Evidence map›Paper›PMID 20529449›Full record

Trial reportCell transplantation2010

Cell therapy, a new standard in management of chronic critical limb ischemia and foot ulcer.

V Procházka, J Gumulec, F Jalůvka, D Salounová, T Jonszta, D Czerný, J Krajča, R Urbanec, P Klement, J Martinek and 1 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell transplantation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01232673 (Autologous Bone Marrow Stem Cell Transfer in Patients With Chronical Critical Limb Ischemia and Diabetic Foot), which is not on this map. Cited by 68 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 8 pooled it
8.3field-weighted citation impact, top 2% 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.

NCT01232673 phase2completednot on this map

Autologous Bone Marrow Stem Cell Transfer in Patients With Chronical Critical Limb Ischemia and Diabetic Foot

TypeinterventionalSponsorUniversity Hospital OstravaRan2008 to 2010Enrolled96ConditionsCritical Limb IschemiaArmsBMAC application in Critical Limb Ischemia
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 8 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Adjuvant Biological Therapies in Chronic Leg Ulcers.International journal of molecular sciences · 2017
    Pooled it
  8. Growth factors for angiogenesis in peripheral arterial disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Addition of platelet concentrate to dermo-epidermal skin graft in deep burn trauma reduces scarring and need for revision surgeries.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2014
    Trial
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  17. Review
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  19. Article
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8 more citing papers are in PubMed but not listed here.

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

11 authors at 4 institutions in 3 countries.

V ProcházkaRadiodiagnostic Institute, University Hospital Ostrava, Ostrava-Poruba, Czech Republic. angio@vol.cz
J Gumulec
F Jalůvka
D Salounová
T Jonszta
D Czerný
J Krajča
R Urbanec
P Klement
J Martinek
G L Klement
University Hospital Ostrava · CZDana-Farber Cancer Institute · USMcMaster University · CAVSB - Technical University of Ostrava · CZ

Funding

The role of platelets in tumor growth, wound healing and other angiogenesis diseaR01GM093050 · NIGMS · TUFTS MEDICAL CENTER · PI KLEMENT, GIANNOULA LAKKA · 2010 to 2013
$1.3M
NIGMS NIH HHS R01 GM093050
6 · The paper itself

Abstract

Fifty percent of diabetics (7% of general population) suffer from peripheral arterial occlusive disease, which may lead to amputation due to critical limb ischemia (CLI). The aim of our study was to prevent major limb amputation (MLA) in this group of patients using a local application of autologous bone marrow stem cells (ABMSC) concentrate. A total of 96 patients with CLI and foot ulcer (FU) were randomized into groups I and II. Patients in group I (n = 42, 36 males, 6 females, 66.2 ± 10.6 years) underwent local treatment with ABMSC while those in group II (n = 54, control, 42 males, 12 females, 64.1 ± 8.6 years) received standard medical care. The frequency of major limb amputation in groups I and II was 21% and 44% within the 120 days of follow up, respectively (p < 0.05). Only in salvaged limbs of group I both toe pressure and toe brachial index increased (from 22.66 ± 5.32 to 25.63 ± 4.75 mmHg and from 0.14 ± 0.03 to 0.17 ± 0.03, respectively, mean ± SEM). The CD34(+) cell counts in bone marrow concentrate (BMC) decreased (correlation, p = 0.024) with age, even though there was no correlation between age and healing. An unexpected finding was made of relative, bone marrow lymphopenia in the initial bone marrow concentrates in patients who failed ABMSC therapy (21% of MLA). This difference was statistically significant (p < 0.040). We conclude ABMSC therapy results in 79% limb salvage in patients suffering from CLI and FU. In the remaining 21% lymphopenia and thrombocytopenia were identified as potential causative factors, suggesting that at least a partial correction with platelet supplementation may be beneficial.

Indexed as

Bone Marrow TransplantationAgedAmputation, SurgicalAnkle Brachial IndexAntigens, CD34Chronic DiseaseExtremitiesFemaleFoot UlcerHumansIschemiaLimb SalvageLymphopeniaMaleMiddle AgedTransplantation, AutologousAntigens, CD34

Identifiers

PMID20529449
PMCPMC5478382
OpenAlexW2005730341

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.