Researchers investigated the effectiveness of larval therapy for the treatment of sloughy or necrotic leg ulcers. A three armed randomised controlled trial study design was used. The intervention consisted of loose larvae or bagged larvae. The control treatment was the standard debridement technique of hydrogel. Participants had at least one venous or mixed venous and arterial ulcer, with at least 25% coverage of slough or necrotic tissue. The outcome measures included time to healing of the largest eligible ulcer and time to debridement (defined as a cosmetically clean wound) after the ulcer healed. The maximum length of follow-up was 12 months. [1]
In total, 267 participants were recruited and randomised to loose larvae (n=94), bagged larvae (n=86), or hydrogel (n=87). Healing rates did not differ between the loose and the bagged larvae arms, so the results were presented for larvae overall (loose and bagged larvae arms combined). Time to healing was not significantly different between the larvae groups (combined) and hydrogel treatment groups (hazard ratio for healing using larvae v hydrogel 1.13, 95% confidence interval 0.76 to 1.68; P=0.54). Larval therapy significantly reduced the time to debridement compared with hydrogel (hazard ratio 2.31, 1.65 to 3.2; P<0.001; figure). It was concluded that larval therapy did not improve the rate of healing of sloughy or necrotic leg ulcers compared with hydrogel but did significantly reduce the time to debridement.
Which of the following statements, if any, are true?
a) If a patient did not experience debridement during follow-up, their observation would be “censored”
b) Participants were excluded from the analyses if they did not experience debridement before the end of follow-up
c) The curves did not achieve a probability of 1.0 because some observations were censored at the end of follow-up
d) The log rank test provides an estimate of the magnitude of difference in times until debridement between treatment groups
e) The probability estimates decreased in accuracy as fewer participants became at risk of debridement
Answers
Statements a, c, and e are true, whereas b and d are false.