Evidence map›Paper›PMID 32129004›Full record

SynthesisBrain and behavior2020

Efficacy evaluation of personalized coaptation in neurotization for motor deficit after peripheral nerve injury: A systematic review and meta-analysis.

TengDa Qian, Kai Qian, TuoYe Xu, Jing Shi, Tao Ma, ZeWu Song, ChengMing Xu, LiXin Li

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

8 authors at 3 institutions in 1 country.

TengDa QianDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-1864-8935
Kai QianDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
TuoYe XuDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jing ShiDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Tao MaDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
ZeWu SongDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
ChengMing XuDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
LiXin LiDepartment of Neurosurgery, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Jiangsu Province Hospital · CNJiangsu University · CNThe First People's Hospital of Changzhou · CN

Funding

Jiangsu province's Key Discipline of Medicine XK201117Key Personal Medical Research Foundation of Health Department of Jiangsu province RC201156National Natural Science Foundation of China 81171147Priority Academic Program Development of Jiangsu Higher Education InstitutionsResearch Foundation of Health Department of Jiangsu Province ZDRCA2016010
6 · The paper itself

Abstract

introductionPeripheral neurotization, recently as a promising approach, has taken effect in recovering motor function after damage to a peripheral nerve root. Neural anastomosis comprised of nerve conduit and neurorrhaphy participates in the nerve reconstruction. Current literature lacks evidence supporting an individualized coaptation for rescue of locomotor loss in rat subjects with paraplegia secondary to peripheral nerve injury (PNI).

methodsThis meta-analysis intends to qualify the specificity of gap-specific coaptation in treating a paralyzed limb following PNI. We used a highly sensitive search strategy to identify all published studies in multiple databases up to 1 May 2019. All identified trials were systematically evaluated using specific inclusion and exclusion criteria. Cochrane methodology was also applied to the results of this study.

resultsTwelve studies, including 349 rat subjects, met eligibility criteria. For a medium nerve defect (0.5-3.0 cm), nerve conduit was more likely than neurorrhaphy to precipitate axon regeneration and improve motor outcome of the hemiplegic limb (OR = 3.61, 95% CI = 1.80, 7.26, p < .0003) at 3-month follow-up, whereas neurorrhaphy might take its place in promoting limb motor function in a small nerve gap (<0.5 cm) (OR = 0.48, 95% CI = 0.22, 1.07, p < .007). For a small nerve defect, nerve conduit still demonstrated visible effectiveness in recovery of limb motion albeit poorer than neurorrhaphy (OR = 1.50, 95% CI = 0.92, 2.47, p < .05).

conclusionSelective neurotization facilitates motor regeneration after nerve transection, and advisable choice of neural coaptation can maximize functional outcome on an individual basis.

Indexed as

AnimalsAxonsNerve RegenerationNerve TransferPeripheral Nerve InjuriesRatsRecovery of Functionfunctional recoveryneurotizationneurotubeperipheral nerve injurypersonalized coaptation

Identifiers

PMID32129004
PMCPMC7177589
OpenAlexW3009407669

What OpenQuestion holds

Textmetadata
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.