Evidence map›Paper›PMID 38322814›Full record

ArticlePlastic and reconstructive surgery. Global open2024

Association of Perioperative Antibiotics with the Prevention of Postoperative Fistula after Cleft Palate Repair.

Alex Davies, Amy Davies, Barry Main, Yvonne Wren, Scott Deacon, Alistair Cobb, Neil McLean, David David, Shaheel Chummun

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. 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
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

Alex DaviesFrom the South West Cleft Service, Bristol Dental Hospital, Bristol, United Kingdom.
Amy DaviesThe Cleft Collective, Bristol Dental School, University of Bristol, Bristol, United Kingdom.
Barry MainBristol Dental School, University of Bristol, Bristol, United Kingdom.
Yvonne WrenThe Cleft Collective, Bristol Dental School, University of Bristol, Bristol, United Kingdom.
Scott DeaconFrom the South West Cleft Service, Bristol Dental Hospital, Bristol, United Kingdom.
Alistair CobbFrom the South West Cleft Service, Bristol Dental Hospital, Bristol, United Kingdom.
Neil McLeanCraniofacial Australia, North Adelaide, Australia.
David DavidCraniofacial Australia, North Adelaide, Australia.
Shaheel ChummunFrom the South West Cleft Service, Bristol Dental Hospital, Bristol, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is debate amongst surgeons regarding the use of antibiotics to prevent fistulae after palatoplasty. Prescribing should be evidence based, as antibiotic stewardship is integral to reducing antibiotic resistance. Our aim was to determine whether differing perioperative regimens affect the prevalence of postoperative fistulae. Methods: The sample comprised participants from the Cleft Collective who had undergone palatoplasty. Participants were recruited across all 16 UK cleft centers between 2013 and 2021. The exposure was perioperative antibiotic regimen prescribed at the time of palatoplasty. The primary outcome was the presence of palatal fistula. Results: Fistula data were available for 167 participants when exploring antibiotic regimen and for 159 when exploring antibiotic agent. There was no evidence to suggest a difference in fistula rate between those receiving antibiotics on induction only versus as an inpatient or up to 7 days postoperatively (χ Conclusions: The choice of antibiotic and dosing regimen does not influence the formation of postoperative fistulae. These results should be supported by interventional trials.

Identifiers

PMID38322814
PMCPMC10846777

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.