Evidence map›Paper›PMID 30048322›Full record

Trial reportAnnals of surgery2018

Reduced Postburn Hypertrophic Scarring and Improved Physical Recovery With Yearlong Administration of Oxandrolone and Propranolol.

David Herndon, Karel D Capek, Evan Ross, Jayson W Jay, Anesh Prasai, Amina El Ayadi, Guillermo Foncerrada-Ortega, Elizabeth Blears, Christian Sommerhalder, Kara McMullen and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% of its field
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Cutaneous Thermal Injury Modulates Blood and Skin Metabolomes Differently in a Murine Model.Journal of burn care & research : official publication of the American Burn Association · 2021
    Article
  9. "Living Well" After Burn Injury: Using Case Reports to Illustrate Significant Contributions From the Burn Model System Research Program.Journal of burn care & research : official publication of the American Burn Association · 2021
    Review
  10. Article
  11. Transient Improvement in Erythropoiesis Is Achieved Via the Chaperone AHSP With Early Administration of Propranolol in Burn Patients.Journal of burn care & research : official publication of the American Burn Association · 2021
    Article
  12. Standards in Biologic Lesions: Cutaneous Thermal Injury and Inhalation Injury Working Group 2018 Meeting Proceedings.Journal of burn care & research : official publication of the American Burn Association · 2020
    Article
  13. Review
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

18 authors at 3 institutions in 2 countries.

David HerndonDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Karel D CapekDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Evan RossDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Jayson W JayShriners Hospitals for Children - Galveston, Galveston, TX.
Anesh PrasaiDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Amina El AyadiDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Guillermo Foncerrada-OrtegaDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Elizabeth BlearsDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Christian SommerhalderDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Kara McMullenDepartment of Rehabilitation Medicine, The University of Washington, Seattle, WA.
Dagmar AmtmannDepartment of Rehabilitation Medicine, The University of Washington, Seattle, WA.
Robert CoxShriners Hospitals for Children - Galveston, Galveston, TX.
Gabriel HundeshagenDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Kristofer JenningsDepartment of Preventative Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX.
Linda E SousseDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Oscar E SumanDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
Walter J MeyerDepartment of Psychiatry and Behavioral Science, The University of Texas Medical Branch, Galveston, TX.
Celeste C FinnertyDepartment of Surgery, The University of Texas Medical Branch, Galveston, TX.
The University of Texas Medical Branch at Galveston · USShriners Hospitals for Children - Galveston · USUniversity of Washington · US

Funding

Project 9: The role of androgen/corticosteroid in fat, muscle and glucose metabolism of burn victimsP50GM060338 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI HERNDON, DAVID N. · 2000 to 2017
$24.2M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
MODULATION OF THE POSTBURN HYPERMETABOLIC RESPONSER01GM056687 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI HERNDON, DAVID N. · 1998 to 2017
$9.0M
Oxandrolone and Exercise: A potent therapy in the rehabilitation from burnsR01HD049471 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI SUMAN-VEJAS, OSCAR E. · 2006 to 2019
$5.8M
POSTDOCTORAL TRAINING IN TRAUMA &BURNST32GM008256 · NIGMS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI Celeste Campbell Finnerty, Oscar E. Suman-Vejas · 1990 to 2026
$4.0M
Effects of Chronic Catecholamine Exposure on Post-burn ScarringR01GM112936 · NIGMS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI FINNERTY, CELESTE CAMPBELL · 2015 to 2019
$1.8M
NCATS NIH HHS UL1 TR000071NICHD NIH HHS R01 HD049471NIGMS NIH HHS P50 GM060338NIGMS NIH HHS R01 GM056687NIGMS NIH HHS R01 GM112936NIGMS NIH HHS T32 GM008256
6 · The paper itself

Abstract

backgroundMassive burns induce a hypermetabolic response that leads to total body wasting and impaired physical and psychosocial recovery. The administration of propranolol or oxandrolone positively affects postburn metabolism and growth. The combined administration of oxandrolone and propranolol (OxProp) for 1 year restores growth in children with large burns. Here, we investigated whether the combined administration of OxProp for 1 year would reduce scarring and improve quality of life compared with control. STUDY

designChildren with large burns (n = 480) were enrolled into this institutional review board-approved study; patients were randomized to control (n = 226) or administration of OxProp (n = 126) for 1 year postburn. Assessments were conducted at discharge and 6, 12, and 24 months postburn. Scar biopsies were obtained for histology. Physical scar assessments and patient reported outcome measures of physical and psychosocial function were obtained.

resultsReductions in cellularity, vascular structures, inflammation, and abnormal collagen (P < 0.05) occurred in OxProp-treated scars. With OxProp, scar severity was attenuated and pliability increased (both P < 0.05). Analyses of patient-reported outcomes showed improved general and emotional health within the OxProp-treated group (P < 0.05).

conclusionsHere, we have shown improvements in objective and subjective measures of scarring and an increase in overall patient-reported physical function. The combined administration of OxProp for up to a year after burn injury should be considered for the reduction of postburn scarring and improvement of long-term psychosocial outcomes in children with massive burns.

Indexed as

AdolescentAnabolic AgentsBiomarkersBiopsyBurnsChildCicatrix, HypertrophicDouble-Blind MethodDrug Administration ScheduleDrug CombinationsFemaleHumansImmunoenzyme TechniquesMaleOxandrolonePropranololAnabolic AgentsBiomarkersDrug CombinationsOxandrolonePropranololVasodilator Agents

Identifiers

PMID30048322
PMCPMC6478032
OpenAlexW2883672519

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.