Evidence map›Paper›PMID 40682415›Full record

ArticleHand (New York, N.Y.)2026

Safety and Cost-Effectiveness of In-Office Digital Mucous Cyst Excisions.

Philip Femano, Skyler King, Adam Hoffman, Michael R McDermott, H Brent Bamberger

Abstract read
In one paragraph

Article in Hand (New York, N.Y.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Philip FemanoKettering Health Dayton, OH, USA.
Skyler KingKettering Health Dayton, OH, USA.
Adam HoffmanKettering Health Dayton, OH, USA.
Michael R McDermottKettering Health Dayton, OH, USA.ORCID 0000-0003-3488-2614
H Brent BambergerKettering Health Dayton, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital mucous cysts are a common lesion of the distal interphalangeal joint that can be treated nonoperatively with steroid injections and aspirations. Those who fail conservative treatment may undergo surgical removal of the cyst in the operating room; however, with rising health care costs, there has been a trend toward in-office-based hand surgery. This study examines the effectiveness, safety, and cost-effectiveness of performing this excision in the office.

methodsA retrospective cohort of consecutive patients who underwent in-office digital mucous cyst excision was established. Patient demographics, perioperative symptoms, and outcomes were recorded to examine the success rate of office-based cyst removal and characterize the postoperative infection/complication rate.

resultsSixty-seven patients underwent in-office cyst removal with a 95.5% success rate, with 3 patients having cyst recurrence. Full resolution of symptoms was seen in 89.4% of patients by 2 weeks and 100% by 12 weeks postoperation. There were 7 postoperative infections (10.4%), 6 of which were superficial and resolved with oral antibiotics. There was one deep infection that resolved following operative irrigation and debridement. There was no significant relationship between the use of perioperative antibiotics and postoperative infection. There was a significant relationship between the presence of medical comorbidities and the development of postoperative infection (

conclusionsIn-office excision is a cost-effective, safe, and successful option for treating digital mucous cysts, demonstrating a low rate of recurrence, infection, and persistent symptoms.Type of Study/Study level: Retrospective Cohort, Level III evidence.

Indexed as

Ambulatory Surgical ProceduresCystsFinger JointAdultAgedCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeYoung Adultanatomycysthandmucoidmucousofficesafetyspecialtysurgery

Identifiers

PMID40682415
PMCPMC12276199

What OpenQuestion holds

Textmetadata
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.