Evidence map›Paper›PMID 37481545›Full record

ArticleTrials2023

Anal fistulotomy with one-stage shaped skin grafting for intersphincter anal fistulas: study protocol on a multicentre randomised controlled trial.

Yongchang Zhao, Wei Xie, Xiaoshuo Wu, Xiaolan Li, Jinyan Guo, Qiurui Cao, Jiadi Liang, Xin-Lin Chen, Wentao Zhao, Feng Sun and 3 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

13 authors at 5 institutions in 1 country.

Yongchang Zhao *Department of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Wei Xie *Department of Gastrointestinal Surgery, Guangzhou Panyu Hexian Memorial Hospital, Guangzhou, 510000, China.
Xiaoshuo WuDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Xiaolan LiDepartment of Anorectal Surgery, Dongguan People's Hospital, Dongguan, 523000, China.
Jinyan GuoDepartment of Anorectal Surgery, Jiangmen Wuyi Hospital of Chinese Medicine, Jiangmen, 529000, China.
Qiurui CaoDepartment of Anorectal Surgery, Jiangmen Wuyi Hospital of Chinese Medicine, Jiangmen, 529000, China.
Jiadi LiangDepartment of Anorectal Surgery, Dongguan People's Hospital, Dongguan, 523000, China.
Xin-Lin ChenSchool of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Wentao ZhaoDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Feng SunDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Hongjie LiDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Weimin LuoDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China.
Yuying LiDepartment of Anorectal Surgery, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510000, China. drliyuying@126.com.ORCID http://orcid.org/0000-0001-5179-8233
First Affiliated Hospital of Guangzhou University of Chinese Medicine · CNDongguan People’s Hospital · CNJiangmen Wuyi Traditional Chinese Medicine Hospital · CNGuangzhou University of Chinese Medicine · CNPanyu Hospital of Chinese Medicine · CN

Funding

Guangzhou Municipal Science and Technology Project 202102010497Science and Technology Projects in Guangzhou 202102010497the First Affiliated Hospital of Guangzhou University of Chinese Medicine 2019IIT21the First Affliated Hospital of Guangzhou University of Chinese Medicine 2019IIT21
6 · The paper itself

Abstract

backgroundAnal fistulas are mainly treated via surgery. They can be difficult to treat without surgical intervention. Numerous procedures, such as fistulectomy and fistulotomy, are performed to treat anal fistulas and achieve good effects. However, the wounds created through fistulectomy and fistulotomy take a long time to heal. Therefore, a multicentre randomised controlled trial (RCT) is proposed to study the efficacy of one-stage shaped skin grafting at the surgical wound to heal low simple intersphincter anal fistulas.

methodsThis study is a multicentre, hospital-based RCT. It will be performed at three hospitals. A total of 104 patients with low simple intersphincter anal fistulas who meet the inclusion criteria will be included in this trial and will be allocated randomly to two groups (test and control groups). The patients in the test group will receive one-stage anal fistulotomy surgery combined with shaped skin grafting, and those in the control group will undergo anal fistulotomy only. All the operations will be performed by attending colorectal surgeons or surgeons of a higher level. Effectiveness and safety indicators will be observed, recorded and analysed. DISCUSSION: Anal fistulotomy can heal low simple intersphincter anal fistulas effectively and safely with a low recurrence rate. Skin grafts promote wound epithelisation significantly. We believe that skin grafting can treat low simple intersphincter fistulas with a short healing time.

trial registrationChinese Clinical Trial Register, ChiCTR2000039174. Registered on 28 October 2020.

Indexed as

Rectal FistulaSkin TransplantationAnal CanalAsian PeopleControl GroupsDigestive System Surgical ProceduresHumansMulticenter Studies as TopicRandomized Controlled Trials as TopicTime FactorsWound HealingAnal fistulaAnal fistulotomyRandomised controlled trialSkin graft

Identifiers

PMID37481545
PMCPMC10363312
OpenAlexW4385073593

What OpenQuestion holds

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LicenceCC BY
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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.