Evidence map›Paper›PMID 32993766›Full record

ArticleTrials2020

Randomized controlled clinical trial evaluating the efficacy of hyperbaric oxygen therapy in facilitating the healing of chronic foot ulcers in diabetic patients: the study protocol.

Jocefábia Reika Alves Lopes, Mariza D'Agostino Dias, João Antonio Correa, Maria Alice Bragagnolo Batalha, Luanda Karla Dantas Guerra

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-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.

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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. 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 at 3 institutions in 1 country.

Jocefábia Reika Alves LopesDepartment of Vascular Surgery, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil. reika.lopes@bol.com.br.ORCID http://orcid.org/0000-0002-0943-4855
Mariza D'Agostino DiasDepartment of Medical Sciences, University of São Paulo, São Paulo, Brazil.
João Antonio CorreaDepartment of Vascular Surgery, Centro Universitário Saúde ABC, Santo André, São Paulo, Brazil.
Maria Alice Bragagnolo BatalhaDepartment of Plastic Surgery, Municipal Hospital of Imperatriz, Imperatriz, Maranhão, Brazil.
Luanda Karla Dantas GuerraDepartment of Vascular Surgery, Municipal Hospital of Imperatriz, Imperatriz, Maranhão, Brazil.
Faculdade de Medicina do ABC · BRUniversidade Estadual da Região Tocantina do Maranhão · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic limb ulcers are highly prevalent and contribute to a significant increase in cost for the treatment of these patients in health services. However, healing of these wounds is a major health problem and may even lead to amputation. The primary aim of the current study is to evaluate the efficacy of hyperbaric oxygen therapy (HBOT) in facilitating the healing of diabetic foot ulcers, in addition to secondarily evaluating whether it reduces the number of amputations and improves the quality of life in these patients.

methodsA non-blind randomized clinical study will be conducted in the city of Imperatriz, Maranhão state, Brazil, from 2019 to 2020, in diabetic patients with chronic foot ulcers (classified as Wagner grades 2, 3 and 4, persisting for more than 1 month). The outpatient follow-up for diabetic foot patients will be done at the Unified Health System, with a sample size of 120 patients (the randomization allocation will be 1:1, being 60 patients for each arm). Half of the patients will receive standard treatment, i.e. dressings, debridement, antibiotics and load relief, along with HBOT (HBOT group), and the other half will receive only standard treatment (control group). The patients of the HBOT group will be evaluated upon admission, after 10, 20, 30 and 35 HBOT sessions, and after 6 months and 1 year. The patients of the control group will also be evaluated at equivalent periods (upon admission, after 2, 4, 6 and 7 weeks, 6 months and 1 year). The SF-36 quality of life questionnaire will be filled upon admission and after 3 months of follow-up in both groups. The primary and secondary endpoints will be assessed with 1 year of follow-up. DISCUSSION: Diabetic foot ulcers are a highly prevalent complication of diabetes with serious consequences. A study to assess the efficacy of HBOT in healing the ulcers and reducing the rate of amputations in diabetic patients is justified, which will eventually aid in the development of guidelines for treating these ulcers.

trial registrationRegistration number RBR-7bd3xy . Registered on 17 July 2019-Retrospectively registered.

Indexed as

Diabetes MellitusDiabetic FootHyperbaric OxygenationBrazilChronic DiseaseHumansQuality of LifeRandomized Controlled Trials as TopicDiabetes mellitusDiabetic footHyperbaric oxygenationRandomized controlled trialsWound healing

Identifiers

PMID32993766
PMCPMC7526398
OpenAlexW3090629862

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.