Evidence map›Paper›PMID 32278578›Full record

Trial reportAtencion primaria2020

[Effectiveness of double-layered compression therapy against crepe bandage for healing venous ulcers in primary care. Randomized clinical trial].

Carmen Folguera-Álvarez, Sofía Garrido-Elustondo, Mili Milagros Rico-Blázquez, Miren Iranzu Esparza-Garrido, José Verdú-Soriano, Grupo ECAMulticapa, Grupo ECAMulticapa

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Atencion primaria, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
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

7 authors at 4 institutions in 1 country.

Carmen Folguera-ÁlvarezCentro de Salud La Paz, Gerencia Asistencial de Atención Primaria de Madrid, Madrid, España; Facultad de Enfermería, Universidad Complutense, Madrid, España. Electronic address: mcarmen.folguera@salud.madrid.org.
Sofía Garrido-ElustondoREDISECC: Red de Investigación en Servicios de Salud en Enfermedades Crónicas; Unidad Docente Multiprofesional Sureste, Gerencia Asistencial de Atención Primaria de Madrid, Madrid, España.
Mili Milagros Rico-BlázquezREDISECC: Red de Investigación en Servicios de Salud en Enfermedades Crónicas; Unidad de Investigación, Gerencia Asistencial de Atención Primaria de Madrid, Madrid, España; Facultad de Enfermería, Universidad Complutense, Madrid, España.
Miren Iranzu Esparza-GarridoFacultad de Medicina. Universidad Francisco de Vitoria, Madrid, España.
José Verdú-SorianoDepartamento de Enfermería Comunitaria, Medicina Preventiva, Salud Pública e Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante, San Vicente del Raspeig, Alicante, España.
Grupo ECAMulticapa
Grupo ECAMulticapa
Universidad Complutense de Madrid · ESCentro de Investigación Biomédica en Red · ESUniversidad Francisco de Vitoria · ESUniversity of Alicante · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate if the two-layer bandage is more effective than the crepe bandage in the healing of venous ulcers after 12 weeks of follow-up.

designRandomized multicentre controlled clinical trial. LOCATION: 22 Primary Health Centers of Madrid.

participantsOver 18 years old, with diagnosis of venous ulcers. 93 patients were randomized, 56 in the double layer group and 37 in the crepe group. Withdrawals: 16 in double layer group, 7 in crepe group.

interventionsControl group: usual clinical practice: treatment of the wound and bandage with crepe. Experimental group: same usual clinical practice for wound treatment and bandage with double layer. MAIN MEASUREMENTS: Primary outcome: complete healing at 12 weeks. SECONDARY OUTCOMES: severity of ulceration, health-related quality of life, adverse events. Blind evaluation of the response variable.

resultsComplete healing: in crepe group, 25, 67.5% (95% CI 50.2-81.9) and in double layer group, 32, 57.1% (95% CI 43.2-70.3). No evidence of a difference in both groups, RR=1.10 (95% CI 0.864-1.424). The basal severity of the ulcers is associated with the healing time. HR=0.86 (95% CI 0.78-0.94). Our data showed a significant improvement in health-related quality of life, total and in the of cosmesis and emotional dimensions. No evidence of a difference in both groups. We didn't find serious adverse events in any of the groups.

conclusionsWe didn't find significant differences in the healing between the two bandages evaluated. Both are appropriate for ulcer healing and to improve the health-related quality of life.

Indexed as

Varicose UlcerAdultCompression BandagesHumansPrimary Health CareQuality of LifeUlcerAtención primariaCalidad de vidaCicatrización de las úlcerasCompression therapyEnfermeríaNursingPrimary health careQuality of lifeTerapia compresivaÚlcera venosaVenous leg ulcerWound healing

Identifiers

PMID32278578
PMCPMC8054279
OpenAlexW3015425249

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.