Evidence map›Paper›PMID 31089328›Full record

ReviewStem cells international2019

Meta-Analysis and Evidence Base for the Efficacy of Autologous Bone Marrow Mesenchymal Stem Cells in Knee Cartilage Repair: Methodological Guidelines and Quality Assessment.

Mohamed E Awad, Khaled A Hussein, Inas Helwa, Mohamed F Abdelsamid, Alexandra Aguilar-Perez, Ibrahim Mohsen, Monte Hunter, Mark W Hamrick, Carlos M Isales, Mohammed Elsalanty and 2 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Stem cells international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03956719 (Efficacy and Safety of Autologous Adipose-derived Mesenchymal Stem Cells in the Treatment of Early Knee Osteoarthritis), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03956719 naunknown statusnot on this map

Efficacy and Safety of Autologous Adipose-derived Mesenchymal Stem Cells in the Treatment of Early Knee Osteoarthritis

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2019 to 2020Enrolled8ConditionsKnee OsteoarthritisArmsAutologous adipose-derived mesenchymal stem cells, abdominal liposuction
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Mohamed E Awad *Micro-CT Core, Oral Biology Department-Augusta University, Augusta, GA, USA.
Khaled A Hussein *Oral and Maxillofacial Surgery-Oral and Dental Research Division-National Research Centre, Cairo, Egypt.
Inas HelwaFaculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt.
Mohamed F AbdelsamidDepartment of Surgery, Mayo Clinic, Rochester, MN, USA.
Alexandra Aguilar-PerezAnatomy and Cell Biology Department-Indiana University School of Medicine, Indianapolis, IN, USA.
Ibrahim MohsenDepartment of Orthopaedic Surgery, Fayoum University, Fayoum, Egypt.
Monte HunterDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA, USA.
Mark W HamrickDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA, USA.ORCID 0000-0003-2246-3121
Carlos M IsalesDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA, USA.
Mohammed ElsalantyMicro-CT Core, Oral Biology Department-Augusta University, Augusta, GA, USA.
William D HillDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA, USA.ORCID 0000-0002-8033-1605
Sadanand FulzeleDepartment of Orthopaedic Surgery, Augusta University, Augusta, GA, USA.ORCID 0000-0002-3510-6759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to review all the published clinical trials on autologous bone marrow mesenchymal stem cells (BM-MSCs) in the repair of cartilage lesions of the knee. We performed a comprehensive search in three electronic databases: PubMed, Medline via Ovid, and Web of Science. A systematic review was conducted according to the guidelines of PRISMA protocol and the Cochrane Handbook for Systematic Reviews of Interventions. The modified Coleman methodology score was used to assess the quality of the included studies. Meta-analysis was conducted to estimate the effect size for Pain and function change after receiving BM-MSCs. Thirty-three studies-including 724 patients of mean age 44.2 years-were eligible. 50.7% of the included patients received cultured BM-MSCs for knee cartilage repair. There was improvement in the MINORS quality score over time with a positive correlation with the publication year. Meta-analysis indicated better improvement and statistical significance in the Visual Analog Scale for Pain, IKDC Function, Tegner Activity Scale, and Lysholm Knee Score after administration of noncultured BM-MSCs when compared to evaluation before the treatment. Meanwhile, there was a clear methodological defect in most studies with an average modified Coleman methodology score (MCMS) of 55. BM-MSCs revealed a clinically relevant improvement in pain, function, and histological regeneration.

Identifiers

PMID31089328
PMCPMC6476108

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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.