Evidence map›Paper›PMID 34801084›Full record

SynthesisStem cell research & therapy2021

Cell therapy as a treatment of secondary lymphedema: a systematic review and meta-analysis.

Hector Lafuente, Ibon Jaunarena, Eukene Ansuategui, Arantza Lekuona, Ander Izeta

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 24% of its field
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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Mechanisms and treatments of lymphedema.Frontiers in immunology · 2026
    Review
  4. Article
  5. Review
  6. Engineering ADSCs by manipulating YAP for lymphedema treatment in a mouse tail model.Experimental biology and medicine (Maywood, N.J.) · 2024
    Article
  7. Review
  8. Article
  9. Article
  10. 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 at 1 institution in 1 country.

Hector Lafuente *Tissue Engineering Group, Biodonostia Health Research Institute, 20014, San Sebastián, Spain.
Ibon Jaunarena *Gynecology Oncology Unit, Donostia University Hospital, 20014, San Sebastián, Spain.
Eukene AnsuateguiClinical Epidemiology Group, Biodonostia Health Research Institute, 20014, San Sebastián, Spain.
Arantza LekuonaGynecology Oncology Unit, Donostia University Hospital, 20014, San Sebastián, Spain.
Ander IzetaTissue Engineering Group, Biodonostia Health Research Institute, 20014, San Sebastián, Spain. ander.izeta@biodonostia.org.ORCID 0000-0003-1879-7401
Biogipuzkoa Health Research Institute · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymphedema, the accumulation of interstitial fluid caused by poor lymphatic drainage, is a progressive and permanent disease with no curative treatment. Several studies have evaluated cell-based therapies in secondary lymphedema, but no meta-analysis has been performed to assess their efficacy.

methodsWe conducted a systematic review and meta-analysis of all available preclinical and clinical studies, with assessment of their quality and risk of bias.

resultsA total of 20 articles using diverse cell types were selected for analysis, including six clinical trials and 14 pre-clinical studies in three species. The meta-analysis showed a positive effect of cell-based therapies on relevant disease outcomes (quantification of edema, density of lymphatic capillaries, evaluation of the lymphatic flow, and tissue fibrosis). No significant publication bias was observed.

conclusionCell-based therapies have the potential to improve secondary lymphedema. The underlying mechanisms remain unclear. Due to relevant heterogeneity between studies, further randomized controlled and blinded studies are required to substantiate the use of these novel therapies in clinical practice.

Indexed as

LymphedemaCell- and Tissue-Based TherapyHumansLymphatic vasculatureLymphedemaMeta-analysisRegenerationRegenerative medicineStem cellsSystematic review

Identifiers

PMID34801084
PMCPMC8605543
OpenAlexW3216895595

What Socratic 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 Socratic graph.