Evidence map›Paper›PMID 33410651›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2021

Utilization of Orthobiologics by Sports Medicine Physicians: A Survey-based Study.

Peter C Noback, Claire A Donnelley, Nicholas C Yeatts, Robert L Parisien, James E Fleischli, Christopher S Ahmad, Claude T Moorman, David P Trofa, Bryan M Saltzman

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
6.6field-weighted citation impact, top 2% 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

15 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  4. Review
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  10. Platelet-rich plasma and other injectables in the young athlete.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Review
  11. Article
  12. Biotherapeutic Applications of Platelet-Rich Plasma in Regenerative Medicine.Tissue engineering and regenerative medicine · 2023
    Review
  13. Article
  14. Article
  15. 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

9 authors at 1 institution in 2 countries.

Peter C NobackFrom the Department of Orthopaedics, Columbia University Medical Center, New York, NY (Noback, Donnelley, Ahmad, and Trofa); OrthoCarolina Sports Medicine Center (Yeatts, Fleischli, Moorman, and Saltzman); Atrium Health, Musculoskeletal Institute (Yeatts, Fleischli, Moorman, and Saltzman), Charlotte, NC; and the Department of Orthopaedics, University of Pennsylvania, Philadelphia, PA (Parisien).ORCID 0000-0002-1936-0490
Claire A Donnelley
Nicholas C YeattsORCID 0000-0003-1502-4243
Robert L Parisien
James E Fleischli
Christopher S Ahmad
Claude T Moorman
David P Trofa
Agence Parisienne du Climat · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInvestigations are rapidly increasing into products referred to as orthobiologics and their utility in the nonsurgical and surgical treatment of diverse orthopaedic pathology.

methodsMembers (599) of the American Orthopaedic Society for Sports Medicine were sent a survey that assessed their usage, motivation for use, and perceived efficacy of the following orthobiologics: leukocyte-rich platelet-rich plasma, leukocyte-poor platelet-rich plasma (PRP-LP), bone marrow aspirate concentrate, amniotic membrane products, adipose-derived mesenchymal stromal cells, and umbilical cord-derived cells. Application of these orthobiologics for the following pathologies was assessed: osteoarthritis, muscle injuries, tendon injuries, ligament injuries, labral injuries, and focal articular cartilage tears.

resultsThe survey was completed by 165 respondents (27.5%), of which 66.1% reported using at least one orthobiologic in their practice. Orthobiologic users reported the following: 71.6% are increasing their use, and 23.9% advertise their use. PRP-LP is the most commonly used orthobiologic for 76.1%, with 30% of PRP-LP users reporting use due to competitor utilization. The pathology most commonly treated with orthobiologics is osteoarthritis, for 71.6% of users, who primarily use PRP-LP in the knee joint. Leukocyte-rich platelet-rich plasma is the most popular orthobiologic in muscle, ligament, tendon, and labral injuries, whereas bone marrow aspirate concentrate is most popular for focal articular cartilage injuries. Primary orthobiologic-eligible groups were adults and recreational noncompetitive athletes. More than half (>50%) of orthobiologic users perceived all but umbilical cord-derived cells to be efficacious.

conclusionOrthobiologics are used by a significant number of sports medicine physicians and are likely increasing in popularity. Among orthobiologics, platelet-rich plasmas are the most popular, and osteoarthritis is the pathology most likely to be treated. Orthobiologics are sometimes used for reasons other than clinical efficacy, especially competitor utilization, and physicians are disparate in their application of these products.

Indexed as

PhysiciansPlatelet-Rich PlasmaSports MedicineHumansSurveys and QuestionnairesTendonsUnited States

Identifiers

PMID33410651
PMCPMC7793331
OpenAlexW3120653810

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.