Evidence map›Paper›PMID 34440855›Full record

ReviewCells2021

Cell Therapy for Anal Sphincter Incontinence: Where Do We Stand?

Alexandre Balaphas, Jeremy Meyer, Raphael P H Meier, Emilie Liot, Nicolas C Buchs, Bruno Roche, Christian Toso, Leo H Bühler, Carmen Gonelle-Gispert, Frédéric Ris

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. A multicentre prospective study of anal function after laparoscopic ultra-low rectal cancer surgery using a mixed-effects model.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Trial
  2. Review
  3. Review
  4. Anorectal malformations.Nature reviews. Disease primers · 2024
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Management of fecal incontinence: what specialists need to know?Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Alexandre BalaphasDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.
Jeremy MeyerDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.
Raphael P H MeierDepartment of Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Emilie LiotDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.
Nicolas C BuchsDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.
Bruno RocheDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.ORCID 0000-0002-2218-2429
Christian TosoDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.
Leo H BühlerFaculty of Science and Medicine, University of Fribourg, 1700 Fribourg, Switzerland.
Carmen Gonelle-GispertFaculty of Science and Medicine, University of Fribourg, 1700 Fribourg, Switzerland.ORCID 0000-0003-3789-6464
Frédéric RisDivision of Digestive Surgery, University Hospitals of Geneva, 1205 Geneva, Switzerland.ORCID 0000-0001-7421-6101
University Hospital of Geneva · CHUniversity of Fribourg · CHUniversity of Geneva · CHUniversity of Maryland, Baltimore · US

Funding

Hôpitaux Universitaires de Genève PRD 19-I-2020
6 · The paper itself

Abstract

Anal sphincter incontinence is a chronic disease, which dramatically impairs quality of life and induces high costs for the society. Surgery, considered as the best curative option, shows a disappointing success rate. Stem/progenitor cell therapy is pledging, for anal sphincter incontinence, a substitute to surgery with higher efficacy. However, the published literature is disparate. Our aim was to perform a review on the development of cell therapy for anal sphincter incontinence with critical analyses of its pitfalls. Animal models for anal sphincter incontinence were varied and tried to reproduce distinct clinical situations (acute injury or healed injury with or without surgical reconstruction) but were limited by anatomical considerations. Cell preparations used for treatment, originated, in order of frequency, from skeletal muscle, bone marrow or fat tissue. The characterization of these preparations was often incomplete and stemness not always addressed. Despite a lack of understanding of sphincter healing processes and the exact mechanism of action of cell preparations, this treatment was evaluated in 83 incontinent patients, reporting encouraging results. However, further development is necessary to establish the correct indications, to determine the most-suited cell type, to standardize the cell preparation method and to validate the route and number of cell delivery.

Indexed as

Adipose TissueAnimalsBone Marrow CellsCell- and Tissue-Based TherapyFecal IncontinenceHumansMultipotent Stem CellsStem CellsStem Cell Transplantationanal incontinencefecal incontinencemesenchymal stem cellmesenchymal stromal cellmulitipotent cellmyoblastprogenitor cellsatellite cellstem cell

Identifiers

PMID34440855
PMCPMC8394955
OpenAlexW3195100081

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.