Evidence map›Paper›PMID 33709237›Full record

Trial reportChinese journal of integrative medicine2021

Effect of High Suspension and Low Incision Surgery Based on Traditional Ligation of Chinese Medicine in Treatment of Mixed Haemorrhoids: A Multi-centre, Randomized, Single-Blind, Non-inferiority Clinical Trial.

Xiao-Qiang Jia, Wei-Wei Cao, Long-Fang Quan, Wei-Bing Zhao, Fang Cheng, Shan Jia, Liu-Quan Feng, Xu-Feng Wei, Zhen-Nian Xie, Dong Wang and 10 more

Abstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in Chinese journal of integrative medicine, 2021. 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
0.6field-weighted citation impact, top 33% 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, 4 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  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

20 authors at 5 institutions in 1 country.

Xiao-Qiang JiaDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China. jxq391@sina.com.
Wei-Wei CaoDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Long-Fang QuanDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Wei-Bing ZhaoDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Fang ChengDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Shan JiaDepartment of Anorectal, Beijing Rectum Hospital, Beijing, 100120, China.
Liu-Quan FengDepartment of Anorectal, Air Force Medical Center, People's Liberation Army of China, Beijing, 100089, China.
Xu-Feng WeiDepartment of Anorectal, Puyang Hospital of Traditional Chinese Medicine, Puyang, Henan Province, 457001, China.
Zhen-Nian XieDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Dong WangDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Chun-Yan XuDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Chun-Hui CuiDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Xing-Juan CaiDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Lan-Ye HeDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Zhan-Jun WangDepartment of Anorectal, Beijing Rectum Hospital, Beijing, 100120, China.
Ying TianDepartment of Anorectal, Beijing Rectum Hospital, Beijing, 100120, China.
Shu-Min ShiDepartment of Anorectal, Air Force Medical Center, People's Liberation Army of China, Beijing, 100089, China.
Si-Miao SunDepartment of Anorectal, Puyang Hospital of Traditional Chinese Medicine, Puyang, Henan Province, 457001, China.
Liang SuDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Meng-Fan ZhaiDepartment of Anorectal, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNXiyuan Hospital · CNBeijing Ditan Hospital · CNAir Force General Hospital PLA · CNAnyang Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo observe the clinical effect of high suspension and low incision (HSLI) surgery on mixed haemorrhoids, compared with Milligan-Morgan haemorrhoidectomy.

methodsA multi-centre, randomized, single-blind, non-inferiority clinical trial was performed. Participants with mixed haemorrhoids from Xiyuan Hospital of China Academy of Chinese Medical Sciences, Beijing Rectum Hospital, Air Force Medical Center of People's Liberation Army of China, and Puyang Hospital of Traditional Chinese Medicine were enrolled from September 2016 to March 2018. By using a blocked randomization scheme, participants were assigned to two groups. The experimental group was treated with HSLI, while the control group was treated with Milligan-Morgan haemorrhoidectomy. The primary outcome was the clinical effect evaluated at 12 weeks after operation. The secondary outcomes included the number of haemorrhoids treated during the operation, pain scores, use of analgesics, postoperative oedema, wound healing, incidence of anal stenosis, anorectal manometry after operation, as well as surgical duration, length of stay and total hospitalization expenses. A safety evaluation was also conducted.

resultsIn total, 246 eligible participants were enrolled, with 123 cases in each group. There was no significant difference in the clinical effect between the two groups (100.00% vs. 99.19%, P>0.05). Compared with the control group, the number of external haemorrhoids treated during the operation and the pain scores after operation were significantly reduced in the experimental group (P<0.05 or P<0.01); the patient number with wound healing at 2 weeks after operation and the functional length of anal canal at 12 weeks after operation were significantly increased in the experimental group (P<0.05). There was no significant difference in the incidence of anal stenosis, the numbers of patients using analgesics and patients with postoperative oedema between the two groups after operation (P>0.05). The surgical duration and length of stay in the experimental group were significantly longer than those in the control group, and the total hospitalization expense was significantly higher than that in the control group (all P<0.05). No adverse events were reported in either group during the whole trial or follow-up period.

conclusionHSLI had the advantages of preserving the skin of anal canal completely, alleviating postsurgical pain and promoting rapid recovery after operation. (Registration No. ChiCTR1900022883).

Indexed as

Digestive System Surgical ProceduresHemorrhoidsHumansLigationMedicine, Chinese TraditionalSingle-Blind MethodTreatment Outcomehigh suspension and low incision surgeryMilligan-Morgan haemorrhoidectomymixed haemorrhoidsrandomized controlled trial

Identifiers

PMID33709237
OpenAlexW3135759167

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.