Evidence map›Paper›PMID 39435560›Full record

SynthesisWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society

Outcomes of dermal substitutes in burns and burn scar reconstruction: A systematic review and meta-analysis.

Anna S van den Bosch, Robin A F Verwilligen, Anouk Pijpe, Eelke Bosma, Cees H van der Vlies, Ymke Lucas, George L Burchell, Paul P M van Zuijlen, Esther Middelkoop, National Burn Care, Education & Research group, The Netherlands

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 5 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

23 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Indications for the use of dermal substitutes in patients with acute burns and in reconstructive surgery after burns: A systematic review.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
  4. Outcomes of dermal substitutes in burns and burn scar reconstruction: A systematic review and meta-analysis.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
  5. Dermal Scaffolds in Complex Extremity Wound Reconstruction: Impact of Early Application on Grafting and Flap Requirements-A Systematic Review.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Pooled it
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  13. Review
  14. Facial Burn Healing With a Polylactic Acid Dermal Matrix: A Case Report on Wound Modulation and Graft-Free Epithelialization.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  15. Observational
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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.

Anna S van den BoschAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.ORCID 0009-0003-0471-537X
Robin A F VerwilligenAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.
Anouk PijpeAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.
Eelke BosmaAlliance of Dutch Burn Care (ADBC), Burn Centre, Martini Hospital, Groningen, The Netherlands.
Cees H van der VliesAlliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands.
Ymke LucasAlliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, The Netherlands.
George L BurchellAmsterdam UMC location Vrije Universiteit Amsterdam, University Library, Amsterdam, The Netherlands.
Paul P M van ZuijlenAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.
Esther MiddelkoopAlliance of Dutch Burn Care (ADBC), Burn Centre, Red Cross Hospital, Beverwijk, The Netherlands.ORCID 0000-0001-8843-1080
National Burn Care, Education & Research group, The Netherlands

Funding

ZonMw 10070022010003
6 · The paper itself

Abstract

Dermal substitutes have been introduced in burn care to improve wound healing outcomes; however, their use remains limited in standard treatments. This systematic review and meta-analysis aimed to evaluate the outcomes of dermal substitutes in patients with burns and patients requiring burn scar reconstruction and subsequently contribute to optimising the integration of dermal substitutes into clinical practice and reducing the knowledge gap. A comprehensive search across various databases included human studies from peer-reviewed journals on dermal substitutes for deep dermal and full-thickness burns, and scar reconstruction across all ages. Data from comparative trials were extracted, focusing on patient and wound characteristics, treatment specifics, and outcomes related to wound healing and scar quality. Meta-analysis was performed on trials reporting similar post-burn measures, with statistical heterogeneity assessed. Outcomes were presented using mean differences or odds ratios with 95% confidence intervals. A total of 31 comparative trials were included. The overall quality of the studies was considered moderate. The meta-analysis indicated delayed re-epithelialization 4-7 days after treatment with a collagen-elastin matrix compared to split-thickness skin graft in acute burns (-7.30%, p = 0.02). Significant improvement in subjective scar quality was observed with acellular dermal matrix compared to split-thickness skin graft in acute burn wounds 6 months post-operative (-1.95, p <0.01). While acknowledging the initially delayed wound healing, incorporating dermal substitutes into the surgical treatment of burn patients holds promise for enhancing scar quality. However, future research must prioritise outcome measure uniformity, address variations in dermal substitute application, and standardise indications for consistent and effective practices.

Indexed as

BurnsCicatrixPlastic Surgery ProceduresHumansRe-EpithelializationSkin, ArtificialSkin TransplantationTreatment OutcomeWound Healingburn reconstructionburnsdermal substitutesmeta‐analysissurgerysystematic reviewtissue engineering

Identifiers

PMID39435560
PMCPMC11584356

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.