Evidence map›Paper›PMID 37388427›Full record

ArticlePlastic and reconstructive surgery. Global open2023

Autologous Skin Grafts, versus Tissue-engineered Skin Constructs: A Systematic Review and Meta-analysis.

Sara Kianian, Kelley Zhao, Jasleen Kaur, Kimberly W Lu, Sourish Rathi, Kanad Ghosh, Hunter Rogoff, Thomas R Hays, Jason Park, Miriam Rafailovich and 5 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

15 authors.

Sara KianianFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Kelley ZhaoFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Jasleen KaurStony Brook University, Stony Brook, N.Y.
Kimberly W LuStony Brook University, Stony Brook, N.Y.
Sourish RathiStony Brook University, Stony Brook, N.Y.
Kanad GhoshFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Hunter RogoffFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Thomas R HaysFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Jason ParkWaterbury Hospital, Waterbury, Conn.
Miriam RafailovichDepartment of Materials Science and Chemical Engineering, Stony Brook University Medical Center, Stony Brook, N.Y.
Marcia SimonDepartment of Oral Biology and Pathology, School of Dental Medicine, Stony Brook University, Stony Brook, N.Y.
Duc T BuiFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Sami U KhanFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.
Alexander B DagumDivision of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University, Stony Brook, N.Y. Email: gurtej.singh@stonybrookmedicine.edu.
Gurtej SinghFrom the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For over 100 years, autologous skin grafts have remained the gold standard for the reconstruction of wounds but are limited in availability. Acellular tissue-engineered skin constructs (acellular TCs) and cellular tissue-engineered skin constructs (cellular TCs) may address these limitations. This systematic review and meta-analysis compare outcomes between them. Methods: A systematic review was conducted using PRISMA guidelines, querying MEDLINE, Embase, Web of Science, and Cochrane to assess graft incorporation, failure, and wound healing. Case reports/series, reviews, in vitro/in vivo work, non-English articles or articles without full text were excluded. Results: Sixty-six articles encompassing 4076 patients were included. No significant differences were found between graft failure rates (P = 0.07) and mean difference of percent reepithelialization (p = 0.92) when split-thickness skin grafts were applied alone versus co-grafted with acellular TCs. Similar mean Vancouver Scar Scale was found for these two groups (p = 0.09). Twenty-one studies used at least one cellular TC. Weighted averages from pooled results did not reveal statistically significant differences in mean reepithelialization or failure rates for epidermal cellular TCs compared with split-thickness skin grafts (p = 0.55). Conclusions: This systematic review is the first to illustrate comparable functional and wound healing outcomes between split-thickness skin grafts alone and those co-grafted with acellular TCs. The use of cellular TCs seems promising from preliminary findings. However, these results are limited in clinical applicability due to the heterogeneity of study data, and further level 1 evidence is required to determine the safety and efficacy of these constructs.

Identifiers

PMID37388427
PMCPMC10303215

What OpenQuestion holds

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Registered trials

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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.