Evidence map›Paper›PMID 39401977›Full record

SynthesisInternational wound journal2024

Biodegradable Temporising matrix in the reconstruction of complex wounds: A systematic review and meta-analysis.

George Lane, Niall James Fitzpatrick, Olga Kastritsi, Georgios Matzakanis, Fatima Braimah, Mohamad Nazmi M Nordin, Ayobami Asaju, Fouad Tariq Aziz, Shafiq Rahman, Rebecca Rollett

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International wound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

George LaneLeeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID https://orcid.org/0000-0002-9555-617X
Niall James FitzpatrickManchester University NHS Foundation Trust, Manchester, UK.
Olga KastritsiUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.
Georgios MatzakanisOxford University Hospitals NHS Trust, Oxford, UK.
Fatima BraimahSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Mohamad Nazmi M NordinLondon North West University Healthcare NHS Trust, Harrow, UK.
Ayobami AsajuUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Fouad Tariq AzizLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Shafiq RahmanLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Rebecca RollettLeeds Teaching Hospitals NHS Trust, Leeds, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy of biodegradable temporising matrix (BTM) in complex wound reconstruction.

methodsThe authors conducted a systematic review and meta-analysis as per the preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines following a literature search assessing BTM in complex wound reconstruction. The primary outcome measures included the proportion of BTM integration as well as integration time. Secondary outcomes included graft take over BTM, infection rate and other complications as well as scar outcome.

resultsTwenty six studies met the inclusion criteria with a total of 1153 complex wounds. The mean proportional integration was 92.7% at (95% confidence intervals [CI] 88.57, 96.87, p < 0.001) with a mean integration time of 34.05 days (95% CI 33.33, 34.79, p < 0.001). The infection rate was low at 12.6% with an untransformed proportion metric assessment (0.126, 0.08-0.168, p < 0.001) at the site of BTM application. Favourable scar outcomes were reported using the matching assessment using photographs with scars (MAPS) and patient and observer scar assessment scales (POSAS).

conclusionBTM offers a robust dermal template in reconstruction of complex wounds. The authors recommend for randomised controlled trials to enhance the current evidence base.

Indexed as

Plastic Surgery ProceduresWound HealingWounds and InjuriesAbsorbable ImplantsHumansbiodegradable temporising matrixcomplex wounddermal substitute

Identifiers

PMID39401977
PMCPMC11473194

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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.