Evidence map›Paper›PMID 39711936›Full record

ReviewCureus2024

The Efficacy of Biodegradable Temporising Matrix for Upper Limb Reconstruction: A Systematic Review and Meta-Analysis.

Mariana Kostova, Thomas D Alexander, Martha De La Cruz Monroy, Himani Murdeshwar, Haris Duvnjak, Harriet C McCance, Ibrahim Natalwala, Shafiq Rahman, Lauren-Jane Fredericks-Bowyer

Abstract readReview
In one paragraph

Review in Cureus, 2024. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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.

Mariana KostovaOtolaryngology, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Thomas D AlexanderOtolaryngology, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, GBR.
Martha De La Cruz MonroyPlastic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Himani MurdeshwarSurgery, Barts Health NHS Trust, London, GBR.
Haris DuvnjakOtolaryngology, Wrexham Maelor Hospital, Wrexham, GBR.
Harriet C McCancePlastic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Ibrahim NatalwalaPlastic Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Shafiq RahmanPlastic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.
Lauren-Jane Fredericks-BowyerPlastic Surgery, Nottingham University Hospitals NHS Trust, Nottingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this systematic review and meta-analysis is to assess the efficacy of the biodegradable temporising matrix (BTM) (NovoSorb; PolyNovo Biomaterials Pty Ltd, Port Melbourne, Victoria, Australia) in the reconstruction of complex upper extremity wounds. The authors conducted a systematic review and meta-analysis as per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines assessing the efficacy of BTM in complex upper extremity wound reconstruction. The primary outcome measures were successful BTM integration and the proportion of wounds healed. Secondary outcomes analysed were the average time from BTM application to its integration, the proportion of wounds healed by secondary intention, graft take over BTM, as well as the incidence of infection. The rate of complications as well as scarring and outcomes in upper limb function were also evaluated. The inclusion criteria were met by 12 studies consisting of 164 complex upper extremity wounds. Successful BTM integration was reported in 92.1% (p<0.001) of cases, coupled with wound healing achieved in 90% (p<0.001) of cases overall. The average time to integration for BTM was 37.37 days (p<0.001). The average infection rate for upper extremity wounds with BTM application was 8.5% (p<0.001). Satisfactory scarring and functional outcomes were reported in the majority of the studies. The authors conclude that BTM offers good wound healing outcomes for upper extremity reconstruction. The studies analysed indicate good graft take rates and a low infection incidence; however, further prospective randomised studies are required to support the efficacy of BTM compared to other dermal matrices.

Indexed as

biodegradable temporizing matrixbtmcomplex upper extremity wounddermal regeneration matrixdermal substitute

Identifiers

PMID39711936
PMCPMC11661895

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.