Evidence map›Paper›PMID 36104736›Full record

SynthesisJournal of foot and ankle research2022

Human amniotic membrane products for patients with diabetic foot ulcers. do they help? a systematic review and meta-analysis.

Yasmine Adel Mohammed, Hossam Khaled Farouk, Mohamed Ibrahim Gbreel, Abdelrahman Mahmoud Ali, Ali Ashraf Salah, Anas Zakarya Nourelden, Mohamed Mahmoud Abd-El Gawad

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of foot and ankle research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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.

NCT06470087 nacompletednot on this mapstarted 2024, after this paper: background citation

A Randomized Controlled Clinical Trial Comparing High Purity Type-I Collagen-based Skin Substitute to Dehydrated Human Amnion/Chorion Membrane in the Treatment of Diabetic Foot Ulcers

TypeinterventionalSponsorAdichunchanagiri Institute of Medical Sciences, B G NagaraRan2024 to 2024Enrolled28ConditionsDiabetic Foot Ulcer (DFU)ArmsSOC and Type-I Collagen-based Skin Substitute, SOC and Human Amnion/Chorion Membrane
NCT07046403 nacompletednot on this mapstarted 2025, after this paper: background citation

A Multicentric Randomized Controlled Clinical Trial Comparing the Use of High Purity Type-I Collagen-Based Skin Substitute vs. Dehydrated Human Amnion/Chorion Membrane in the Treatment of Diabetic Foot Ulcers

TypeinterventionalSponsorAdichunchanagiri Institute of Medical Sciences, B G NagaraRan2025 to 2025Enrolled120ConditionsDiabetic Foot Ulcer (DFU)ArmsHigh Purity Type-I Collagen-based Skin Substitute and SOC, Dehydrated Human Amnion / Chorion Membrane and SOC
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Amniotic fluid: its role in fetal development and beyond.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Clinical Evaluation of AMNIODERM+Biotech (Basel (Switzerland)) · 2024
    Article
  16. Article
  17. Review
  18. 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

7 authors at 5 institutions in 1 country.

Yasmine Adel MohammedFaculty of Medicine, Assiut University, Assiut, 71631, Assiut governorate, Egypt. yasminea126@gmail.com.ORCID http://orcid.org/0000-0001-8359-0824
Hossam Khaled FaroukInternational Medical Research Association (IMedRA), Cairo, Egypt.
Mohamed Ibrahim GbreelInternational Medical Research Association (IMedRA), Cairo, Egypt.
Abdelrahman Mahmoud AliInternational Medical Research Association (IMedRA), Cairo, Egypt.
Ali Ashraf SalahInternational Medical Research Association (IMedRA), Cairo, Egypt.
Anas Zakarya NoureldenInternational Medical Research Association (IMedRA), Cairo, Egypt.
Mohamed Mahmoud Abd-El GawadInternational Medical Research Association (IMedRA), Cairo, Egypt.
Fayoum University · EGMinia University · EGAl-Azhar University · EGAssiut University · EGOctober 6 University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulcer (DFU) is one of the most serious diabetic complications. DFU is an open wound that usually occurs in the foot sole due to poor blood glucose control, peripheral neuropathy, and poor circulation. The human amniotic allograft membrane is a biological wound dressing derived from the amniotic membrane. It contains amino acids, nutrients, cytokines, and growth factors that make the growth process easier.

objectiveTo compare dehydrated human amnion and chorion allograft (DHACA) plus the standard of wound care (SOC) with the SOC alone.

methodsWe searched for randomized clinical trials (RCTs) on PubMed, Scopus, Cochrane, and Web of Science till April 2021 using relevant keywords. All search results were screened for eligibility. We extracted the data from the included trials and pooled them as mean difference (MD) or risk ratio (RR) with the 95% confidence interval (CI) using Review Manager software (ver. 5.4).

resultsThe pooled effect estimate from 11 RCTs showed that DHACA was superior to SOC regarding the complete wound healing in both 6th and 12th week (RR = 3.78; 95% CI: [2.51, 5.70]; P < 0.00001) and (RR = 2.00; 95% CI: [1.67, 2.39], P < 0.00001 respectively). Also, the analysis favored the DHACA regarding the mean time to heal in the 12th-week (MD = -12.07, 95%CI: [-19.23, -4.91], P = 0.001). The wound size reduction was better with DHACA (MD = 1.18, 95%CI: [-0,10, 2.26], P = 0.03).

conclusionUsing DHACA with SOC is safer and more effective than using SOC alone for DFU patients.

Indexed as

Diabetes MellitusDiabetic FootAmnionHumansStandard of CareTreatment OutcomeWound HealingAmnioBandAmniotic allograftDiabetic foot ulcerEpiFixGrafixHuman amnion membrane

Identifiers

PMID36104736
PMCPMC9472416
OpenAlexW4295898654

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.