Evidence map›Paper›PMID 32690743›Full record

Trial reportBMJ open2020

Wool-derived keratin dressings versus usual care dressings for treatment of slow healing venous leg ulceration: a randomised controlled trial (Keratin4VLU).

Andrew Jull, Angela Wadham, Chris Bullen, Varsha Parag, Carolina Weller, Jill Waters

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02896725 (Keratin4VLU), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 24% 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.

NCT02896725 nacompletednot on this map

Keratin4VLU: A Randomised Controlled Trial of Wool-derived Keratin Dressings for Venous Leg Ulcers

TypeinterventionalSponsorUniversity of Auckland, New ZealandRan2017 to 2019Enrolled143ConditionsVaricose UlcerArmsKeratin dressings, Usual care dressings
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Emerging treatment strategies in wound care.International wound journal · 2022
    Review
  2. Allogeneic ABCB5JID innovations : skin science from molecules to population health · 2022
    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

6 authors at 3 institutions in 2 countries.

Andrew JullSchool of Nursing, University of Auckland, Auckland, Auckland, New Zealand a.jull@auckland.ac.nz.ORCID 0000-0002-8484-3771
Angela WadhamNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Chris BullenNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Varsha ParagNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Carolina WellerSchool of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-8016-1060
Jill WatersHope Foundation for Research on Ageing, Auckland, New Zealand.
University of Auckland · NZHope Foundation for Research on Ageing · NZMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effect of a keratin dressing for treating slow-to-heal venous leg ulcers (VLU) on VLU healing.

designPragmatic parallel group randomised controlled trial.

settingCommunity-dwelling participants.

participantsPeople aged 18 or more years with VLU (either present for more than 26 weeks or ulcer area larger than 5 cm

interventionWool-derived keratin dressing or usual care formulary of non-medicated dressings, on a background treatment with compression. PRIMARY AND SECONDARY OUTCOME MEASURES: Healing at 24 weeks based on blinded assessment of ulcer photographs. Other outcomes included time to complete healing, change in ulcer area to 24 weeks, change in health-related quality of life and incidence of adverse events.

resultsWe screened 1068 patients with VLU and randomised 143 participants (51.1% of target recruitment), 71 to the keratin dressing group and 72 to the usual care group.The mean age was 66.1 years (SD 15.9) and 53 participants (37.1%) were women. There were no significant differences between the groups on the primary outcome (risk difference -6.4%, 95% CI -22.5% to 9.7%), change in ulcer area (-1.9 cm

conclusionThe effect of adding a keratin dressing to the treatment regimen for prognostically slow-to-heal VLU remains unclear. TRIAL REGISTRATION NUMBER: NCT02896725.

Indexed as

KeratinsWoolAdolescentAgedAnimalsBandagesFemaleHumansLegMaleQuality of LifeUlcerKeratinsclinical trialsdermatologygeriatric medicinevascular medicinewound management

Identifiers

PMID32690743
PMCPMC7375503
OpenAlexW3045116616

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.