Evidence map›Paper›PMID 39215227›Full record

SynthesisBMC pregnancy and childbirth2024

Efficacy of platelet-rich plasma in the treatment of thin endometrium: a meta-analysis of randomized controlled trials.

Xinyuan Liu, Chengyu Qian, Xiaoyue Jiang, Yue Zhou, Xue Feng, Yinyin Ding, Jing Jin, Minghui Hu, Weiye Zhou, Bei Liu and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The Value of Platelet-Rich Plasma Treatment in Reproductive Disorders: An Umbrella Review.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
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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

11 authors.

Xinyuan LiuNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Chengyu QianAffiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xiaoyue JiangNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Yue ZhouNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Xue FengShandong Tai'an Hospital of Traditional Chinese Medicine, Tai'an, 271000, Shandong, China.
Yinyin DingNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Jing JinAffiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Traditional Chinese Medicine), Nanjing, Jiangsu, China.
Minghui HuNanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
Weiye ZhouAffiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Traditional Chinese Medicine), Nanjing, Jiangsu, China.
Bei LiuAffiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Traditional Chinese Medicine), Nanjing, Jiangsu, China.
Huifang ZhouAffiliated Hospital of Nanjing University of Chinese Medicine (Jiangsu Province Hospital of Traditional Chinese Medicine), Nanjing, Jiangsu, China. zhouhuifang2011301@163.com.

Funding

Jiangsu Province Graduate Student Research and Practical Innovation Program SJCX22_0720Jiangsu Province Graduate Student Research and Practical Innovation Program SJCX23_0779Jiangsu province key research and development plan (Society Development) project No.BE2021726National Natural Science Foundation of China No. 81973898National Natural Science Foundation of China No. 82205167Outstanding Young Doctor program of Jiangsu Provincial Hospital of Traditional Chinese Medicine No. 2023QB0114
6 · The paper itself

Abstract

backgroundThin endometrium (TE) is a common cause of female infertility in clinical practice. Platelet-rich Plasma (PRP) therapy becomes a novel treatment for thin endometrium; however, its clinical application remains controversial. This meta-analysis aims to evaluate the therapeutic effects of intrauterine autologous PRP infusion in women with thin endometrium through relevant randomized controlled trials (RCTs).

methodsWe systematically searched studies published in English from inception until June 2024 in databases such as PubMed, The Cochrane Library, Embase, Web of Science, and MEDLINE. Search terms included "Platelet-Rich Plasma," "thin endometrium," "endometrial thickness," "infertility," "pregnancy," "reproduction," and "adverse reactions". RCTs identified through the search were subjected to systematic review and meta-analysis, and data were analyzed using fixed-effects or random-effects models based on heterogeneity.

resultsEight RCTs involving 678 patients with thin endometrium were included. Patients receiving PRP infusion demonstrated significantly superior outcomes compared to the control group in endometrial thickness (MD: 1.23, 95%CI: 0.87 to 1.59, P = 0.000), clinical pregnancy rate (RR: 2.04, 95%CI: 1.52 to 2.76, P = 0.000), live birth rate (RR: 2.46; 95%CI: 1.57 to 3.85, P = 0.000), cycle cancellation rate (RR: 0.46, 95%CI: 0.23 to 0.93, P = 0.000), and embryo implantation rate (RR: 2.71; 95%CI: 1.91 to 3.84, P = 0.000). There were no statistically significance in spontaneous abortion rate (RR: 0.85, 95%CI: 0.40 to 1.78, P = 0.659), chemical pregnancy rate (RR: 1.84, 95%CI: 0.72 to 4.72, P = 0.204) and endometrial vascular improvement rate (RR: 1.10; 95%CI: 0.89 to 1.38, P = 0.367) between the two groups. The limitations of this study includes that, we only included single lauguage for literature research, the sample size and heterogeneity which could cause criteria bias.

conclusionIntrauterine PRP infusion may be an effective and safe treatment for women with thin endometrium. Further high-quality, large-sample, randomized controlled trials are needed to validate the reliability of our results.

trial registrationThe review protocol is registered on PROSPERO with registration number CRD42023490421, and no modifications were made to the information provided at registration.

Indexed as

EndometriumInfertility, FemalePlatelet-Rich PlasmaFemaleHumansLive BirthPregnancyPregnancy RateRandomized Controlled Trials as TopicTreatment OutcomeMeta-analysisPlatelet-rich plasma (PRP)Randomized controlled trials (RCTs)Thin endometrium

Identifiers

PMID39215227
PMCPMC11363443

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.