Evidence map›Paper›PMID 40747996›Full record

Trial reportJournal of burn care & research : official publication of the American Burn Association2026

Within-Patient, Evaluator-Blinded, Randomized Controlled Clinical Trial to Assess the Efficacy of Gel Sheets in the Treatment of Hypertrophic Scar in Adult Burn Survivors.

Bernadette Nedelec, Zoë Edger-Lacoursière, Valerie Calva, Jakub Sawicki, Elisabeth Marois-Pagé, Stephanie Jean, Geneviève Schneider, Ingrid Malo-Leclerc, Danielle Shashoua, José A Correa

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of burn care & research : official publication of the American Burn Association, 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. Rehabilitation Evaluation and Treatment for Skin Graft Complications of the Genitalia.Journal of burn care & research : official publication of the American Burn Association · 2026
    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

10 authors.

Bernadette NedelecSchool of Physical and Occupational Therapy, McGill University, Montréal, Québec H3A 1A3, Canada.
Zoë Edger-LacoursièreHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.ORCID 0000-0001-5945-6078
Valerie CalvaHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Jakub SawickiHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Elisabeth Marois-PagéHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Stephanie JeanHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Geneviève SchneiderHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Ingrid Malo-LeclercHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
Danielle ShashouaHôpital de réadaptation Villa Medica, Montréal, Québec H2X 1C9, Canada.
José A CorreaDepartment of Mathematics and Statistics, McGill University, Montréal, Québec H3A 0B9, Canada.

Funding

Fondation des pompiers du Québec
6 · The paper itself

Abstract

Gel sheets have been used to treat hypertrophic scars (HSc) since the 1980s, though evidence for their efficacy-especially for burn-related HSc-is limited. This study conducted a randomized, evaluator-blinded trial to assess gel sheets on established burn HSc compared to intra-individual patient-matched control scars receiving usual care. Thirty-six adult burn survivors with 2 similar scars (based on ultrasound thickness > 2.034 mm and erythema index > 300) were enrolled. One scar per person was randomly assigned to receive gel sheets plus usual care, while the other received usual care only, over a 3-month period. Objective measures (thickness, elasticity, erythema, transepidermal water loss [TEWL], and melanin) were taken at baseline, monthly, and 1-month posttreatment. Itch and pain were self-reported, and adherence tracked monthly. An analysis of covariance (ANCOVA) after 3 months of treatment, and at 1-month posttreatment follow-up, controlling for pretreatment values, showed no significant difference between groups for thickness, elasticity, erythema, TEWL, melanin or itch intensity. However, ANCOVA revealed a significant increase in elasticity in the treated scars when only participants who wore the gel sheet over 16 h a day were analyzed. Comparisons of pretreatment to 3 months of all participants, using paired t-tests, showed a significant decrease in thickness and TEWL, and an increase in elasticity in both groups, but no significant change in erythema or melanin of either site. In conclusion, scar thickness, elasticity, and TEWL improved over time in both groups, but there was no significant between-group difference. However, gel sheets may enhance elasticity if worn over 16 h daily.

Indexed as

BurnsCicatrix, HypertrophicAdultElasticityFemaleGelsHumansMaleMiddle AgedSingle-Blind MethodSurvivorsTreatment OutcomeYoung AdultGelsburn injurygel sheetshypertrophic scarrandomized controlled trialrehabilitation

Identifiers

PMID40747996
PMCPMC12770981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.