Evidence map›Paper›PMID 38552641›Full record

Trial reportEuropean journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie2024

A Study of Safety and Effectiveness of Evicel Fibrin Sealant as an Adjunctive Hemostat in Pediatric Surgery.

Simon Kenny, Hany Gabra, Nigel J Hall, Helene Flageole, Bogdan Illie, Ellie Barnett, Richard Kocharian, Khalid Sharif

Open access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase IIIComparative Study
In one paragraph

Trial report in European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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 4 institutions in 2 countries.

Simon KennyDepartment of Paediatric Surgery, Alder Hey Children's Hospital, Liverpool, Merseyside, United Kingdom of Great Britain and Northern Ireland.
Hany GabraDepartment of Children's Surgery, Great North Children's Hospital, Newcastle Upon Tyne, United Kingdom of Great Britain and Northern Ireland.
Nigel J HallDepartment of Neonatal and Paediatric Surgery, Southampton Children's Hospital, Southampton.
Helene FlageoleUnited Kingdom of Great Britain and Northern Ireland.
Bogdan IllieDepartment of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Ellie BarnettDepartment of Scientific Affairs, Ethicon Inc, Raritan, New Jersey, United States.
Richard KocharianDepartment of Pediatric Surgery, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Khalid SharifDepartment of Scientific Affairs, Ethicon UK, Livingston, United Kingdom of Great Britain and Northern Ireland.
McMaster Children's Hospital · CAGreat North Children's Hospital · GBSouthampton Children's Hospital · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData on the use of fibrin sealants to control intraoperative bleeding in children are scarce. Evicel Fibrin Sealant (Ethicon Inc., Raritan, New Jersey, United States) was found safe and effective in clinical trials of adults undergoing various surgery types. We evaluated the safety and efficacy of Evicel versus Surgicel Absorbable Hemostat (Ethicon Inc.) as adjunctive topical hemostats for mild/moderate raw-surface bleeding in pediatric surgery.

methodsA phase III randomized clinical trial was designed as required by the European Medicines Agency's Evicel Pediatric Investigation Plan: 40 pediatric subjects undergoing abdominal, retroperitoneal, pelvic, or thoracic surgery were randomized to Evicel or Surgicel, to treat intraoperative mild-to-moderate bleeding. Descriptive analyses included time-to-hemostasis and rates of treatment success (4, 7, 10 minutes), intraoperative treatment failure, rebleeding, and thromboembolic events.

resultsForty of 130 screened subjects aged 0.9 to 17 years were randomized 1:1 to Evicel or Surgicel. Surgeries were predominantly open abdominal procedures. The median bleeding area was 4.0 cm

conclusionsIn accordance with adult clinical trials, this randomized study supports the safety and efficacy of Evicel for controlling mild-to-moderate surgical bleeding in a broad range of pediatric surgical procedures.

Indexed as

Blood Loss, SurgicalFibrin Tissue AdhesiveHemostaticsAdolescentCellulose, OxidizedChildChild, PreschoolFemaleHemostasis, SurgicalHumansInfantMaleTreatment OutcomeCellulose, OxidizedFibrin Tissue AdhesiveHemostaticsSurgicel

Identifiers

PMID38552641
PMCPMC11537722
OpenAlexW4393301836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.