Evidence map›Paper›PMID 41884216›Full record

SynthesisFrontiers in endocrinology2026

Bone marrow-derived mesenchymal stem cells combined with intramuscular injection promote the healing of diabetic foot ulcers: a systematic review and meta-analysis.

Xuliu Zhang, Guobin Liu, Yang You, Huimin Lu, Weijing Fan, Weiran Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2026. 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.

Xuliu ZhangDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Guobin LiuDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Yang YouDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Huimin LuDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Weijing FanDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Weiran LiDepartment of Vascular Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetic foot ulcers (DFUs) represent a debilitating complication of diabetes characterized by high rates of morbidity and mortality, yet conventional management often yields limited efficacy. Although cell-based therapies offer a promising therapeutic avenue, their clinical efficacy and optimal target populations remain to be definitively established. Methods: We searched databases including PubMed, Embase, the Cochrane Library, Web of Science, and the China National Knowledge Infrastructure from inception to November 2025 for randomized controlled trials (RCTs). Study quality was assessed using the Revised Cochrane risk-of-bias tool for randomized trials. Meta-analysis, subgroup analysis, and heterogeneity analysis were performed using R software (version 4.3.3). Sensitivity analysis was conducted via the leave-one-out method. Results: Thirty-two RCTs involving 2059 patients were included, assessing nine core outcomes including ulcer healing rate and amputation rate. Pooled analysis demonstrated that cell therapy significantly improved the ulcer healing rate (OR = 4.64, 95% CI: 3.11 to 6.90), reduced the amputation rate (OR = 0.29, 95% CI: 0.18 to 0.49), enhanced limb perfusion (ABI MD = 0.14, 95% CI: 0.05 to 0.22; TcPO Conclusion: Cell therapy shows significant potential as an adjuvant treatment for DFUs. Current evidence suggests that a protocol utilizing autologous BMMSCs within a medium-to-high dose range (targeting 1×10 Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD420251247289.

Indexed as

Diabetic FootMesenchymal Stem CellsMesenchymal Stem Cell TransplantationWound HealingHumansInjections, IntramuscularRandomized Controlled Trials as Topicamputationdiabetic footdiabetic foot ulcermesenchymal stem cellmeta-analysisneovascularizationstem cell transplantationwound healing

Identifiers

PMID41884216
PMCPMC13008641

What OpenQuestion holds

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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.