Evidence map›Paper›PMID 41748745›Full record

Observational studyInternational journal of colorectal disease2026

Effectiveness and safety of 3% polidocanol foam sclerotherapy in hemorrhoidal disease: a multicenter, prospective study.

Zhitong Yu, Tianyu Zhou, Yongduo Yu, Xuegui Tang, Shuxin Zhang, Lin Peng, Zhiming Ge, Zhongan Guan, Xiangan Zhang, Yuedong Liu and 8 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in International journal of colorectal disease, 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

5 · Who and what money

Authors and funding

18 authors.

Zhitong YuLiaoning University of Traditional Chinese Medicine, Shenyang, China.ORCID http://orcid.org/0009-0003-5209-2066
Tianyu ZhouLiaoning University of Traditional Chinese Medicine, Shenyang, China.ORCID http://orcid.org/0000-0001-5862-5917
Yongduo YuThe Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, No. 60, Huanghe North Avenue, Yuhong District, Shenyang, Liaoning, China. yuyongduo@163.com.
Xuegui TangIntegrative Chinese and Western Medicine Anorectal Department, Affiliated Hospital of North Sichuan Medical College, Sichuan, China.
Shuxin ZhangDepartment of Anorectum, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, China.
Lin PengAnorectal Department, Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan, Guang Dong, China.
Zhiming GeProctology Department, Yinchuan Traditional Chinese Medicine Hospital, Ningxia, China.
Zhongan GuanDepartment of Anorectal, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong, China.
Xiangan ZhangThe First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Henan, China.
Yuedong LiuDepartment of Proctology, Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning, China.
XiaoJun SunDepartment of Colorectal Surgery, Qinghai Provincial Hospital of Traditional Chinese Medicine, Xining, Qinghai, China.
Yue XuChongqing Traditional Chinese Medicine Hospital, Chongqing, China.
Wei YangDepartment of Proctology, Shanghai University of Traditional Chinese Medicine Shuguang Hospital, Shanghai, China.
Rong WangColorectal Department, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning, China.
Xiangdang HuThe Second Affiliated Hospital of Hunan University of Chinese Medicine, Hunan, China.
Jihua GaoDepartment of Anorectal, Hebei Provincial Hospital of Chinese Medicine, Hebei, China.
Shiyong XinDepartment of Anorectum, The Second Affiliated Hospital of Liaoning University of Chinese Medicine, Shenyang, Liaoning, China.
Xiaojian LiLiaoning University of Traditional Chinese Medicine, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the effectiveness and safety of 3% polidocanol foam sclerotherapy (PFS) injection under anoscopy in the treatment of hemorrhoidal disease (HD) compared with rubber band ligation (RBL).

methodThis was a multicenter, open-label, prospective, observational study that enrolled 222 patients with Goligher grade I, II, or III HD (internal or mixed), who were treated with 3% PFS or RBL, which depended on the physician's assessment and the patient's willingness. The primary endpoint was the clinical cure rate under anoscopy and clinical symptoms assessment at 4 weeks post-treatment.

resultsA total of 222 patients from 14 centers participated in the study, with 127 patients receiving PFS and 95 patients receiving RBL. Among the effectiveness analysis set (EAS), the clinical cure rate was 74.19% (69/93) in the PFS group and 83.13% (69/83) in the RBL group (P > 0.05). The PFS group showed quicker and better improvement in hemorrhage score post-treatment than the RBL group, with the mean (SD) changes from baseline in hemorrhage score of the two groups (P < 0.001) at 1, 4, and 12 weeks being -3.44 (1.99) vs. -1.70 (2.19), -3.85 (1.80) vs. -2.75 (2.02), and -3.81 (1.84) vs. -2.89 (2.10), respectively. The incidences of adverse events (AEs) were 2.36% (3/127) in the PFS group and 3.16% (3/95) in the RBL group, respectively, and no serious adverse events (SAEs) occurred in both groups.

conclusionPatients treated with PFS showed similar effectiveness and safety as those treated with RBL under anoscopy, and a quick improvement trend in hemorrhage score post-treatment was observed in patients treated with PFS, but it needs further verification.

trial registrationThis study has been registered on the website of Chinese Clinical Trial Registry ( https://www.chictr.org.cn/ ), registration number: ChiCTR2200060325.

Indexed as

HemorrhoidsPolidocanolPolyethylene GlycolsSclerosing SolutionsSclerotherapyAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomePolidocanolPolyethylene GlycolsSclerosing SolutionsHemorrhage scoreInternal HDMixed HDPolidocanolRBL

Identifiers

PMID41748745
PMCPMC12946293

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.