Evidence map›Paper›PMID 37805527›Full record

Trial reportBMC musculoskeletal disorders2023

Hemostatic effect and safety evaluation of oxidized regenerated cellulose in total knee arthroplasty- a randomized controlledtrial.

Bowei Li, Wenjie Pan, Xiaobo Sun, Kai Qin, Guoyang Bai, Huanli Bao, Yuanchi Huang, Jianbing Ma

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Effectiveness and Safety of Oxidized Regenerated Cellulose for Hemostasis in Joint Arthroplasty: A Systematic Review and Meta-Analysis.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. [Progress in application of medical absorbable haemostatic materials for haemostasis in orthopaedic surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  14. Review
  15. Article
  16. Article
  17. Safety and Efficacy of a Novel Hemostatic Powder in Total Knee Arthroplasty.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

8 authors at 2 institutions in 1 country.

Bowei Li *Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Wenjie Pan *Department of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Xiaobo SunDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Kai QinDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Guoyang BaiDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Huanli BaoDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China.
Yuanchi HuangDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China. Huangychell@163.com.
Jianbing MaDepartment of Knee Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, 555 East Friendship Road, South Gate, Xi'an, 710054, Shaanxi Province, China. HonghuiDrMa@163.com.
Xi'an Honghui Hospital · CNXi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxidized regenerated cellulose (ORC) is a type of biodegradable hemostatic material, which has been widely used in the field of surgery. However, its hemostatic effect in patients undergoing total knee arthroplasty (TKA) is uncertain. Accordingly, this study investigated the effectiveness and safety of ORC in patients receiving TKA.

methodsSeventy patients undergoing unilateral TKA were randomized into blank control group and ORC (2 pieces of ORC placed in the joint cavity) groups. Then, the two groups were compared for primary (perioperative blood loss [total blood loss, intraoperative blood loss, and hidden blood loss] and hemoglobin drop values) and secondary (coagulation indicators, inflammatory indicators,operation time, and complication rates) outcomes.

resultsThe total blood loss in the ORC group was 902.32 ± 307.82 mL, which was statistically significantly lower than that in the control group (1052.25 ± 308.44 mL) (P < 0.05). Postoperative hidden blood loss was also statistically markedly lower in the ORC group (801.61 ± 298.80 mL) than in the control group (949.96 ± 297.59 mL) (P < 0.05). There was no significant difference between the two groups in terms of coagulation indicators, inflammatory indicators, operation time, and complication rates.

conclusionIn conclusion, our prospective RCT study proved that regenerated oxidized cellulose can be used safely in vivo and can effectively reduce postoperative blood loss in patients, which is a potential method for preventing blood loss after TKA.

trial registrationThis prospective RCT was reviewed and approved by the Ethics Committee of Honghui Hospital of Xi'an Jiaotong University (No: 202,211,007) and was designed and conducted according to the rules of the Declaration of Helsinki. Written informed consent was obtained from patients or their legal guardians.

Indexed as

Arthroplasty, Replacement, KneeCellulose, OxidizedHemostaticsBlood Loss, SurgicalCelluloseHumansPostoperative HemorrhageProspective StudiesCelluloseCellulose, OxidizedHemostaticsrayon, purifiedHidden blood lossOxidized regenerated celluloseSafetyTotal blood lossTotal knee arthroplasty

Identifiers

PMID37805527
PMCPMC10559430
OpenAlexW4387429275

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.