Evidence map›Paper›PMID 25276781›Full record

Observational studyBioMed research international2014

Efficacy of autologous bone marrow concentrate for knee osteoarthritis with and without adipose graft.

Christopher Centeno, John Pitts, Hasan Al-Sayegh, Michael Freeman

5 registry-linked trialsOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 63 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 4 pooled it
7.7field-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.

NCT02582489 naactive not recruitingnot on this mapstarted 2017, after this paper: background citation

Prospective, Randomized, Double-blind Clinical Trial to Investigate the Efficacy of Autologous Bone Marrow Aspirate Concentrate Post-Meniscectomy

TypeinterventionalSponsorRush University Medical CenterRan2017 to 2026Enrolled100ConditionsOsteoarthritis Post-meniscectomyArmsBone Marrow Aspirate Concentrate, Standard Meniscectomy
NCT03340818 nacompletednot on this mapstarted 2018, after this paper: background citation

Bone Marrow Concentrate Intradiscal Injection for Chronic Discogenic Low Back Pain: A Double-Blind, Placebo Controlled Trial

TypeinterventionalSponsorAPM Spine and Sports PhysiciansRan2018 to 2024Enrolled66ConditionsDiscogenic PainArmsBone Marrow Concentrate, Placebo
NCT03580148 phase2 / phase3completednot on this mapstarted 2015, after this paper: background citation

A Randomized Trial of Cortisone Injection Versus Bone Marrow Aspirate Injection Therapy for Glenohumeral Osteoarthritis

TypeinterventionalSponsorWomen's College HospitalRan2015 to 2021Enrolled34ConditionsOsteo Arthritis ShouldersArmsCortisone, Bone Marrow Aspirate
NCT03908827 phase2 / phase3withdrawnnot on this mapstarted 2019, after this paper: background citation

The Effectiveness of Bone Marrow Aspirate Concentrate (BMAC) in Patients With Severe Hip or Knee Osteoarthritis Awaiting Arthroplasty - A Randomized Controlled Trial

TypeinterventionalSponsorCAPRI ClinicRan2019 to 2023Enrolled0ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsBone Mineral Aspirate Concentrate (BMAC)
NCT04711551 recruitingnot on this mapstarted 2018, after this paper: background citation

Patients-reported Outcome Measures (PROMs), Clinical Objective and Biomolecular Assessment for the Monitoring of Patients Undergoing Regenerative Medicine Treatments with Orthobiologics

TypeobservationalSponsorI.R.C.C.S Ospedale Galeazzi-Sant'AmbrogioRan2018 to 2030Enrolled2,000ConditionsMusculoskeletal System DiseaseArmsPRP and related devices to abtain platelet concentrate from whole blood, medullary and adipose tissue and related devices
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  9. Adipose-derived and bone marrow aspirate concentrate injections for osteoarthritis: A scoping review.PM & R : the journal of injury, function, and rehabilitation · 2026
    Article
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3 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

4 authors at 2 institutions in 1 country.

Christopher CentenoRegenerative Sciences, The Centeno-Schultz Clinic, 403 Summit Boulevard, Suite 201, Broomfield, CO 80021, USA.
John PittsRegenerative Sciences, The Centeno-Schultz Clinic, 403 Summit Boulevard, Suite 201, Broomfield, CO 80021, USA.ORCID 0000-0002-6119-1176
Hasan Al-SayeghRegenerative Sciences, The Centeno-Schultz Clinic, 403 Summit Boulevard, Suite 201, Broomfield, CO 80021, USA.
Michael FreemanForensic Research and Analysis, Oregon Health and Science University, 425 NW 10th Avenue, Suite 306, Portland, OR 97209, USA.
Centeno-Schultz Clinic · USOregon Health & Science University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe investigated the use of autologous bone marrow concentrate (BMC) with and without an adipose graft, for treatment of knee osteoarthritis (OA).

methodsTreatment registry data for patients who underwent BMC procedures with and without an adipose graft were analyzed. Pre- and posttreatment outcomes of interest included the lower extremity functional scale (LEFS), the numerical pain scale (NPS), and a subjective percentage improvement rating. Multivariate analyses were performed to examine the effects of treatment type adjusting for potential confounding factors. The frequency and type of adverse events (AE) were also examined.

results840 procedures were performed, 616 without and 224 with adipose graft. The mean LEFS score increased by 7.9 and 9.8 in the two groups (out of 80), respectively, and the mean NPS score decreased from 4 to 2.6 and from 4.3 to 3 in the two groups, respectively. AE rates were 6% and 8.9% in the two groups, respectively. Although pre- and posttreatment improvements were statistically significant, the differences between the groups were not.

conclusionBMC injections for knee OA showed encouraging outcomes and a low rate of AEs. Addition of an adipose graft to the BMC did not provide a detectible benefit over BMC alone.

Indexed as

Bone Marrow TransplantationAdipose TissueConfidence IntervalsFemaleFollow-Up StudiesHumansLegLogistic ModelsMaleMiddle AgedOsteoarthritis, KneeRegistriesSurveys and QuestionnairesTransplantation, AutologousTreatment Outcome

Identifiers

PMID25276781
PMCPMC4170694
OpenAlexW2086015290

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.