Evidence map›Paper›PMID 35144650›Full record

Trial reportWorld journal of emergency surgery : WJES2022

Cost analysis of negative-pressure wound therapy versus standard treatment of acute conflict-related extremity wounds within a randomized controlled trial.

Andreas Älgå, Jenny Löfgren, Rawand Haweizy, Khaldoon Bashaireh, Sidney Wong, Birger C Forsberg, Johan von Schreeb, Jonas Malmstedt

Registry-linked trialAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02444598 (A Prospective, Randomized, Controlled Trial of Negative-pressure Wound Therapy Use in Conflict-related Extremity Wounds), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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.

NCT02444598 nacompletednot on this map

A Prospective, Randomized, Controlled Trial of Negative-pressure Wound Therapy Use in Conflict-related Extremity Wounds (VACoCREW Trial)

TypeinterventionalSponsorKarolinska InstitutetRan2015 to 2019Enrolled116ConditionsWounds, Gunshot, Arm Injuries, Leg Injuries, Wound InfectionArmsVaccum Assisted Closure device, Conventional wound dressings
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
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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.

Andreas ÄlgåDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Sjukhusbacken 10, 118 83, Stockholm, Sweden. andreas.alga@ki.se.ORCID 0000-0001-5245-7668
Jenny LöfgrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, 171 77, Stockholm, Sweden.
Rawand HaweizyCollege of Medicine, Hawler Medical University, 40/0112, Erbil, Iraq.
Khaldoon BashairehDepartment of Special Surgery, Jordan University of Science and Technology, 22110, Irbid, Jordan.
Sidney WongMédecins Sans Frontières, Operational Centre Amsterdam, Plantage Middenlaan 14, 1018 DD, Amsterdam, The Netherlands.
Birger C ForsbergDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Johan von SchreebDepartment of Global Public Health, Karolinska Institutet, 171 77, Stockholm, Sweden.
Jonas MalmstedtDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Sjukhusbacken 10, 118 83, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical outcomes after negative-pressure wound therapy (NPWT) and standard treatment of conflict-related extremity wounds are similar. In resource-limited settings, cost affects the choice of treatment. We aimed to estimate treatment-related costs of NPWT in comparison with standard treatment for conflict-related extremity wounds.

methodsWe derived outcome data from a randomized, controlled superiority trial that enrolled adult (≥ 18 years) patients with acute (≤ 72 h) conflict-related extremity wounds at two civilian hospitals in Jordan and Iraq. Primary endpoint was mean treatment-related healthcare costs (adjusted to 2019 US dollars).

resultsPatients were enrolled from June 9, 2015, to October 24, 2018. A total of 165 patients (155 men [93.9%]; 10 women [6.1%]; and median [IQR] age, 28 [21-34] years) were included in the analysis. The cost per patient treated with NPWT was $142 above that of standard treatment. Overall, results were robust in a sensitivity analysis.

conclusionsWith similar clinical outcomes compared to standard care, our results do not support the use of NPWT in routine treatment of conflict-related extremity wounds at civilian hospitals in resource scarce settings. Trial registration NCT02444598.

Indexed as

Negative-Pressure Wound TherapyAdultExtremitiesFemaleHealth Care CostsHumansMaleWound HealingArmed conflictCost analysisTraumaWounds

Identifiers

PMID35144650
PMCPMC8832805

What OpenQuestion holds

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Registered trials

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.