Evidence map›Paper›PMID 39877770›Full record

ReviewCureus2024

Efficacy of Platelet-Rich Plasma in Endoscopic Sinus Surgery for Chronic Sinusitis: A Systematic Review and Meta-Analysis.

Jawad I Bukhari, Abdulrahman E Alghamdi, Shahad Mohammed Albeladi, Hala E Danish, Reem B Alqarni, Dakheelallah M Almutairi

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Jawad I BukhariCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Abdulrahman E AlghamdiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Shahad Mohammed AlbeladiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Hala E DanishCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Reem B AlqarniCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Dakheelallah M AlmutairiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic rhinosinusitis (CR) is a persistent inflammation of the nasal mucosa and paranasal sinuses. Endoscopic sinus surgery (ESS) is a procedure that improves sinus drainage and ventilation. Despite advancements in ESS, additional corrective procedures post-ESS are often needed. Clinical trials have explored the efficacy of platelet-rich plasma (PRP) as adjunctive therapy after ESS. This study aims to provide evidence supporting the efficacy of PRP post-ESS for CS patients. Independent authors searched three electronic databases (Medline, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL)) and assessed the methodological quality of included studies using the Cochrane risk of bias 2 tool (RoB 2). Only randomized controlled trials (RCTs) were included. We pooled standardized mean differences (SMDs) with corresponding 95% confidence intervals (CIs) using a random-effects model. Five RCTs met our inclusion criteria. Among 260 patients, 133 were allocated to PRP and 127 to the control group. PRP was associated with significantly lower postoperative nasal endoscopy scores (-1.74 (95% CI: -2.96, -0.52), P = 0.005) and Lund-Kennedy scores (-3.05 (95% CI: -4.97, -1.13), P = 0.002). PRP also significantly lowered Sinonasal Outcome Test-22 (SNOT-22) scores at one and three months follow-up (-8.25 (95% CI: -11.26, -5.24), P < 0.00001, and -2.75 (95% CI: -5.38, -0.12), P = 0.04, respectively). Subgroup analysis based on the location of administration showed borderline significance in the middle meatus group (-2.70 (95% CI: -5.35, -0.04), P = 0.05). This meta-analysis supports using PRP following ESS for CS patients. Despite promising results, further RCTs are needed to confirm long-term efficacy.

Indexed as

chronic sinusitisendoscopic sinus surgerymeta-analysisplatelet-rich plasmapostoperative outcomessinusitis treatmentsystematic review

Identifiers

PMID39877770
PMCPMC11774301

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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.