Evidence map›Paper›PMID 34767058›Full record

SynthesisInternational urogynecology journal2022

Clinical application of stem cell therapy in neurogenic bladder: a systematic review and meta-analysis.

Hanieh Salehi-Pourmehr, Ozra Nouri, Amirreza Naseri, Leila Roshangar, Reza Rahbarghazi, Saeed Sadigh-Eteghad, Javad Mahmoudi, Hadi Mostafaei, M Reza Roshandel, Leila Hoseini and 4 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

14 authors at 3 institutions in 4 countries.

Hanieh Salehi-PourmehrResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.ORCID 0000-0001-9030-2106
Ozra NouriResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.
Amirreza NaseriResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.ORCID 0000-0001-9723-0109
Leila RoshangarStem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-5329-0951
Reza RahbarghaziStem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0003-3864-9166
Saeed Sadigh-EteghadNeurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0003-2872-1072
Javad MahmoudiNeurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0001-9755-9422
Hadi MostafaeiResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.ORCID 0000-0001-5596-1771
M Reza RoshandelIcahn School of Medicine at Mount Sinai, NYC, New York, NY, USA.
Leila HoseiniNeurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.ORCID 0000-0002-4203-4618
Nasrin AbolhasanpourResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.ORCID 0000-0002-2606-5772
Ali MostafaeiResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran.ORCID 0000-0002-5379-4663
Sakineh HajebrahimiResearch Center for Evidence-based Medicine, Iranian EBM Center: A Joanna Briggs Institute Center of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi, Golgasht Ave, Tabriz, East Azarbaijan, 5166/15731, Iran. ebrahimis@tbzmed.ac.ir.ORCID 0000-0003-1494-7097
Hashim HashimBristol Urological Institute, Bristol, UK.ORCID 0000-0003-2467-407X
Tabriz University of Medical Sciences · IRAt Bristol · GBIcahn School of Medicine at Mount Sinai · US

Funding

iran national science foundation 96010038
6 · The paper itself

Abstract

introduction and hypothesisThis review aims to investigate the effect of stem cell (SC) therapy on the management of neurogenic bladder (NGB) in four neurological diseases, including spinal cord injury (SCI), Parkinson's disease (PD), multiple sclerosis (MS), and stroke, in the clinical setting.

methodsAn electronic database search was conducted in the Cochrane Library, EMBASE, Proquest, Clinicaltrial.gov , WHO, Google Scholar, MEDLINE via PubMed, Ovid, Web of Science, Scopus, ongoing trial registers, and conference proceedings in June 2019 and updated by hand searching on 1 February 2021. All randomized controlled trials (RCTs), quasi RCTs, phase I/II clinical trials, case-control, retrospective cohorts, and comprehensive case series that evaluated the regenerative potential of SCs on the management of NGB were included. Cochrane appraisal risk of bias checklist and the standardized critical appraisal instrument from the JBI Meta-Analysis of Statistics, Assessment, and Review Instrument (JBI-MAStARI) were used to appraise the studies.

resultsTwenty-six studies among 1282 relevant publications met our inclusion criteria. Only SC therapy was applied for SCI or MS patients. Phase I/II clinical trials (without control arm) were the most conducted studies, and only four were RCTs. Four studies with 153 participants were included in the meta-analysis. The main route of transplantation was via lumbar puncture. There were no serious adverse events. Only nine studies in SCI and one in MS have used urodynamics, and the others have reported improvement based on patient satisfaction. SC therapy did not significantly improve residual urine volume, detrusor pressure, and maximum bladder capacity. Also, the quality of these publications was low or unclear.

conclusionAlthough most clinical trials provide evidence of the safety and effectiveness of MSCs on the management of NGB, the meta-analysis results did not show a significant improvement; however, the interpretation of study results is difficult because of the lack of placebo controls.

Indexed as

Spinal Cord InjuriesStrokeUrinary Bladder, NeurogenicCase-Control StudiesCell- and Tissue-Based TherapyHumansMeta-analysisNeurogenic bladderSpinal cord injuryStem cell therapySystematic review

Identifiers

PMID34767058
OpenAlexW3213320183

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.