Evidence map›Paper›PMID 26069577›Full record

ArticleCartilage2011

International Cartilage Repair Society (ICRS) Recommended Guidelines for Histological Endpoints for Cartilage Repair Studies in Animal Models and Clinical Trials.

Caroline Hoemann, Rita Kandel, Sally Roberts, Daniel B F Saris, Laura Creemers, Pierre Mainil-Varlet, Stephane Méthot, Anthony P Hollander, Michael D Buschmann

Registry-linked trialAbstract read
In one paragraph

Article in Cartilage, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05450458 (Safety and Effectiveness of Hyaluronic Acid and Sorbitol With Overuse Knee Pain in Sportsmen), which is not on this map. Cited by 80 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 4 pooled it
7.3field-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.

NCT05450458 phase2 / phase3completednot on this mapstarted 2023, after this paper: background citation

Safety and Effectiveness of Hyaluronic Acid and Sorbitol With Overuse Knee Pain in Sportsmen

TypeinterventionalSponsorHospital Regional TlalnepantlaRan2023 to 2025Enrolled64ConditionsOveruse Injury, Body Mass Index in AthletesArmsKNEE JOINT INFILTRATION WITH HYALURONIC ACID WITH SORBITOL SYNOLIS VA
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 4 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
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  4. What is the effect of matrices on cartilage repair? A systematic review.Clinical orthopaedics and related research · 2015
    Pooled it
  5. Article
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  14. [Treatment of osteochondritis dissecans].Orthopadie (Heidelberg, Germany) · 2024
    Article
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  20. Review

20 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

9 authors at 6 institutions in 3 countries.

Caroline HoemannDepartment of Chemical Engineering, Institute of Biomedical Engineering, École Polytechnique, Montréal, Quebec, Canada.
Rita KandelBioEngineering of Skeletal Tissues Team, Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Sally RobertsSpinal Studies & ISTM (Keele University), Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, UK.
Daniel B F SarisDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, the Netherlands.
Laura CreemersDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, the Netherlands.
Pierre Mainil-VarletAginko Research, Bern, Switzerland.
Stephane MéthotPiramal Healthcare (Canada), Montréal, Quebec, Canada.
Anthony P HollanderUniversity of Bristol, University Walk, Clifton, Bristol, UK.
Michael D BuschmannDepartment of Chemical Engineering, Institute of Biomedical Engineering, École Polytechnique, Montréal, Quebec, Canada.
Polytechnique Montréal · CAUtrecht University · NLKeele University · GBPiramal (Canada) · CAUniversity of Bristol · GBUniversity of Toronto · CA

Funding

Medical Research Council G0800248
6 · The paper itself

Abstract

Cartilage repair strategies aim to resurface a lesion with osteochondral tissue resembling native cartilage, but a variety of repair tissues are usually observed. Histology is an important structural outcome that could serve as an interim measure of efficacy in randomized controlled clinical studies. The purpose of this article is to propose guidelines for standardized histoprocessing and unbiased evaluation of animal tissues and human biopsies. Methods were compiled from a literature review, and illustrative data were added. In animal models, treatments are usually administered to acute defects created in healthy tissues, and the entire joint can be analyzed at multiple postoperative time points. In human clinical therapy, treatments are applied to developed lesions, and biopsies are obtained, usually from a subset of patients, at a specific time point. In striving to standardize evaluation of structural endpoints in cartilage repair studies, 5 variables should be controlled: 1) location of biopsy/sample section, 2) timing of biopsy/sample recovery, 3) histoprocessing, 4) staining, and 5) blinded evaluation with a proper control group. Histological scores, quantitative histomorphometry of repair tissue thickness, percentage of tissue staining for collagens and glycosaminoglycan, polarized light microscopy for collagen fibril organization, and subchondral bone integration/structure are all relevant outcome measures that can be collected and used to assess the efficacy of novel therapeutics. Standardized histology methods could improve statistical analyses, help interpret and validate noninvasive imaging outcomes, and permit cross-comparison between studies. Currently, there are no suitable substitutes for histology in evaluating repair tissue quality and cartilaginous character.

Indexed as

animal modelsarticular cartilagebiopsycartilage repaircollagen type Icollagen type IIfibrocartilageglycosaminoglycanhistologypolarized light microscopysubchondral bonetidemark

Identifiers

PMID26069577
PMCPMC4300784
OpenAlexW1995659229

What OpenQuestion holds

Textmetadata
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.