Evidence map›Paper›PMID 38086583›Full record

SynthesisBMJ open2023

Autologous blood products: Leucocyte and Platelets Rich Fibrin (L-PRF) and Platelets Rich Plasma (PRP) gel to promote cutaneous ulcer healing - a systematic review.

Indra B Napit, Dilip Shrestha, Karuna Neupane, Anju Adhikari, Rolina Dhital, Rachita Koirala, Lovin Gopali, Onaedo Ilozumba, Paramjit Gill, Samuel I Watson and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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

12 authors at 4 institutions in 2 countries.

Indra B NapitAnandaban Hospital, The Leprosy Mission Nepal, Lalitpur, Nepal indran@tlmnepal.org.ORCID 0000-0003-0622-880X
Dilip ShresthaAnandaban Hospital, The Leprosy Mission Nepal, Lalitpur, Nepal.
Karuna NeupaneAnandaban Hospital, The Leprosy Mission Nepal, Lalitpur, Nepal.
Anju AdhikariAnandaban Hospital, The Leprosy Mission Nepal, Lalitpur, Nepal.
Rolina DhitalHealth Action and Research Pvt Ltd, Kathmandu, Nepal.
Rachita KoiralaHealth Action and Research Pvt Ltd, Kathmandu, Nepal.
Lovin GopaliHealth Action and Research Pvt Ltd, Kathmandu, Nepal.
Onaedo IlozumbaUniversity of Birmingham, Birmingham, UK.
Paramjit GillWarwick Medical School, University of Warwick, Coventry, UK.
Samuel I WatsonInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.ORCID 0000-0002-8972-769X
Sopna ChoudhuryInstitute of Applied Health Research, University of Birmingham College of Medical and Dental Sciences, Birmingham, UK.ORCID 0000-0001-5017-6977
Richard J LilfordUniversity of Birmingham, Birmingham, UK.ORCID 0000-0002-0634-984X
Anandaban Hospital · NPUniversity of Birmingham · GBNepal Participatory Action Network · NPUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarise evidence on the effectiveness of Platelet-Rich Plasma (PRP) gel and Leucocyte and Platelet Rich Fibrin (L-PRF) gel as agents promoting ulcer healing compared with the standard wound dressing techniques alone.

designSystematic review. ELIGIBILITY CRITERIA: Individual patient randomised controlled trials on skin ulcers of all types excluding traumatic lesions.Intervention group: treatment with topical application of L-PRF gel or PRP gel to the wound surface. CONTROL GROUP: treatment with standard skin ulcer care using normal saline, normgel or hydrogel dressings. INFORMATION SOURCES: Medline (Ovid), Excerpta Medica Database (EMBASE), Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Web of Science and manual search of studies from previous systematic reviews and meta-analyses. The papers published from 1946 to 2022 with no restriction on geography and language were included. The last date of the search was performed on 29 August 2022. DATA EXTRACTION AND SYNTHESIS: Independent reviewers identified eligible studies, extracted data, assessed risk of bias using V.2 of the Cochrane risk-of-bias tool for randomised trials tool and assessed certainty of evidence by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.

main outcome measuresTime to complete healing, proportion healed at a given time and rate of healing.

resultsSeven studies met the inclusion criteria, five using PRP gel and two using L-PRF gel. One study showed a better proportion of complete healing, three reported reduced meantime to complete healing and five showed improved rate of healing per unit of time in the intervention group. The risk of bias was high across all studies with one exception and the GRADE showed very low certainty of evidence.

conclusionThe findings show potential for better outcomes in the intervention; however, the evidence remains inconclusive highlighting a large research gap in ulcer treatment and warrant better-designed clinical trials. PROSPERO REGISTRATION NUMBER: CRD42022352418.

Indexed as

Platelet-Rich FibrinPlatelet-Rich PlasmaSkin UlcerFibrinHumansUlcerFibrinSurgical dermatologySystematic ReviewWOUND MANAGEMENT

Identifiers

PMID38086583
PMCPMC10729115
OpenAlexW4389627606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.