Evidence map›Paper›PMID 35001559›Full record

Trial reportInternational wound journal2022

Use of a purified reconstituted bilayer matrix in the management of chronic diabetic foot ulcers improves patient outcomes vs standard of care: Results of a prospective randomised controlled multi-centre clinical trial.

David G Armstrong, Dennis P Orgill, Robert D Galiano, Paul M Glat, Jarrod P Kaufman, Marissa J Carter, Lawrence A DiDomenico, Charles M Zelen

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
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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

8 authors at 6 institutions in 1 country.

David G ArmstrongDivision of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0003-1887-9175
Dennis P OrgillProfessional Education and Research Institute, Roanoke, Virginia, USA.ORCID https://orcid.org/0000-0002-8279-7310
Robert D GalianoDivision of Plastic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-9552-6483
Paul M GlatSurgery and Pediatrics, Drexel University College of Medicine, St. Christopher's Hospital for Children, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-5009-8603
Jarrod P KaufmanDepartment of Surgery, Temple University School of Medicine and McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-7967-8612
Marissa J CarterStrategic Solutions, Inc., Bozeman, Montana, USA.ORCID https://orcid.org/0000-0002-2265-6639
Lawrence A DiDomenicoLower Extremity Institute for Research and Therapy, Youngstown, Ohio, USA.
Charles M ZelenProfessional Education and Research Institute, Roanoke, Virginia, USA.ORCID https://orcid.org/0000-0001-5682-7056
Professional Education and Research Institute · USMcGowan Institute for Regenerative Medicine · USNorthwestern University · USSt. Christopher's Hospital for Children · USStrategic Solutions Consulting (United States) · USUniversity of Southern California · US

Funding

Geistlich Pharma 002
6 · The paper itself

Abstract

Diabetic foot infections continue to be a major challenge for health care delivery systems. Following encouraging results from a pilot study using a novel purified reconstituted bilayer matrix (PRBM) to treat chronic diabetic foot ulcers (DFUs), we designed a prospective, multi-centre randomised trial comparing outcomes of PRBM at 12 weeks compared with a standard of care (SOC) using a collagen alginate dressing. The primary endpoint was percentage of wounds closed after 12 weeks. Secondary outcomes included assessments of complications, healing time, quality of life, and cost to closure. Forty patients were included in an intent-to-treat (ITT) and per-protocol (PP) analysis, with 39 completing the study protocol (n = 19 PRBM, n = 20 SOC). Wounds treated with PRBM were significantly more likely to close than wounds treated with SOC (ITT: 85% vs 30%, P = .0004, PP: 94% vs 30% P = .00008), healed significantly faster (mean 37 days vs 67 days for SOC, P = .002), and achieved a mean wound area reduction within 12 weeks of 96% vs 8.9% for SOC. No adverse events (AEs) directly related to PRBM treatment were reported. Mean PRBM cost of healing was $1731. Use of PRBM was safe and effective for treatment of chronic DFUs.

Indexed as

Diabetes MellitusDiabetic FootHumansPilot ProjectsProspective StudiesQuality of LifeStandard of CareTreatment Outcomeadvanced wound careadvanced wound matrixdiabetic foot ulcersstandard of carewound healing

Identifiers

PMID35001559
PMCPMC9284637
OpenAlexW4206197608

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.