Evidence map›Paper›PMID 40386849›Full record

SynthesisJournal of cosmetic dermatology2025

Efficacy and Safety of Combined Platelet-Rich Plasma With Fractional Laser for Adult Patients With Vitiligo: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Xiaowei Feng, Shali Jiang, Xingwei Zou, Yongqiong Deng, Jinwei Xie

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

5 authors.

Xiaowei FengDepartment of Dermatovenerology, Chengdu First People's Hospital, Chengdu, China.
Shali JiangDepartment of Dermatovenerology, Chengdu First People's Hospital, Chengdu, China.
Xingwei ZouDepartment of Dermatovenerology, Chengdu First People's Hospital, Chengdu, China.
Yongqiong DengDepartment of Dermatovenerology, Chengdu First People's Hospital, Chengdu, China.ORCID https://orcid.org/0000-0003-2023-830X
Jinwei XieDepartment of Orthopedics Surgery, West China Hospital of Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0002-0623-6036

Funding

Sichuan Science and Technology Program to JWX 2023YFS0233
6 · The paper itself

Abstract

objectivePlatelet-rich plasma (PRP) is a novel treatment option for vitiligo. It has been reported to be effective in combination with other methods, such as fractional laser. However, there is no consensus on the specific combined use of PRP with fractional laser. Therefore, this meta-analysis assessed the efficacy and safety of this combination regimen compared to control groups for vitiligo.

methodsA comprehensive literature search was conducted for relevant randomized controlled trials comparing PRP plus fractional laser with other routine treatments published from inception to January 2025. Data regarding the mean grade of repigmentation, patient's satisfaction score, rate of satisfactory repigmentation or no response, and incidence of side effects were extracted and meta-analyzed using a fixed or randomized model.

resultsSeven studies involving 366 patients were reviewed. The combination of PRP and fractional laser therapy significantly improved the mean grade of repigmentation (mean difference [MD] = 1.58; 95% confidence interval [CI] = 1.08-2.07; p < 0.01) and patients' satisfaction score (MD = 1.87; 95% CI = 0.90-2.83; p = 0.0001), while also reducing the no response rate (risk ratio [RR] = 0.54; 95% CI = 0.32-0.92; p = 0.02), compared with control groups, including monotherapy, topical drug or sun exposure only, and fractional lasers plus narrowband ultraviolet B. Additionally, the incidence of adverse events for combination therapy was comparable to that of control groups (RR = 0.86; 95% CI = 0.69-1.07; p = 0.17).

conclusionsThis meta-analysis provides evidence supporting the combined use of PRP and fractional laser therapy as a valuable and safe treatment modality for patients with vitiligo, based on its superiority to control groups and comparable rates of side effects. However, more well-designed and large-scale studies are required to confirm it.

Indexed as

Low-Level Light TherapyPlatelet-Rich PlasmaVitiligoAdultCombined Modality TherapyHumansPatient SatisfactionRandomized Controlled Trials as TopicSkin PigmentationTreatment Outcomefractional lasermeta‐analysisplatelet‐rich plasmarepigmentationvitiligo

Identifiers

PMID40386849
PMCPMC12086957

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.