Evidence map›Paper›PMID 33176838›Full record

ArticleJournal of orthopaedic surgery and research2020

Umbilical cord-derived Wharton's jelly for regenerative medicine applications in orthopedic surgery: a systematic review protocol.

Benjamin J Main, Josiah A Valk, Nicola Maffulli, Hugo C Rodriguez, Manu Gupta, Ian W Stone, Saadiq F El-Amin, Ashim Gupta

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

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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

8 authors at 5 institutions in 4 countries.

Benjamin J MainBeaumont Hospital Farmington Hills, Farmington Hills, MI, USA.
Josiah A ValkBeaumont Hospital Farmington Hills, Farmington Hills, MI, USA.
Nicola MaffulliDepartment of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Fisciano, Italy.
Hugo C RodriguezSchool of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX, USA.
Manu GuptaFuture Biologics, Lawrenceville, GA, USA.
Ian W StoneSchool of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX, USA.
Saadiq F El-AminEl-Amin Orthopaedic and Sports Medicine Institute, Duluth, GA, USA.
Ashim GuptaSouth Texas Orthopaedic Research Institute, Laredo, TX, USA. ashim6786@gmail.com.ORCID http://orcid.org/0000-0003-1224-2755
Botsford Hospital · USUniversity of the Incarnate Word · USDoctors Hospital of Laredo · USUniversity of Salerno · ITViewpoints Research Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMusculoskeletal injuries and conditions affect millions of individuals. These ailments are typically managed by immobilization, physiotherapy, or activity modification. Regenerative medicine has experienced tremendous growth in the past decades, especially in musculoskeletal medicine. Umbilical cord-derived Wharton's jelly is an exciting new option for such therapies. Wharton's jelly is a connective tissue located within the umbilical cord largely composed of mesenchymal stem cells and extracellular matrix components, including collagen, chondroitin sulfate, hyaluronic acid, and sulfated proteoglycans. Wharton's jelly is a promising and applicable biologic source for orthopedic regenerative application.

methodsA systematic search will be conducted in PubMed, ScienceDirect, and Google Scholar databases of English, Italian, French, Spanish, and Portuguese language articles published to date. References will be screened and assessed for eligibility by two independent reviewers as per PRISMA guidelines. Articles will be considered without exclusion to sex, activity, or age. Studies will be included if they used culture-expanded, mesenchymal stem/stromal cells of mesenchymal stem cells and/or connective tissue obtained from Wharton's jelly. Studies will be excluded if Wharton's jelly is not the sole experimental examined cell type. Placebos, conventional non-operative therapies including steroid injections, exercise, and NSAIDs will be compared. The study selection process will be performed independently by two reviewers using a reference software. Data synthesis and meta-analysis will be performed separately for clinical and pre-clinical studies. DISCUSSION: The results will be published in relevant peer-reviewed scientific journals. Investigators will present results at national or international conferences.

trial registrationThe protocol was registered on PROSPERO international prospective register of systematic reviews prior to commencement, CRD42020182487 .

Indexed as

Umbilical CordChondroitin SulfatesCollagenFemaleHumansHyaluronic AcidMaleMesenchymal Stem CellsOrthopedic ProceduresProteoglycansRegenerative MedicineSystematic Reviews as TopicTreatment OutcomeWharton JellyChondroitin SulfatesCollagenHyaluronic AcidProteoglycansMusculoskeletal injuriesPRISMARegenerative medicineUmbilical cordWharton’s jelly

Identifiers

PMID33176838
PMCPMC7659052
OpenAlexW3104714702

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.