Evidence map›Paper›PMID 32715152›Full record

ArticleContemporary clinical trials communications2020

A prospective controlled randomized multicenter study to evaluate the severity of compensatory sweating after one-stage bilateral thoracic sympathectomy versus unilateral thoracic sympathectomy in the dominant side.

Niura Noro Hamilton, Miguel Lia Tedde, Nelson Wolosker, Wolfgang William Schmidt Aguiar, Hylas Paiva da Costa Ferreira, Humberto Alves de Oliveira, Alexandre Marcelo Rodrigues Lima, Fernando Luiz Westphal, Marina Varela Braga de Oliveira, Fabio de Oliveira Riuto and 4 more

Open access · goldAbstract read
In one paragraph

Article in Contemporary clinical trials communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 89% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 11 institutions in 1 country.

Niura Noro HamiltonHeart Institute (InCor) Hospital das Clinicas, University of Sao Paulo, R. Dr. Eneas de Carvalho Aguiar, 44, 05403-900, Sao Paulo, SP, Brazil.
Miguel Lia TeddeHeart Institute (InCor) Hospital das Clinicas, University of Sao Paulo, R. Dr. Eneas de Carvalho Aguiar, 44, 05403-900, Sao Paulo, SP, Brazil.
Nelson WoloskerHospital das Clinicas, University of Sao Paulo, R. Dr. Eneas de Carvalho Aguiar, 255, 05403-000, São Paulo, SP, Brazil.
Wolfgang William Schmidt AguiarHospital Universitário Oswaldo Cruz, R. Arnóbio Marquês, 310, 50100-130, Recife, PE, Brazil.
Hylas Paiva da Costa FerreiraHospital Liga Norte Riograndense Contra o Cancer, Av. Miguel Castro, 1355, 59075-740, Natal, RN, Brazil.
Humberto Alves de OliveiraHospital de Base, SMHS, Área Especial, Q. 101, 70330-150, Brasília, DF, Brazil.
Alexandre Marcelo Rodrigues LimaHospital Geral Dr. Cesar Cals, Av. Imperador, 545, 60015-152, Fortaleza, CE, Brazil.
Fernando Luiz WestphalHospital da Universidade Federal do Amazonas, Av. Gen. Rodrigo Octávio, 6200, 69080-900, Manaus, AM, Brazil.
Marina Varela Braga de OliveiraHospital das Clinicas da Universidade Federal de Minas Gerais, Av. Prof. Alfredo Balena, 110, 30130-100, Belo Horizonte, MG, Brazil.
Fabio de Oliveira RiutoHospital da Universidade Federal da Grande Dourados, R. Ivo Alves da Rocha, 558, 79823-501, Dourados, MS, Brazil.
Sergio Tadeu Lima F PereiraHospital Santa Isabel, Praça Conselheiro Almeida Couto, 500, 40050-410, Salvador, BA, Brazil.
Guilherme Cançado RezendeHospital Universitário de Brasília, Setor de Grandes Áreas Norte, 605, 70840-040, Brasília, DF, Brazil.
Caroline Elizabeth Brero ValeroEmpresa Brasileira de Serviços Hospitalares, SCS, Quadra 9, Ed Parque Cidade Corporate, 70308-200, Brasília, DF, Brazil.
Paulo M Pego-FernandesHeart Institute (InCor) Hospital das Clinicas, University of Sao Paulo, R. Dr. Eneas de Carvalho Aguiar, 44, 05403-900, Sao Paulo, SP, Brazil.
Hospital Alemão Oswaldo Cruz · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRBrazilian Micro and Small Enterprises Support Service · BRHospital das Clínicas da Universidade Federal de Minas Gerais · BRHospital de Base · BRHospital Geral de Fortaleza · BRHospital Santa Izabel · BRHospital Universitário de Brasília · BRHospital Universitário Oswaldo Cruz · BRUniversidade Federal da Grande Dourados · BRUniversidade Federal do Amazonas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the contribution that unilateral thoracic sympathectomy in dominant side or two-stage bilateral thoracic sympathectomy can have as strategies to reduce the incidence of compensatory sweating after sympathectomy for palmar hyperhidrosis.

methodsThis is a prospective, controlled, randomized multicenter trial of 200 participants with palmar hyperhidrosis, which will be randomized into two arms: (a) one-stage bilateral thoracic sympathectomy (control arm); or (b) unilateral thoracic sympathectomy in dominant side (intervention arm). At six months the participants submitted to unilateral procedure can make the contralateral surgery if they wanted it, creating a third group called two-stage bilateral sympathectomy. Participants will be evaluated for the degree of sweating by the Hyperhidrosis Disease Severity Scale (HDSS) and of quality of life questionnaires.

results96 participants out of the 200 proposed have been included so far, with 48 participants randomized to each arm. From the sample 61 (63.5%) are female, with a mean age of 24 (20-32) years. There were exclusive palmar hiperhydrosis in 14 cases (14.5%), palmar and plantar hyperhidrosis in 36 (37.5%) cases, palmar and axillar hyperhidrosis in 12 (12,5%) cases and palmar-axillary-plantar hyperhidrosis in 34 (35,4%) cases. The age at the beginning of the disease was childhood (78%), with mean of time of disease 15 (11-22) years.

conclusionsIf one or both hypothesis: (a) unilateral sympathectomy in dominant hand is a satisfactory treatment; b) two-stage bilateral sympathectomy causes less compensatory sweating than in one stage are confirmed there is a chance that surgical therapy for palmar hyperhidrosis can be changed for better.

Indexed as

Compensatory sweatingHyperhidrosisSweatingSympathectomyThoracic surgeryVideo-Assisted

Identifiers

PMID32715152
PMCPMC7369506
OpenAlexW3042728140

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.