Evidence map›Paper›PMID 35064095›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2022

A Questionnaire-Based Study to Obtain a Consensus from 5 Polish Burns Centers on Eschar Removal by Bromelain-Based Enzymatic Debridement (Nexobrid®) in Burns Following the 2020 Updated European Consensus Guidelines.

Tomasz Korzeniowski, Jerzy Strużyna, Anna M Chrapusta, Andrzej Krajewski, Marek Kucharzewski, Krzysztof Piorun, Jakub Nowakowski, Agnieszka Surowiecka, Magdalena Kozicka, Kamil Torres

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 30% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Japanese Consensus Document on NexoBridEuropean burn journal · 2026
    Article
  3. Review
  4. Review
  5. An Overview of Recent Developments in the Management of Burn Injuries.International journal of molecular sciences · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Evaluation of Bromelain-Based Enzymatic Debridement Combined with Laser Doppler Imaging and Healing of Burn Wounds.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  10. Anacaulase-Bcdb for Enzymatic Eschar Removal in Adult and Paediatric Thermal Burns: Clinical Evidence, Safety, and Therapeutic Positioning.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Review
  11. Burn Debridment - Approach and Review.Current health sciences journal
    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

10 authors at 4 institutions in 2 countries.

Tomasz KorzeniowskiThe East Center of Burns Treatment and Reconstructive Surgery, District Hospital, Łęczna, Poland.
Jerzy StrużynaThe East Center of Burns Treatment and Reconstructive Surgery, District Hospital, Łęczna, Poland.
Anna M ChrapustaThe Małopolska Center for Burns and Plastic Surgery, Ludwik Rydygier Memorial Specialized Hospital in Cracow, Cracow, Poland.
Andrzej KrajewskiWest Pomeranian Center of Treating Severe Burns and Plastic Surgery, Hospital in Gryfice, Gryfice, Poland.
Marek KucharzewskiChair and Department of Descriptive and Topographic Anatomy, Medical University of Silesia, Katowice, Poland.
Krzysztof PiorunWest Pomeranian Center of Treating Severe Burns and Plastic Surgery, Hospital in Gryfice, Gryfice, Poland.ORCID 0000-0002-8176-957X
Jakub NowakowskiDepartment of Trauma, Burns and Plastic Surgery, Poznań University of Medical Sciences, Poznań, Poland.
Agnieszka SurowieckaThe East Center of Burns Treatment and Reconstructive Surgery, District Hospital, Łęczna, Poland.
Magdalena KozickaThe East Center of Burns Treatment and Reconstructive Surgery, District Hospital, Łęczna, Poland.
Kamil TorresThe East Center of Burns Treatment and Reconstructive Surgery, District Hospital, Łęczna, Poland.
York District Hospital · USCracow University of Technology · PLMedical University of Silesia · PLPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND The supplementary treatment of burns with enzymatic debridement with Nexobrid® was approved in Europe in 2013. The 2017 European consensus guidelines on the removal of eschar in burns by bromelain-based enzymatic debridement were updated in 2020. This questionnaire-based study aimed to obtain a consensus from 5 Polish burns centers on eschar removal by Nexobrid® in burns following the 2020 updated European consensus guidelines. MATERIAL AND METHODS A panel of 5 experts representing the leading burn treatment centers in Poland (Cracow, Gryfice, Siemanowice Śląskie, Poznań, and Łęczna) was convened. A modified Delphi process was implemented with panel member selection, literature review, 2 rounds of voting in which panelists were asked to evaluate the European consensus and Polish consensus building by data analysis, statements preparation, final voting, and manuscript drafting. RESULTS The knowledge and experience of experts from Poland's leading burn centers resulted in the development of guidelines, formulated as 24 statements representing the following areas: indications and usage, pain management, application principles, post-enzymatic debridement wound dressing, and early and long-term outcomes. An analysis of the 7-point Likert scale polls revealed that 23 of the 24 statements achieved 100% consensus. CONCLUSIONS The findings from this survey from 5 major centers in Poland supported the main recommendations from the 2020 updated European consensus guidelines on the removal of eschar in burns by Nexobrid® and may serve as a practical guide for surgeons who care for patients with burns in this country.

Indexed as

Burn UnitsConsensusWound HealingBromelainsBurnsDebridementEuropeHumansPolandPractice Guidelines as TopicSurveys and QuestionnairesBromelains

Identifiers

PMID35064095
PMCPMC8790933
OpenAlexW4206001674

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.