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Trial registered on ANZCTR
Registration number
ACTRN12619001148167
Ethics application status
Approved
Date submitted
31/05/2019
Date registered
16/08/2019
Date last updated
2/11/2021
Date data sharing statement initially provided
16/08/2019
Date results provided
2/11/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Paediatric Donor Site Wounds in Australasia
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Scientific title
Survey of beliefs and practices regarding the donor site wound in paediatric split-thickness skin grafts
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Secondary ID [1]
298385
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None
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Universal Trial Number (UTN)
U1111-1234-5259
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Burns
313068
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Paediatric skin grafts
313069
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Donor site wound
313070
0
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Condition category
Condition code
Surgery
311557
311557
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0
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Surgical techniques
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Injuries and Accidents
311558
311558
0
0
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Burns
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Survey of Australasian surgeons performing split-thickness skin grafts in children with burn injuries - to determine their practices and beliefs.
Survey is study-specific.
Single survey only for each respondent.
Testing has demonstrated survey can be completed in 5-7 minutes.
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Intervention code [1]
314628
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Not applicable
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Comparator / control treatment
Some survey questions are replicated from a previously published survey (Lyall PW, Sinclair SW. Australasian survey of split skin donor site dressings. Australian and New Zealand Journal of Surgery 2000;70(2):114–6.).
Other questions are specific to this survey and therefore there is no control or comparator group.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
320265
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Benchmark current practice regarding treatment of the donor site wound in children. This will be done via a study specific survey - each site will specify their standard treatments of the donor site wound. This may be surgeon specific, or it may be site specific.
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Assessment method [1]
320265
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Timepoint [1]
320265
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Primary timepoint is time when survey is completed.
Data collection will close 3/12 from surveys first being sent out to potential respondents.
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Secondary outcome [1]
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1. To determine whether there are differences in practice, determined by geography (Australia vs New Zealand, state differences)
Assessed via the study specific survey
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Assessment method [1]
371037
0
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Timepoint [1]
371037
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Three months from opening of survey
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Secondary outcome [2]
371038
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To determine if there have been appreciable changes since a similar survey was done in Australia
Assessed via the study specific survey, and comparing those results to Lyall's previously published data.
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Assessment method [2]
371038
0
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Timepoint [2]
371038
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Three months from opening of survey
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Secondary outcome [3]
373635
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To determine whether there are differences in practice, determined by experience (years since Fellowship, practices of peers, number treated annually)
Assessed via the study specific survey.
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Assessment method [3]
373635
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Timepoint [3]
373635
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Three months from opening of survey
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Secondary outcome [4]
373636
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To determine whether there are differences in practice, determined by type of practice (paediatric only vs mixed adult and children)
Assessed via the study specific survey
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Assessment method [4]
373636
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Timepoint [4]
373636
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Three months from opening of survey
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Eligibility
Key inclusion criteria
1. Consultant surgeon
2. Working in a burns unit
3. Treating children with burns
4. Creating donor site wounds for STSG
5. Working in Australia or New Zealand
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Nil, covered above in inclusion criteria
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
A detailed data analysis plan will be prepared prior to analysis. Data will be audited, cleaned and locked prior to final analysis. Names will be deleted and data analysed in aggregate only.
Subgroup analyses, as per the secondary outcomes of interest, will include the following co-variates:
• Geography (Australia vs New Zealand, state differences)
• Experience (years since Fellowship, practices of peers, number treated annually)
• Type of practice (paediatric only vs mixed adult and children)
It is unlikely data will be normally distributed, therefore non-parametric analyses will be used. Tests will be two-tailed, and a p value of 0.05 will be deemed significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2019
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Actual
20/11/2019
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Date of last participant enrolment
Anticipated
1/12/2019
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Actual
14/12/2019
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Date of last data collection
Anticipated
1/12/2019
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Actual
14/12/2019
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Sample size
Target
70
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Recruitment hospital [1]
13883
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Queensland Children's Hospital - South Brisbane
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Recruitment postcode(s) [1]
26655
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4101 - South Brisbane
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Recruitment outside Australia
Country [1]
21543
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New Zealand
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State/province [1]
21543
0
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Funding & Sponsors
Funding source category [1]
302921
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Self funded/Unfunded
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Name [1]
302921
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Address [1]
302921
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Country [1]
302921
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Primary sponsor type
Hospital
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Name
Pegg Leditschke Children's Burns Centre, Queensland Children's Hospital
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Address
Queensland Children's Hospital
501 Stanley Street
South Brisbane
Qld 4101
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Country
Australia
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Secondary sponsor category [1]
302885
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None
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Name [1]
302885
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Address [1]
302885
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Country [1]
302885
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303490
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Children's Health Queensland Human Research Ethics Committee
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Ethics committee address [1]
303490
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Level 7 Centre for Children's Health Research Children's Health Queensland 62 Graham Street South Brisbane Qld 4101
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Ethics committee country [1]
303490
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Australia
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Date submitted for ethics approval [1]
303490
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30/05/2019
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Approval date [1]
303490
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06/06/2019
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Ethics approval number [1]
303490
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LNR/18/QCHQ/55654
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Summary
Brief summary
The donor site wound (DSW) in paediatric split-thickness skin grafts (STSG) is an often-overlooked area of wound management; with most attention typically on the STSG itself rather than the iatrogenic DSW. This survey seeks to determine the opinions and practices of burns surgeons in Australia and New Zealand, with respect to their treatment of the donor site wound in children as a consequence of skin grafting. To some degree this has been done before, by Australasian Plastic Surgeon Patrick Lyall. [1] A similar survey, though with different questions, was carried out in the United Kingdom (UK) in 2012. [2] Properties of an ‘ideal’ DSW dressing have been investigated at a world level by survey of practising clinicians. [3] While this survey had a small number of respondents only, most agreed an ‘ideal’ DSW dressing did not currently exist. Desirable qualities included lack of adhesion to the wound bed, pain-free dressing changes, absorbency, and ease of removal. This study forms part of the PhD thesis of the primary investigator. It is part of a suite of publications in the field of paediatric donor site wounds. [4-7] The study is an electronic survey of Australasian Burns Surgeons practising in centres treating children with burns. [1] Lyall PW, Sinclair SW. Australasian survey of split skin graft donor site dressings. Aust N Z J Surg 2000;70:114–6. [2] Geary PM, Tiernan E. Management of Split Skin Graft Donor Sites–Results of a National Survey. Clinics in Plastic Surgery 2012;39:77–84. doi:10.1016/j.cps.2011.09.012. [3] Lars PKLP, Giretzlehner M, Trop M, Parvizi D, Spendel S, Schintler M, et al. The properties of the “ideal” donor site dressing: results of a worldwide online survey. Ann Burns Fire Disasters 2013;26:136–41. [4] McBride CA, Patel B, Stockton KA, Kapoor V, Kimble RM. Alginate dressings for donor sites of split-thickness skin grafts. Cochrane Database of Systematic Reviews 2018;49:129–18. doi:10.1002/14651858.CD013048. [5] McBride CA, Kimble RM, Stockton KA. Prospective randomised controlled trial of Algisite™ M, Cuticerin™, and Sorbact® as donor site dressings in paediatric split-thickness skin grafts. Burns Trauma 2018;6:1028. doi:10.1186/s41038-018-0135-y. [6] McBride CA, Kimble RM, Stockton K. Three donor site dressings in paediatric split-thickness skin grafts: study protocol for a randomised controlled trial. Trials 2015;16:557. [7] McBride CA, Kempf M, Kimble RM, Stockton K. Variability in split-thickness skin graft dept
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Trial website
Nil
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Trial related presentations / publications
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Public notes
[1] Lyall PW, Sinclair SW. Australasian survey of split skin graft donor site dressings. Aust N Z J Surg 2000;70:114–6. [2] Geary PM, Tiernan E. Management of Split Skin Graft Donor Sites–Results of a National Survey. Clinics in Plastic Surgery 2012;39:77–84. doi:10.1016/j.cps.2011.09.012. [3] Lars PKLP, Giretzlehner M, Trop M, Parvizi D, Spendel S, Schintler M, et al. The properties of the “ideal” donor site dressing: results of a worldwide online survey. Ann Burns Fire Disasters 2013;26:136–41. [4] McBride CA, Patel B, Stockton KA, Kapoor V, Kimble RM. Alginate dressings for donor sites of split-thickness skin grafts. Cochrane Database of Systematic Reviews 2018;49:129–18. doi:10.1002/14651858.CD013048. [5] McBride CA, Kimble RM, Stockton KA. Prospective randomised controlled trial of Algisite™ M, Cuticerin™, and Sorbact® as donor site dressings in paediatric split-thickness skin grafts. Burns Trauma 2018;6:1028. doi:10.1186/s41038-018-0135-y. [6] McBride CA, Kimble RM, Stockton K. Three donor site dressings in paediatric split-thickness skin grafts: study protocol for a randomised controlled trial. Trials 2015;16:557. [7] McBride CA, Kempf M, Kimble RM, Stockton K. Variability in split-thickness skin graft depth when using an air-powered dermatome: A paediatric cohort study. Burns 2017;43:1552–60. doi:10.1016/j.burns.2017.02.010.
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Contacts
Principal investigator
Name
93838
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Dr Craig McBride
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Address
93838
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Level 7D Surgical Directorate
Queensland Children's Hospital
501 Stanley Street
South Brisbane
Qld 4101
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Country
93838
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Australia
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Phone
93838
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+61 7 3068 1111
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Fax
93838
0
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Email
93838
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[email protected]
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Contact person for public queries
Name
93839
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Craig McBride
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Address
93839
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Level 7D Surgical Directorate
Queensland Children's Hospital
501 Stanley Street
South Brisbane
Qld 4101
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Country
93839
0
Australia
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Phone
93839
0
+61 7 3068 1111
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Fax
93839
0
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Email
93839
0
[email protected]
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Contact person for scientific queries
Name
93840
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Craig McBride
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Address
93840
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Level 7D Surgical Directorate
Queensland Children's Hospital
501 Stanley Street
South Brisbane
Qld 4101
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Country
93840
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Australia
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Phone
93840
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+61 7 3068 1111
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Fax
93840
0
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Email
93840
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Aggregated responses will be available to other researchers, upon reasonable request and following review of such a request by the original ethics committee. Identifying data (names, geographic fields with fewer than 5 respondents) will be censored.
Individual responses will be made available to responders upon request, to facilitate individual comparisons with the total data set.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2236
Study protocol
377695-(Uploaded-31-05-2019-21-30-31)-Study-related document.pdf
13900
Other
Blank copy of SurveyMonkey form emailed to participants
Survey form
377695-(Uploaded-01-01-2020-17-12-09)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
McBride CA, Patel B, Kimble RM, Stockton KA Surgeo...
[
More Details
]
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Surgeon's practices and beliefs in Australia and New Zealand regarding the donor site wound for paediatric skin grafts.
2021
https://dx.doi.org/10.1111/jpc.15117
N.B. These documents automatically identified may not have been verified by the study sponsor.
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