Evidence map›Paper›PMID 39661865›Full record

SynthesisEinstein (Sao Paulo, Brazil)2024

Autologous platelet concentrate for the treatment of macular hole: a systematic review and meta-analysis.

Dillan Cunha Amaral, Mário Luiz Ribeiro Monteiro, Milton Ruiz Alves, Ivar Vargas Belizario, Lucas de Sousa Tebicherane, Raíza Jacometti, José Eduardo Ferreira Manso, Agma Juci Machado Traina, Ricardo Noguera Louzada

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Einstein (Sao Paulo, Brazil), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

9 authors.

Dillan Cunha AmaralFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0002-7948-154X
Mário Luiz Ribeiro MonteiroDivisão de Oftalmologia e Laboratório de Investigação em Oftalmologia (LIM-33), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7281-2791
Milton Ruiz AlvesDivisão de Oftalmologia e Laboratório de Investigação em Oftalmologia (LIM-33), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-6759-5289
Ivar Vargas BelizarioFaculdade de Medicina, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.ORCID http://orcid.org/0000-0001-5970-2283
Lucas de Sousa TebicheraneFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0009-0001-1824-7592
Raíza JacomettiDivisão de Oftalmologia e Laboratório de Investigação em Oftalmologia (LIM-33), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0005-4524-8661
José Eduardo Ferreira MansoFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0001-9694-7415
Agma Juci Machado TrainaInstituto de Ciências Matemáticas e de Computação, Universidade de São Paulo, São Carlos, SP, Brazil.ORCID http://orcid.org/0000-0003-4929-7258
Ricardo Noguera LouzadaFaculdade de Medicina, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-9610-5768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous platelet concentrates are rich in growth factors and have shown potential for high anatomical success rates in macular hole treatment. However, no systematic review has yet assessed its impact. Therefore, this study aimed to conduct a comprehensive review and meta-analysis on the comparative efficacy and safety of autologous platelet concentrates in treating macular hole. A systematic review of the literature on autologous platelet concentrate therapy for macular hole was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines on September 9, 2023. Databases, including PubMed, the Cochrane Library, Web of Science, and Embase, were queried. A meta-analysis of random effects was performed. Efficacy was evaluated through anatomical closure, reopening of the macular hole at 6 months, average improvement of 2 lines, and visual field loss. Safety was evaluated by monitoring complications. A systematic search of multiple databases identified six studies (three randomized controlled trials and three non-randomized cohort studies) involving 616 patients (626 eyes). Autologous platelets concentrate therapy significantly improved macular hole closure compared to that in the controls (OR=4.35; 95%CI=2.08-9.10; p<0.0001; I²=9%). No significant differences were observed in hole reopening at 6 months, post-operative visual acuity improvement by 2 lines or more, or visual field loss between autologous platelets concentrate and control groups. The overall complication rates were similar between groups. Thus, autologous platelet concentrate therapy shows promise for promoting macular hole closure, particularly in smaller holes. Further research with standardized protocols, prolonged follow-ups, and larger sample sizes is needed to fully understand its benefits and limitations in macular hole closure. (https://www.crd.york.ac.uk/prospero/) under ID CRD42023455815.

Indexed as

Retinal PerforationsBlood PlateletsBlood Transfusion, AutologousHumansPlatelet-Rich PlasmaPlatelet TransfusionRandomized Controlled Trials as TopicTreatment OutcomeVisual Acuity

Identifiers

PMID39661865
PMCPMC11634372

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.