Evidence map›Paper›PMID 37906293›Full record

ArticlePediatric surgery international2023

Regular epilation alone is an acceptable treatment for symptom-free pilonidal patients.

Madeline Adams, Claire Abrajano, Kyla Santos Dalusag, Thomas Hui, Wendy Su, Claudia Mueller, Julie Fuchs, Bill Chiu

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In one paragraph

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

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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 at 1 institution in 1 country.

Madeline AdamsDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Claire AbrajanoDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Kyla Santos DalusagDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Thomas HuiDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Wendy SuDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Claudia MuellerDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Julie FuchsDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA.
Bill ChiuDepartment of Surgery, Stanford University, 453 Quarry Road, Palo Alto, CA, 94304, USA. bhsc@stanford.edu.
Stanford University · US

Funding

School of Medicine, Stanford University Department of Surgery Seed Grant Funding for research
6 · The paper itself

Abstract

introductionPatients with mild pilonidal disease often experience symptom resolution without excision. We hypothesized that treating symptom-free/asymptomatic pilonidal patients with regular epilation alone had similar recurrence rate as patients who were also treated surgically.

methodPatient data were prospectively collected 2/2019-11/2022 at our Pilonidal Clinic. All patients received regular epilation; all patients presented before 12/2020 also underwent pit excision using trephines. Starting 1/2021, only symptomatic patients underwent pit excision; symptom-free patients at presentation received only regular epilation. Recurrence rates were statistically analyzed.

results255 patients (male:54.4%, female:45.6%), median age 17.3years (IQR:15.8-19.1) were followed for median 612.5days (IQR:367.5-847). 44.1% identified as Hispanic, 36.5% Caucasian, 17.1% Asian, 2.4% Black. Median symptom duration at presentation was 180.5days (IQR:44.5-542.5). 160 patients were initially treated with surgical excision and regular epilation, while 95 patients with regular epilation only. The failure rate between patients who received surgical excision initially and recurred (9.4%) and patients who received epilation only and recurred (12.6%) was similar, after controlling for sex, race, age, comorbidities, skin type, hair color, hair thickness (p > 0.05). Patients who recurred after only undergoing regular epilation all underwent surgical excision, median 100days (IQR:59.5-123.5) after initial presentation.

conclusionRegular epilation alone is an acceptable treatment for symptom-free pilonidal patients.

Indexed as

Hair RemovalPilonidal SinusAdolescentAmbulatory Care FacilitiesFemaleHumansMaleRecurrenceTreatment OutcomeEpilation TherapyNon-operative managementPilonidal DiseasePit excision

Identifiers

PMID37906293
OpenAlexW4388042158

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.