Evidence map›Paper›PMID 33811051›Full record

ArticleBMJ open2021

Study protocol for a multicentre, randomised controlled trial to compare the use of the decellularised dermis allograft in addition to standard care versus standard care alone for the treatment of venous leg ulceration: DAVE trial.

Sarah Onida, Francine Heatley, Sarrah Peerbux, Layla Bolton, Tristan Lane, David Epstein, Manjit Gohel, Keith Poskitt, Nicky Cullum, John Norrie and 6 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  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

16 authors at 9 institutions in 2 countries.

Sarah OnidaSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Francine HeatleySection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Sarrah PeerbuxSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0001-5560-0749
Layla BoltonVascular Surgery Research Department, Imperial College Healthcare NHS Trust, London, UK.
Tristan LaneSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
David EpsteinFaculty of Economic and Business Sciences, University of Granada, Granada, Andalucía, Spain.
Manjit GohelSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Keith PoskittCheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, Gloucestershire, UK.
Nicky CullumSchool of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
John NorrieUsher Institute of Population Health Sciences and Informatics, Edinburgh Clinical Trials Unit, University of Edinburgh No 9, Bioquarter, Edinburgh, UK.
Robert J LeeUsher Institute of Population Health Sciences and Informatics, Edinburgh Clinical Trials Unit, University of Edinburgh No 9, Bioquarter, Edinburgh, UK.
Andrew BradburyBirmingham University, Department of Vascular Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Karen DhillonVascular Surgery Research Department, Imperial College Healthcare NHS Trust, London, UK.
Akila ChandrasekarTissue and Eye Services, NHS Blood and Transplant, Liverpool, Merseyside, UK.
Richard LomasTissue and Eye Services, NHS Blood and Transplant, Liverpool, Merseyside, UK.
A H DaviesSection of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK a.h.davies@imperial.ac.uk.
Imperial College London · GBCambridge University Hospitals NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBNHS Blood and Transplant · GBUniversity of Edinburgh · GBCheltenham General Hospital · GBUniversidad de Granada · ESUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVenous leg ulceration (VLU), the most common type of chronic ulcer, can be difficult to heal and is a major cause of morbidity and reduced quality of life. Although compression bandaging is the principal treatment, it is time-consuming and bandage application requires specific training. There is evidence that intervention on superficial venous incompetence can help ulcer healing and recurrence, but this is not accessible to all patients. Hence, new treatments are required to address these chronic wounds. One possible adjuvant treatment for VLU is human decellularised dermis (DCD), a type of skin graft derived from skin from deceased tissue donors. Although DCD has the potential to promote ulcer healing, there is a paucity of data for its use in patients with VLU. METHODS AND ANALYSIS: This is a multicentre, parallel group, pragmatic randomised controlled trial. One hundred and ninety-six patients with VLU will be randomly assigned to receive either the DCD allograft in addition to standard care or standard care alone. The primary outcome is the proportion of participants with a healed index ulcer at 12 weeks post-randomisation in each treatment arm. Secondary outcomes include the time to index ulcer healing and the proportion of participants with a healed index ulcer at 12 months. Changes in quality of life scores and cost-effectiveness will also be assessed. All analyses will be carried out on an intention-to-treat (ITT) basis. A mixed-effects, logistic regression on the outcome of the proportion of those with the index ulcer healed at 12 weeks will be performed. Secondary outcomes will be assessed using various statistical models appropriate to the distribution and nature of these outcomes. ETHICS AND DISSEMINATION: Ethical approval was granted by the Bloomsbury Research Ethics Committee (19/LO/1271). Findings will be published in a peer-reviewed journal and presented at national and international conferences. TRIAL REGISTRATION NUMBER: ISRCTN21541209.

Indexed as

LegQuality of LifeAllograftsDermisHumansMulticenter Studies as TopicNeoplasm Recurrence, LocalPragmatic Clinical Trials as TopicRandomized Controlled Trials as Topicvascular medicinevascular surgerywound management

Identifiers

PMID33811051
PMCPMC8023724
OpenAlexW3148316894

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.