Evidence map›Paper›PMID 32790486›Full record

Observational studyThe Journal of international medical research2020

Artificial dermal substitutes for tissue regeneration: comparison of the clinical outcomes and histological findings of two templates.

Francesco De Francesco, Alice Busato, Silvia Mannucci, Nicola Zingaretti, Giuseppe Cottone, Francesco Amendola, Marialuisa De Francesco, Flavia Merigo, Valentina Riccio, Luca Vaienti and 3 more

Abstract readObservational Study
In one paragraph

Observational study in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. PelnacJournal of orthopaedic surgery and research · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Dermal Regeneration Template: Reconstruction in Oral Cancer Defects.Journal of maxillofacial and oral surgery · 2023
    Article
  18. Article
  19. Artificial Dermal Scaffold Loaded with Platelet-Rich Plasma Promotes Wound Healing in Pigs by Favoring Angiogenesis.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  20. 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

13 authors.

Francesco De FrancescoDepartment of Reconstructive Surgery and Hand Surgery, AOU "Ospedali Riuniti", Ancona, Italy.ORCID https://orcid.org/0000-0003-2977-7828
Alice BusatoDepartment of Neuroscience, Biomedicine and Movement, Human Anatomy and Histology Section, University of Verona, Verona, Italy.
Silvia MannucciDepartment of Neuroscience, Biomedicine and Movement, Human Anatomy and Histology Section, University of Verona, Verona, Italy.
Nicola ZingarettiAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, Montelabbate (PU), Italy.
Giuseppe CottoneDepartment of Plastic and Reconstructive Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.
Francesco AmendolaDepartment of Plastic and Reconstructive Surgery, IRCCS Policlinico San Donato, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0002-1410-7568
Marialuisa De FrancescoData Analysis Office, University of Milan, Milano, Italy.
Flavia MerigoDepartment of Neuroscience, Biomedicine and Movement, Human Anatomy and Histology Section, University of Verona, Verona, Italy.
Valentina RiccioSchool of Biosciences and Veterinary Medicine, University of Camerino, Matelica, MC, Italy.
Luca VaientiAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, Montelabbate (PU), Italy.
Pier Camillo ParodiAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, Montelabbate (PU), Italy.
Andrea SbarbatiAccademia del Lipofilling, Research and Training Center in Regenerative Surgery, Montelabbate (PU), Italy.
Michele RiccioDepartment of Reconstructive Surgery and Hand Surgery, AOU "Ospedali Riuniti", Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveArtificial dermal substitutes (DSs) are fundamental in physiological wound healing to ensure consistent and enduring wound closure and provide a suitable scaffold to repair tissue. We compared the clinical and histological features of two DSs, Pelnac and Integra, in the treatment of traumatic and iatrogenic skin defects.

methodsThis prospective observational study involved 71 randomly selected patients from our hospital. Wound healing was analyzed using the Wound Surface Area Assessment, the Vancouver Scar Scale, and a visual analog scale. Histological and immunohistochemical evaluations were also performed.

resultsAt 2 weeks, greater regeneration with respect to proliferation of the epidermis and renewal of the dermis was observed with Pelnac than with Integra. At 4 weeks, the dermis had regenerated with both DSs. Both templates induced renewed collagen and revascularization. Differences in the Vancouver Scar Scale score were statistically significant at 4 weeks and 1 year. Pelnac produced a significant increase in contraction at 2 weeks with increasing effectiveness at 4 weeks. Integra produced a higher percentage reduction in the wound surface area and a shorter healing time than Pelnac for wounds >1.5 cm deep.

conclusionOur observational data indicate that both DSs are effective and applicable in different clinical contexts.

Indexed as

Skin, ArtificialCicatrixHumansSkinSkin TransplantationWound Healingclinical studyDermal substituteshistological studyIntegraPelnacskin substitutestissue regeneration

Identifiers

PMID32790486
PMCPMC7427157

What OpenQuestion holds

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LicenceCC BY-NC
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.