Evidence map›Paper›PMID 31126348›Full record

ArticleJournal of orthopaedic surgery and research2019

Efficiency of platelet-rich plasma therapy in knee osteoarthritis does not depend on level of cartilage damage.

Rene Burchard, Hanno Huflage, Christian Soost, Oliver Richter, Bertil Bouillon, Jan Adriaan Graw

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.8field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
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  7. Infiltration therapy in the context of cartilage surgery.Archives of orthopaedic and trauma surgery · 2024
    Review
  8. Article
  9. Article
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  11. Article
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  14. Article
  15. Platelet Concentrates in Musculoskeletal Medicine.International journal of molecular sciences · 2020
    Review
  16. Article
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

6 authors at 4 institutions in 1 country.

Rene BurchardDepartment of Health, University of Witten/Herdecke, Witten, Germany. rene.burchard@uni-wh.de.ORCID http://orcid.org/0000-0001-6113-3577
Hanno HuflageDepartment of Health, University of Witten/Herdecke, Witten, Germany.
Christian SoostDepartment of Statistics an Econometrics, University of Siegen, Siegen, Germany.
Oliver RichterInstitute of Diagnostic Radiology at Kreisklinikum Siegen, Siegen, Germany.
Bertil BouillonDepartment of Health, University of Witten/Herdecke, Witten, Germany.
Jan Adriaan GrawDepartment of Anaesthesiology and Operative Intensive Care Medicine (CCM, CVK) Charité, Universitätsmedizin Berlin, Berlin, Germany.
Witten/Herdecke University · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEDiakonie Klinikum Jung-Stilling · DEUniversity of Siegen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOsteoarthritis of the knee is common and often leads to significant physical disability. While classic conservative therapeutic approaches aim for symptoms like pain and inflammation, procedures like the intraarticular application of hyaluronic acids (HA) or platelet-rich plasma (PRP) are thought to stimulate the endogenous HA production, stop catabolism of cartilage tissue, and promote tissue regeneration. To analyse whether the positive effects of PRP injections are associated with the level of cartilage damage, patient satisfaction with the treatment was correlated with the level of knee joint osteoarthritis quantified by MRI.

methodsPRP was performed with a low-leukocyte autologous conditioned plasma (ACP) system in 59 patients. A pre-treatment MRI was performed and a Whole-Organ MRI Score (WORMS) was used to score the level of knee osteoarthritis by 14 features: integrity of the cartilage, affection of the bone marrow, subcortical cysts, bone attrition, osteophytes, integrity of the menisci and ligaments, presence of synovitis, loose bodies, and periarticular cysts. A multivariate analysis with ordinary least squares regressions was used.

resultsAlthough pain symptoms and severity of clinical osteoarthritis symptoms decreased, regression analysis could not detect a correlation between the degree of cartilage damage measured by the WORMS score and a positive response to PRP therapy.

conclusionThis study suggests that intraarticular injection of PRP might improve osteoarthritis symptoms and reduces the pain in patients suffering from osteoarthritis of the knee joint independent from the level of cartilage damages quantified by the whole-organ MRI scoring method WORMS.

Indexed as

Platelet-Rich PlasmaArthralgiaCartilage, ArticularExerciseFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritis, KneePain ManagementTreatment OutcomeCartilage damageKneeOsteoarthritisPlatelet-rich plasma

Identifiers

PMID31126348
PMCPMC6534904
OpenAlexW2948016161

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.