Evidence map›Paper›PMID 33100750›Full record

ArticleUrology annals

Pattern and outcome of management of Fournier's gangrene in a resource-constraint setting.

Ngwobia Peter Agwu, Abubakar Sadiq Muhammad, Abdulwahab-Ahmed Abdullahi, Bello Bashir, Jacob Ndas Legbo, Ismaila Arzika Mungadi

Open access · goldAbstract read
In one paragraph

Article in Urology annals. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Practical Review of the Current Management of Fournier's Gangrene.Plastic and reconstructive surgery. Global open · 2022
    Review
  4. 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 1 institution in 1 country.

Ngwobia Peter AgwuDepartment of Surgery, Urology, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Abubakar Sadiq MuhammadDepartment of Surgery, Urology, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Abdulwahab-Ahmed AbdullahiDepartment of Surgery, Urology, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Bello BashirDepartment of General Surgery, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Jacob Ndas LegboDepartment of Plastic and Reconstructive, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Ismaila Arzika MungadiDepartment of Surgery, Urology, Surgery Units, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
Usmanu Danfodiyo University Teaching Hospital, Sokoto · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFournier's gangrene (FG) is a necrotizing fasciitis of the external genitalia and perineum but may involve upper thigh and anterior abdominal wall. PATIENTS AND

methodsThis is a retrospective study of 47 patients managed for FG at Usmanu Danfodiyo University Teaching Hospital from January 2001 to June 2017. Data were entered into a semi-structured pro forma and analyzed using SPSS version 20.0.

resultsThe mean age of the patients was 42.7 ± 19.4 years, with age range of 7 weeks to 72 years. All the patients were male. The patients had underlying urologic conditions in 27.6%, 15.0% were postoperative, 4.2% had anorectal diseases, 10.6% had medical conditions, and 42.6% were idiopathic. After resuscitation, all the patients had serial debridement, Hypertonic saline bath, broad spectrum antibiotics and wound dressing. The wound healed by secondary intention in 34.0% and 32.3% of the patients had wound closure ± skin graft. The treatment was successful in 68.0% of the patients, 15.0% left against medical advice, and 17.0% died of severe sepsis.

conclusionFG mainly affects men with existing urologic conditions in our environment. Aggressive debridement, hypertonic saline sitz bath, broad-spectrum antibiotics, and appropriate wound care are associated with good outcome.

Indexed as

Fournier's gangreneFournier's Gangrene Severity Indexmortalitynecrotizing fasciitispredisposing factorsUludag Fournier's Gangrene Severity Index

Identifiers

PMID33100750
PMCPMC7546073
OpenAlexW3042751933

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.