Evidence map›Paper›PMID 37935850›Full record

Trial reportScientific reports2023

Management of partial-thickness rotator cuff tears with autologous adipose-derived regenerative cells is safe and more effective than injection of corticosteroid.

Mark Lundeen, Jason L Hurd, Matthew Hayes, Meredith Hayes, Tiffany R Facile, John P Furia, Nicola Maffulli, Christopher Alt, Eckhard U Alt, Christoph Schmitz and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

11 authors.

Mark LundeenSanford Orthopedics and Sports Medicine Fargo, Fargo, ND, USA.ORCID 0000-0002-9396-2836
Jason L HurdSanford Orthopedics and Sports Medicine Sioux Falls, Sioux Falls, SD, USA.ORCID 0000-0002-1621-5693
Matthew HayesSanford Radiology Clinic, Sioux Falls, SD, USA.ORCID 0000-0003-4833-9508
Meredith HayesSanford Radiology Clinic, Sioux Falls, SD, USA.ORCID 0000-0001-9152-0914
Tiffany R FacileSanford Health, Sioux Falls, SD, USA.ORCID 0000-0002-2801-7985
John P FuriaSUN Orthopedics of Evangelical Community Hospital, Lewisburg, PA, USA.ORCID 0000-0001-9551-4503
Nicola MaffulliDepartment of Trauma and Orthopaedic Surgery, Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy.ORCID 0000-0002-5327-3702
Christopher AltInGeneron, Inc., Houston, TX, USA.ORCID 0000-0003-1487-4502
Eckhard U AltInGeneron, Inc., Houston, TX, USA.ORCID 0000-0002-6687-139X
Christoph SchmitzInstitute of Anatomy, Faculty of Medicine, LMU Munich, Munich, Germany.ORCID 0000-0002-4065-1241
David A PearceSanford Health, Sioux Falls, SD, USA. david.pearce@sanfordhealth.org.ORCID 0000-0002-0707-063X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Symptomatic, partial-thickness rotator cuff tears (sPTRCT) are problematic. This study tested the hypothesis that management of sPTRCT with injection of fresh, uncultured, unmodified, autologous, adipose-derived regenerative cells (UA-ADRCs) is safe and more effective than injection of corticosteroid even in the long run. To this end, subjects who had completed a former randomized controlled trial were enrolled in the present study. At baseline these subjects had not responded to physical therapy treatments for at least 6 weeks, and were randomly assigned to receive respectively a single injection of UA-ADRCs (n = 11) or a single injection of methylprednisolone (n = 5). Efficacy was assessed using the ASES Total score, pain visual analogue scale (VAS), RAND Short Form-36 Health Survey and range of motion at 33.2 ± 1.0 (mean ± SD) and 40.6 ± 1.9 months post-treatment. Proton density, fat-saturated, T2-weighted MRI of the index shoulder was performed at both study visits. There were no greater risks connected with injection of UA-ADRCs than those connected with injection of corticosteroid. The subjects in the UA-ADRCs group showed statistically significantly higher mean ASES Total scores than the subjects in the corticosteroid group. The MRI scans at 6 months post-treatment allowed to "watch the UA-ADRCs at work".

Indexed as

Rotator Cuff InjuriesAdrenal Cortex HormonesArthroscopyHumansInjectionsRange of Motion, ArticularRotator CuffShoulderTreatment OutcomeAdrenal Cortex Hormones

Identifiers

PMID37935850
PMCPMC10630470

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.