Evidence map›Paper›PMID 32103373›Full record

SynthesisClinical rheumatology2020

Clinical efficacy of platelet-rich plasma in the treatment of lateral epicondylitis: a systematic review and meta-analysis of randomized placebo-controlled clinical trials.

Mario Simental-Mendía, Félix Vilchez-Cavazos, Neri Álvarez-Villalobos, Jaime Blázquez-Saldaña, Víctor Peña-Martínez, Gregorio Villarreal-Villarreal, Carlos Acosta-Olivo

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Lateral epicondylosis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  18. Article
  19. Position statement: nonoperative management of lateral epicondylitis in adults.Canadian journal of surgery. Journal canadien de chirurgie
    Review
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

7 authors.

Mario Simental-MendíaFacultad de Medicina y Hospital Universitario Dr. Jose Eleuterio Gonzalez, Orthopedics and Traumatology Service, Universidad Autonoma de Nuevo Leon, Av. Francisco. I. Madero and Dr. José Eleuterio González s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, Mexico.ORCID https://orcid.org/0000-0002-7179-494X
Félix Vilchez-CavazosFacultad de Medicina y Hospital Universitario Dr. Jose Eleuterio Gonzalez, Orthopedics and Traumatology Service, Universidad Autonoma de Nuevo Leon, Av. Francisco. I. Madero and Dr. José Eleuterio González s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, Mexico.ORCID https://orcid.org/0000-0001-9540-3379
Neri Álvarez-VillalobosFacultad de Medicina, Plataforma Invest-KER Unit Mexico, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.ORCID https://orcid.org/0000-0001-5208-1429
Jaime Blázquez-SaldañaFacultad de Medicina, Plataforma Invest-KER Unit Mexico, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.ORCID https://orcid.org/0000-0002-0443-7520
Víctor Peña-MartínezFacultad de Medicina y Hospital Universitario Dr. Jose Eleuterio Gonzalez, Orthopedics and Traumatology Service, Universidad Autonoma de Nuevo Leon, Av. Francisco. I. Madero and Dr. José Eleuterio González s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, Mexico.ORCID https://orcid.org/0000-0003-2924-1329
Gregorio Villarreal-VillarrealFacultad de Medicina y Hospital Universitario Dr. Jose Eleuterio Gonzalez, Orthopedics and Traumatology Service, Universidad Autonoma de Nuevo Leon, Av. Francisco. I. Madero and Dr. José Eleuterio González s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, Mexico.ORCID https://orcid.org/0000-0001-9712-8227
Carlos Acosta-OlivoFacultad de Medicina y Hospital Universitario Dr. Jose Eleuterio Gonzalez, Orthopedics and Traumatology Service, Universidad Autonoma de Nuevo Leon, Av. Francisco. I. Madero and Dr. José Eleuterio González s/n, Colonia Mitras Centro, 64460, Monterrey, Nuevo León, Mexico. dr.carlosacosta@gmail.com.ORCID https://orcid.org/0000-0002-2025-1865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the effects of platelet-rich plasma (PRP) injection versus placebo (saline injection) on pain and joint function in lateral epicondylitis in randomized placebo-controlled trials. Randomized controlled trials that evaluated pain (visual analog scale [VAS] and patient-rated tennis elbow evaluation [PRTEE]) and/or functional improvement (PRTEE; disability of the arm, shoulder, and hand [DASH]; and Roles-Maudsley score [RMS]) in patients diagnosed with lateral epicondylitis and compared PRP with placebo injections were considered. The MEDLINE, EMBASE, Web of Science, and Scopus databases were searched from inception to October 2019. The assessment of bias was performed using the Cochrane Risk of Bias Tool version 1. The meta-analysis was conducted with a random effects model and generic inverse variance method. Five trials involving a total of 276 individuals were included. They used a parallel study design and saline solution as placebo. The mean age of participants was 48.0 ± 9.3 years. Follow-up varied from 2 months to 1 year. No significant changes were noted for pain (standardized mean difference [SMD], - 0.51 [95% confidence interval (CI), - 1.32 to - 0.30]) nor functional scores (SMD, - 0.07 [95% CI, - 0.46 to 0.33]) between PRP and placebo injections. The most frequent adverse reaction reported in two of the five studies was transient post-injection pain for a few days (from 16 to 20% in the PRP group and from 8 to 16% in the placebo group). PRP injection was not superior to placebo for relieving pain and joint functionality in chronic lateral epicondylitis. However, patients reported improvement after both interventions in such clinical parameters. Further randomized trials are required to determine whether PRP injection is clinically more effective than placebo (saline injection).

Indexed as

Platelet-Rich PlasmaDisability EvaluationHumansInjectionsPain ManagementPain MeasurementRandomized Controlled Trials as TopicTennis ElbowTreatment OutcomeLateral epicondylitisMeta-analysisPainPlaceboPlatelet-rich plasma

Identifiers

What OpenQuestion holds

Textmetadata
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.