Evidence map›Paper›PMID 37597082›Full record

ArticleTechniques in coloproctology2023

Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience.

M Manigrasso, A D'Amore, E Benatti, L M Bracchitta, S Bracchitta, F Cantarella, A Carpino, F Ferrari, G Gallo, M La Torre and 12 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Observational
  3. Comparison of Phenol Application and Endoscopic Pilonidal Sinus Treatment in Pediatric Pilonidal Sinus Disease.Pediatrics international : official journal of the Japan Pediatric Society
    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

22 authors at 7 institutions in 1 country.

M ManigrassoDepartment of Advanced Biomedical Sciences, "Federico II" University of Naples, Naples, Italy. michele.manigrasso@unina.it.ORCID http://orcid.org/0000-0001-8204-7942
A D'AmoreDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy.
E BenattiProctology Unit, ASL 4 Chiavarese, "E. Riboli" Hospital, Lavagna, GE, Italy.
L M BracchittaDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
S BracchittaColoproctolgy Center, Clinica del Mediterraneo, Ragusa, Italy.
F CantarellaCentro Proctologico e Perineologico, Ospedali Privati Forlì, Forlì, Italy.
A CarpinoDepartment of Health Sciences, University of Catanzaro, Catanzaro, Italy.
F FerrariDepartment of Health Sciences, University of Catanzaro, Catanzaro, Italy.
G GalloDepartment of Health Sciences, University of Catanzaro, Catanzaro, Italy.
M La TorreDepartment of Surgery, Sapienza University of Rome, Rome, Italy.
C MagnaniDepartment of Surgery, AUSL of Imola (BO), Bologna, Italy.
E MagniCentro Proctologico e Perineologico, Ospedali Privati Forlì, Forlì, Italy.
A MargiottaDepartment of Surgery, AUSL of Imola (BO), Bologna, Italy.
M MasettiDepartment of Surgery, AUSL of Imola (BO), Bologna, Italy.
L MoriProctology Unit, ASL 4 Chiavarese, "E. Riboli" Hospital, Lavagna, GE, Italy.
F PataDepartment of Surgery, Nicola Giannettasio Hospital, Corigliano-Rossano, CS, Italy.
M PezzaProctology Unit, ASL 4 Chiavarese, "E. Riboli" Hospital, Lavagna, GE, Italy.
S TiernoDepartment of Surgery, Ospedale Vannini, Rome, Italy.
F TomassiniDepartment of Surgery, Ospedale Grassi, Rome, Italy.
P VaniniCentro Proctologico e Perineologico, Ospedali Privati Forlì, Forlì, Italy.
G D De PalmaDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy.
M MiloneDepartment of Clinical Medicine and Surgery, "Federico II" University of Naples, Naples, Italy.
Azienda Unità Sanitaria Locale Della Romagna · ITUniversity of Naples Federico II · ITSapienza University of Rome · ITClinica Mediterranea · ITCTO Hospital · ITFederico II University Hospital · ITHumanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the 5-year recurrence rate of pilonidal sinus disease (PSD) after endoscopic sinusectomy and identify risk factors for recurrence.

methodsAll consecutive patients from September 2011 through December 2017 who underwent endoscopic sinusectomy at seven referral centres for pilonidal sinus treatment were retrospectively analysed from a prospectively maintained database.

resultsOut of 290 patients (185 males versus 105 female, with a mean age of 25.5±6.9), 73 presented recurrence at 5-year follow-up with a recurrence rate of 25.2%. The number of pilonidal sinus with pits off the midline (p = 0.001) and the mean (SD) distance from the most lateral orifice to the midline (p = 0.001) were higher in the group of patients with recurrence at 5-year follow-up. Multivariate analysis demonstrated that the position of the pits off the midline (p = 0.001) and the distance of the most lateral orifice from the midline (p = 0.001) were independent risk factors for recurrence at 5-year follow-up. Receiver operating characteristic (ROC) curve analysis showed that the distance of lateral orifice from midline predicted an 82.2% possibility of recurrence at 5-year follow-up and Youden's test identified the best cut-off as 2 cm for this variable. Out of 195 cases with the most lateral orifice less than 2 cm from the midline, 13 presented recurrence at 5-year follow-up with a recurrence rate of 6.7%. Out of 95 cases with the most lateral orifice more than 2 cm from midline, 60 showed recurrence at 5-year follow-up with a recurrence rate of 63.2%.

conclusionsThis data may help guide which disease characteristics predict the optimal use of an endoscopic pilonidal sinus technique.

Indexed as

Pilonidal SinusSkin DiseasesAdolescentAdultDatabases, FactualFemaleHumansMaleMultivariate AnalysisRetrospective StudiesYoung AdultEndoscopicPilonidalRecurrenceSinusSinusectomy

Identifiers

PMID37597082
OpenAlexW4385997944

What OpenQuestion holds

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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.