Evidence map›Paper›PMID 32409760›Full record

Trial reportScientific reports2020

Comparison of Centella with Flavonoids for Treatment of Symptoms in Hemorrhoidal Disease and After Surgical Intervention: A Randomized Clinical Trial.

Massimo Chiaretti, Danilo Alunni Fegatelli, Giuseppe Pappalardo, Michele Dello Spedale Venti, Annalisa Italia Chiaretti

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Benign Anorectal Disorder Management in Low-Resource Settings.Clinics in colon and rectal surgery · 2022
    Review
  6. 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

5 authors.

Massimo ChiarettiDepartment of General Surgery and Specialties "Paride Stefanini", Sapienza University of Rome, Rome, 00161, Italy. massimo.chiaretti@uniroma1.it.ORCID http://orcid.org/0000-0002-9689-7566
Danilo Alunni FegatelliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, 00161, Italy.ORCID http://orcid.org/0000-0001-9726-8617
Giuseppe PappalardoDepartment of General Surgery and Specialties "Paride Stefanini", Sapienza University of Rome, Rome, 00161, Italy.ORCID http://orcid.org/0000-0002-9889-8554
Michele Dello Spedale VentiDepartment of Molecular Medicine, Sapienza University of Rome, Rome, 00161, Italy.ORCID http://orcid.org/0000-0002-8940-0929
Annalisa Italia ChiarettiDepartment of General Surgery and Specialties "Paride Stefanini", Sapienza University of Rome, Rome, 00161, Italy.ORCID http://orcid.org/0000-0002-5679-5418

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Phlebotonics' effects were evaluated to reduce time-to-stop bleeding and anal irritation in 130 patients who complained of hemorrhoidal disease (HD); bleeding and pain after hemorrhoidectomy (31 patients) and hemorrhoidal thrombosis (34 patients) in the short time. Sixty patients were randomized to receive the routine treatment (both conservative and surgical) (control Group C). The treated group (both conservative and surgical) was divided into two subgroups: one treated with flavonoids (Group A, n = 73), the other with Centella (Group B, n = 66). Time-to-stop bleeding was checked at baseline and checkups (0 up to day 42). Healing was estimated with Kaplan-Meier method, the Kruskal-Wallis test estimated changes in the VAS scores. The HD median time-to-stop bleeding was 2 weeks for Groups A and B; 3 weeks for Group C. VAS scores comparison among Groups (irritation): A vs C, p = 0.007; B vs C, p = 0.041; and A vs B, p = 0.782 resulted respectively. As for operated hemorrhoids, the time-to-stop bleeding was 3 and 4 weeks in Groups A and B and 5 in Group C. Histopathology showed an association between flavonoids and piles' fibrosis (p = 0.008). Phlebotonics in HD, as well as after surgery, showed significant beneficial effects. Flavonoids are the most effective phlebotonics against bleeding and anal irritation.

Indexed as

Postoperative CareCentellaCombined Modality TherapyDiet TherapyFemaleFibrosisFlavonoidsHemorrhoidectomyHemorrhoidsHumansMaleSeverity of Illness IndexTreatment OutcomeFlavonoids

Identifiers

PMID32409760
PMCPMC7224176

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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.