Evidence map›Paper›PMID 34908777›Full record

ArticleJournal of cutaneous and aesthetic surgery

Efficacy of Surgical Excision and Adjuvant High-dose Rate Brachytherapy in Treatment of Keloid: Our Experience.

Kalapurmat N Manjunath, Mysore Srinivas Venkatesh, Ramcharith Alva, Keerthi Koushik, Veena Waiker, Kumaraswamy Mohan, Shanthakumar Shivalingappa

Open access · diamondAbstract read
In one paragraph

Article in Journal of cutaneous and aesthetic surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 38% 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, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Pharmacotherapy for Keloids and Hypertrophic Scars.International journal of molecular sciences · 2024
    Review
  6. Review
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 1 institution in 1 country.

Kalapurmat N ManjunathDepartment of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Mysore Srinivas VenkateshDepartment of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Ramcharith AlvaDepartment of Radiotherapy, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Keerthi KoushikDepartment of Radiotherapy, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Veena WaikerDepartment of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Kumaraswamy MohanDepartment of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
Shanthakumar ShivalingappaDepartment of Plastic & Reconstructive Surgery, MS Ramaiah Medical College (MSRMC), Bengaluru, Karnataka, India.
M.S. Ramaiah Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKeloids are dermal tumors that are due to increased production of collagen caused by abnormal and prolonged wound healing. The incidence of recurrence is extremely high if only conservative measures are used. This study was conducted to evaluate the feasibility and efficacy surgery and high dose rate brachytherapy as an adjuvant therapy for treatment of keloids. MATERIALS AND

methods50 patients with clinically diagnosed 71 keloids were treated with excision of keloid and post-operative high-dose rate brachytherapy were studied. Complete excision of the keloid till the healthy skin margin was excised. The wound were closed in 2 layers. Subcutaneous tissue closed using absorbable suture, over which a 6F flexible polyethylene tube was placed. High dose rate cobalt-60 brachytherapy was administered. Total of 15 Gy in divided dose, 5 Gy in 3 fractions were administered.

results50 patients with 71 keloids were studied. Out of the 50 patients, 12 were male (24%) and 38 were females (76%). Age of the patients ranged between 14 and 71 years. Recurrence rate was 2% with 2 keloids recurring at 5 months interval. 4 patients scored the results as unacceptable, remaining 45 patients rated their results as excellent during their follow up at 10 days, 3 months and 6 months.

conclusionTreatment of keloids in the plastic surgeon's practice even today is still challenging. Many therapies have been described, but recurrence rate is high with mono-therapy. Combination therapy especially surgical excision with postoperative radiotherapy is best in preventing recurrence.

Indexed as

Brachytherapykeloidrecurrence

Identifiers

PMID34908777
PMCPMC8611697
OpenAlexW3211234800

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.