Evidence map›Paper›PMID 32802643›Full record

ArticlePlastic and reconstructive surgery. Global open2020

The Effectiveness of Burn Scar Contracture Release Surgery in Low- and Middle-income Countries.

Matthijs Botman, Thom C C Hendriks, Louise E M de Haas, Grayson S Mtui, Emanuel Q Nuwass, Mariëlle E H Jaspers, Anuschka S Niemeijer, Marianne K Nieuwenhuis, Henri A H Winters, Paul P M Van Zuijlen

Abstract read
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Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Management of Severe Extended Burn Axillary Contracture in a Low-resource Setting.Plastic and reconstructive surgery. Global open · 2023
    Article
  8. Article
  9. 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

10 authors.

Matthijs BotmanDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Thom C C HendriksDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Louise E M de HaasGlobal Surgery Amsterdam, Amsterdam, The Netherlands.
Grayson S MtuiHaydom Lutheran Hospital, Haydom, Tanzania.
Emanuel Q NuwassHaydom Lutheran Hospital, Haydom, Tanzania.
Mariëlle E H JaspersDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Anuschka S NiemeijerBurn Center, Martini Hospital, Groningen, The Netherlands.
Marianne K NieuwenhuisBurn Center, Martini Hospital, Groningen, The Netherlands.
Henri A H WintersDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Paul P M Van ZuijlenBurn Center, Red Cross Hospital, Beverwijk, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Worldwide, many scar contracture release surgeries are performed to improve range of motion (ROM) after a burn injury. There is a particular need in low- and middle-income countries (LMICs) for such procedures. However, well-designed longitudinal studies on this topic are lacking globally. The present study therefore aimed to evaluate the long-term effectiveness of contracture release surgery performed in an LMIC.

methodsThis pre-/postintervention study was conducted in a rural regional referral hospital in Tanzania. All patients undergoing contracture release surgery during surgical missions were eligible. ROM data were indexed to normal values to compare various joints. Surgery was considered effective if the ROM of all planes of motion of a single joint increased at least 25% postoperatively or if the ROM reached 100% of normal ROM. Follow-ups were at discharge and at 1, 3, 6, and 12 months postoperatively.

resultsA total of 70 joints of 44 patients were included. Follow-up rate at 12 months was 86%. Contracture release surgery was effective in 79% of the joints (

conclusionsThis is the first study to evaluate the long-term effectiveness of contracture release surgery in an LMIC. The follow-up rate was high and showed that contracture release surgery is safe, effective, and sustainable. We call for the implementation of outcome research in future surgical missions.

Identifiers

PMID32802643
PMCPMC7413812

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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.