Evidence map›Paper›PMID 40849479›Full record

Observational studyBMC surgery2025

Retrospective study comparing three approaches for keloids: surgery + radiotherapy, surgery + pharmacological injection, and surgery alone.

ShengHua Chen, Xu Mu, Lin Zhang, Wei Liu, YuYang Han, Hanhua Li, Wen Lai, Zhifeng Huang

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

ShengHua Chen *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy Medical Sciences, Guangzhou, Guangdong, 510100, China.
Xu Mu *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy Medical Sciences, Guangzhou, Guangdong, 510100, China.
Lin Zhang *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy Medical Sciences, Guangzhou, Guangdong, 510100, China.
Wei LiuThe First Clinical College of Guangzhou Medical University, Guangzhou, Guangdong, 511436, China.
YuYang HanGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy Medical Sciences, Guangzhou, Guangdong, 510100, China.
Hanhua LiDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, Guangdong, 510080, China.
Wen LaiDepartment of Burns and Wound Repair Surgery, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, Guangdong, 510080, China.
Zhifeng HuangGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy Medical Sciences, Guangzhou, Guangdong, 510100, China. 13802938068@139.com.

Funding

Key Project of Guangdong Basic and Applied Basic Reserch foundation 2020B1515120088
6 · The paper itself

Abstract

objectiveTo investigate the differential efficacy of various treatment modalities adjunct to surgical excision of keloids and to analyze prognostic factors influencing outcomes. METHODOLOGY: A retrospective observational study approach was employed. Clinical data from 121 patients with keloids who met the inclusion criteria were collected for analysis of clinical characteristics and evaluation of treatment efficacy. The patients were categorized into three groups based on the adjuvant treatment modalities utilized post-surgical excision of keloids: surgical + radiotherapy group (group A), surgical + radiotherapy + pharmacological injection group (group B), and surgical group (group C). Factors potentially influencing treatment outcomes-such as treatment modality, gender, age, lesion distribution, lesion size, duration of the condition, and prior treatments-were subjected to a statistical analysis. Significant risk factors were identified through univariate analysis.

resultsThe efficacy rates for group A, group B, and group C were 93.88%, 87.04%, and 55.56%, respectively. Statistical analysis indicated that age and treatment modality were significant risk factors for recurrence.

conclusionThe application of radiotherapy post-surgery, or a combination of radiotherapy and pharmacological injections postoperatively, has been demonstrated to significantly reduce the recurrence rate of keloids. Conversely, the efficacy of treatments that solely rely on surgery is comparatively lower. For elderly patients, early intervention upon the manifestation of clinical symptoms is strongly advocated, with a preference for adjunctive postoperative radiotherapy to mitigate the risk of recurrence.

Indexed as

KeloidAdolescentAdultAgedCombined Modality TherapyFemaleHumansInjections, IntralesionalMaleMiddle AgedRadiotherapy, AdjuvantRetrospective StudiesRisk FactorsTreatment OutcomeYoung AdultKeloidRadiation therapyRisk factorsSurgery

Identifiers

PMID40849479
PMCPMC12374272

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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.