Evidence map›Paper›PMID 32375721›Full record

ArticleBMC surgery2020

Formation rate of secondary anal fistula after incision and drainage of perianal Sepsis and analysis of risk factors.

Zongqi He, Jun Du, Kaiwen Wu, Jiajia Chen, Bensheng Wu, Jianhua Yang, Zhizhong Xu, Zhihui Fu, Li Pan, Ke Wen and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05193032 (Abces After Incision), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT05193032 completednot on this mapstarted 2022, after this paper: background citation

Abces After Incision: Recurrence or Not?

TypeobservationalSponsorFondation Hôpital Saint-JosephRan2022 to 2022Enrolled109ConditionsAnal Abscess, Perianal Abscess
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Zongqi HeDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.ORCID https://orcid.org/0000-0002-1721-0018
Jun DuDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Kaiwen WuDepartment of Anorectal Surgery, Kunshan Fourth Peoples Hospital, No. 21, Zhenbei Road, Kunshan, Jiangsu, China.
Jiajia ChenDepartment of Radiology, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Bensheng WuDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.ORCID https://orcid.org/0000-0003-2578-6911
Jianhua YangDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Zhizhong XuDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Zhihui FuDepartment of Radiology, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Li PanDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China.
Ke WenDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China. wkllcy@163.com.
Xiaopeng WangDepartment of Anorectal Surgery, Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, No. 18, Yangsu Road, Suzhou, Jiangsu, China. wxpeng2004@163.com.ORCID https://orcid.org/0000-0002-4747-8197
Nanjing University of Chinese Medicine · CNJiangsu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe choice of surgery for perianal sepsis is currently controversial. Some people advocate one-time radical surgery for perianal sepsis, while others advocate incision and drainage. The objective of this study is to observe the formation probability of secondary anal fistula after incision and drainage in patients with perianal sepsis and determine factors that contribute to secondary anal fistula after incision and drainage.

methodsA retrospective descriptive analysis was conducted in 288 patients with perianal sepsis who were treated with anorectal surgery in the Suzhou Hospital of Traditional Chinese Medicine from January 2016 to June 2018. The patients were followed by telephone, physical examination, and pelvic MRI examination for at least 1 year after surgery.

resultsThree patients were not followed, 98 patients did not receive surgical treatment or one-time radical surgery for perianal sepsis, and 187 patients were ultimately identified for the study. Anal fistula was present in 105 patients, and the rate of formation of secondary anal fistula was 56.15%. There was no statistically significant difference in the fistula formation rate between different types of sepsis (P>0.05). And, in patients with secondary anal fistula, there was no significant correlation between the location of sepsis and the type of secondary anal fistula (P>0.05).

conclusionsThe incidence of secondary anal fistula after incision and drainage of perianal sepsis is 56.15%, which is lower than the incidence found in previous study. Young is a risk factor for secondary anal fistula after incision and drainage of perianal sepsis. There is no significant correlation between the location of sepsis and the type of secondary anal fistula. Simple incision and drainage is a suitable choice for patients with acute perianal sepsis.

Indexed as

AdolescentAdultAgedChildDrainageFemaleHumansIncidenceMaleMiddle AgedRectal FistulaRetrospective StudiesRisk FactorsSepsisYoung AdultAnal fistulaIncision and drainagePerianal sepsisSecondary

Identifiers

PMID32375721
PMCPMC7204285
OpenAlexW3023566087

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Registered trials

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.