Evidence map›Paper›PMID 37606593›Full record

SynthesisThe Journal of hand surgery, European volume2023

Surgical site infection following surgery for hand trauma: a systematic review and meta-analysis.

Justin C Wormald, Alexander J Baldwin, Hayat Nadama, Abigail Shaw, Ryckie G Wade, Dani Prieto-Alhambra, Jonathan A Cook, Jeremy N Rodrigues, Matthew L Costa

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of hand surgery, European volume, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

9 authors.

Justin C WormaldKadoorie Centre for Critical Care Research and Education, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.ORCID 0000-0001-6197-4093
Alexander J BaldwinDepartment of Burns and Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, UK.
Hayat NadamaDepartment of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.
Abigail ShawDepartment of Plastic Surgery, Salisbury NHS Foundation Trust, Salisbury District Hospital, Odstock, Salisbury, UK.
Ryckie G WadeLeeds Institute for Medical Research, University of Leeds, Leeds, UK.
Dani Prieto-AlhambraBotnar Institute for Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.
Jonathan A CookBotnar Institute for Musculoskeletal Sciences, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.
Jeremy N RodriguesWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry and Department of Plastic Surgery, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Matthew L CostaKadoorie Centre for Critical Care Research and Education, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical site infection is the most common healthcare-associated infection. Surgical site infection after surgery for hand trauma is associated with increased antibiotic prescribing, re-operation, hospital readmission and delayed rehabilitation, and in severe cases may lead to amputation. As the risk of surgical site infection after surgery for hand trauma remains unclear, we performed a systematic review and meta-analysis of all primary studies of hand trauma surgery, including randomized controlled trials, cohort studies, case-control studies and case series. A total of 8836 abstracts were screened, and 201 full studies with 315,618 patients included. The meta-analysis showed a 10% risk of surgical site infection in randomized control trials, with an overall risk of 5% when all studies were included. These summary statistics can be used clinically for informed consent and shared decision making, and for power calculations for future clinical trials of antimicrobial interventions in hand trauma.

Indexed as

Hand InjuriesSurgical Wound InfectionAmputation, SurgicalAnti-Bacterial AgentsCase-Control StudiesHumansAnti-Bacterial AgentsHand surgeryinfectionsystematic reviewtrauma

Identifiers

PMID37606593
PMCPMC10616993

What OpenQuestion holds

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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.