Evidence map›Paper›PMID 33786262›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Scoping Review of Therapeutic Strategies for Keloids and Hypertrophic Scars.

Jaclyn B Anderson, Aaron Foglio, Alex B Harrant, Christene A Huang, C Scott Hultman, David W Mathes, Tae W Chong

Open access · goldAbstract readScoping Review
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Jaclyn B AndersonDepartment of Surgery, Division Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Denver, Colo.
Aaron FoglioDepartment of Surgery, Division Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Denver, Colo.
Alex B HarrantDepartment of Surgery, Division Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Denver, Colo.
Christene A HuangDepartment of Surgery, Division Transplant Surgery, University of Colorado School of Medicine, Denver, Colo.
C Scott HultmanDepartment of Surgery, John Hopkins Burn Center, Plastic and Reconstructive Surgery, Baltimore, Md.
David W MathesDepartment of Surgery, Division Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Denver, Colo.
Tae W ChongDepartment of Surgery, Division Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Denver, Colo.
University of Colorado Denver · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKeloids are an abnormal proliferation of scars that can involve large areas of tissue beyond the original injury site. Hypertrophic scars are similar clinically, but do not exceed the original scar limits. These scarring abnormalities can cause noxious symptoms such as pain, tenderness, itching, and ulcerations. The aim of this review is to discuss current therapies for both types of abnormal scarring, and to determine if guidelines can be provided for excisional treatment with adjuvant therapies versus non-excisional methods.

methodsA systematic literature search was performed through the Web of Science database. The search revolved around keywords such as "keloid," "hypertrophic scars," and "treatment." Articles were reviewed and screened for inclusion and exclusion criteria. The review focuses on an analysis and summarization of randomized control trials regarding keloid or hypertrophic scar treatments.

resultsThe original searches produced 1161 and 1275 articles for keloid and hypertrophic scars, respectively. In total, 316 duplicates were found. After accounting for 2014-2019 publication time, 655 keloid and 893 hypertrophic scar articles were reviewed. This resulted in 15 articles that pertained to treatment and randomized control trials.

conclusionsKeloids and hypertrophic scars present a clinical challenge. Based on qualitative review of recurrence, neither excision plus adjuvant therapy or nonsurgical treatments can be recommended preferentially at this time. More research is needed to determine if recurrence rate bias exists between the treatment regimens, as excisional treatment plus adjuvant therapy is reserved for refractory scars.

Identifiers

PMID33786262
PMCPMC7994010
OpenAlexW3144963065

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.