Evidence map›Paper›PMID 40880967›Full record

ArticleIndian journal of anaesthesia2025

Exploring dextrose prolotherapy in rotator cuff disorders: A systematic review and meta-analysis.

Sony Sony, Manasa Kantha, Shivam Shekhar, Ajit Kumar, Baibhav Bhandari, Karthik Pandian Muthuramalingam

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

6 authors.

Sony SonyDepartment of Anesthesiology, Pain and Critical Care, AIIMS Deoghar, Jharkhand, India.ORCID https://orcid.org/0009-0002-5503-2379
Manasa KanthaDepartment of Anesthesiology, Pain and Critical Care, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0001-5733-7358
Shivam ShekharDepartment of Anesthesiology, Pain and Critical Care, AIIMS Deoghar, Jharkhand, India.ORCID https://orcid.org/0000-0002-2703-9111
Ajit KumarDepartment of Anesthesiology, Pain and Critical Care, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0001-5172-3848
Baibhav BhandariDepartment of Anesthesiology, Pain and Critical Care, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India.ORCID https://orcid.org/0000-0001-5172-3848
Karthik Pandian MuthuramalingamDepartment of Anesthesiology, Pain and Critical Care, AIIMS Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0009-0006-0122-1317

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Rotator cuff (RC) disorders have a varied range of treatment. Multiple interventional, non-surgical treatments are often opted for by patients. This study evaluates the effectiveness of dextrose prolotherapy in treating RC pathologies. Methods: A comprehensive review of databases (PubMed, Google Scholar, Embase, Scopus, and Cochrane databases) from 2000 to June 2025 identified 13 relevant studies involving 936 patients. The randomised clinical trials, which compared dextrose prolotherapy with interventions such as platelet-rich plasma, steroids, physiotherapy, or placebos, were included in the systematic review. A risk-of-bias analysis was conducted using the Risk of Bias Visualisation Tool. It indicated that seven studies had low bias. Studies with a high risk of bias were excluded from the meta-analysis. The protocol was registered beforehand (PROSPERO ID: CRD42024520747). Results: Review Manager software was used to analyse the data and generate the plots. The analysis showed that prolotherapy significantly reduced pain (MD = -0.76; 95% CI: -1.26, -0.27; Conclusions: This systematic review and meta-analysis suggests that dextrose prolotherapy may be a feasible and effective alternative for RC disorders, and it can be considered for patients with limited treatment options. However, to reach the required information size, further trials are required. Uniformity in protocols, intervention strategies, and outcome reporting is necessary for longer follow-up periods to facilitate more effective evidence synthesis. This study received no external funding.

Indexed as

Corticosteroiddextrose prolotherapymeta-analysisphysiotherapyplatelet rich plasmarotator cuffshoulder pain

Identifiers

PMID40880967
PMCPMC12377548

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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.