Evidence map›Paper›PMID 33627111›Full record

ArticleBMC complementary medicine and therapies2021

MEBO versus topical Diltiazem versus a combination of both ointments in the treatment of acute anal fissure: a randomized clinical trial protocol.

Mohamad Hadi El Charif, Samer Doughan, Rawya Kredly, Sara Kassas, Rayan Azab, Eman Sbaity

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC complementary medicine and therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04153032 (Comparative Evaluation of MEBO Ointment and Topical Diltiazem Ointment in the Treatment of Acute Anal Fissure), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 28% 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.

NCT04153032 phase2unknown statusnot on this map

Comparative Evaluation of MEBO Ointment and Topical Diltiazem Ointment in the Treatment of Acute Anal Fissure: a Randomized Clinical Trial

TypeinterventionalSponsorAmerican University of Beirut Medical CenterRan2019 to 2026Enrolled183ConditionsAnal FissureArmsDiltiazem, Mebo
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

6 authors at 3 institutions in 1 country.

Mohamad Hadi El CharifDepartment of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, Lebanon.
Samer DoughanDepartment of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, Lebanon.
Rawya KredlyOffice of Medical Affairs, Gulf Pharmaceutical Industries - Julphar, United Arab Emirates, Beirut-Lebanon Offices, Beirut, Lebanon.
Sara KassasFaculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Rayan AzabGulf Pharmaceutical Industries - Julphar, United Arab Emirates, Beirut-Lebanon Offices, Beirut, Lebanon.
Eman SbaityDepartment of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut, Lebanon. es25@aub.edu.lb.ORCID http://orcid.org/0000-0002-0629-1449
American University of Beirut Medical Center · LBGlobal University · LBAmerican University of Beirut · LB

Funding

Genetic and Metabolic Determinants of 25(OH)D levels at Baseline and One Year: Findings from a Dose Ranging Vitamin D trialD43TW009118 · FIC · AMERICAN UNIVERSITY OF BEIRUT · PI FULEIHAN, GHADA ELHAJJ · 2012 to 2024
$2.5M
FIC NIH HHS D43 TW009118
6 · The paper itself

Abstract

backgroundAnal fissure is a common complication of the anorectal region and one of the most reported causes of anal pain. Acute anal fissure can be cured by surgery or medical treatment. There is an increase in the use of topical therapy for the treatment of anal fissures. A common topical drug used is Diltiazem (DTZ), a calcium-channel blocker, which relaxes the anal sphincter and thus promotes healing of the anal fissure. Moist exposed burn ointment (MEBO) is an ointment that is effective for the treatment of burns and wound healing and is becoming popular in the treatment of anal fissures.

methodsThis is a 1:1:1 randomized, controlled, parallel design, with endpoint measures of change in pain score, wound healing, defecation strain score and patient's global impression of improvement. The study will be conducted at AUBMC over a 10-week period. Patients will be randomized to three treatment arms: MEBO, Diltiazem, and a combination of MEBO and Diltiazem ointments. DISCUSSION: The results of this study will allow physicians to assess the efficacy and safety of MEBO in the treatment of acute anal fissure, and also in comparison to Diltiazem. This trial will generate evidence-based conclusions regarding the use of a herbal/natural-based product (MEBO ointment) for the treatment of anal fissures.

trial registrationClinicalTrials.gov Identifier NCT04153032 . Clinical Trial Registration Date: 06-NOVEMBER-2019.

Indexed as

DiltiazemFissure in AnoSitosterolsAdultCalcium Channel BlockersFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicWound HealingYoung AdultCalcium Channel BlockersDiltiazemmoist exposed burn ointmentSitosterolsAnal fissureDiltiazem ointmentHerbalMebo ointmentNaturalRandomized clinical trial

Identifiers

PMID33627111
PMCPMC7902753
OpenAlexW3131692172

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.