supportive evidence that NWPT is an efficient and safe adjunct treatment in the management of DFUs.

Indexed as

Diabetes MellitusDiabetic FootNegative-Pressure Wound TherapyHumansObservational Studies as TopicWound HealingDiabetic foot syndromeNegative-pressure wound therapyWound healing

Identifiers

PMID31919770
OpenAlexW2998815156

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.