Evidence mapPaperPMID 39287795Full record

Observational studyActa diabetologica2025

Effectiveness of autologous mononuclear cells as adjuvant therapy in patients with ischaemic diabetic foot ulcers receiving indirect lower limb revascularization.

M Marco, U Luigi, R Valeria, B Ermanno, M Carlo, R Maria, A Aikaterini, G Laura, B Alfonso, L Davide

Erratum issuedAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Acta diabetologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

M MarcoDepartment of Systems Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy. meloni.marco@libero.it.ORCID http://orcid.org/0000-0003-3789-9622
U LuigiDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, 00145, Rome, Italy.
R ValeriaDivision of Endocrinology and Diabetology, Department of Medical Sciences, Fondazione Policlinico "Tor Vergata", 00133, Rome, Italy.
B ErmannoDepartment of Systems Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy.
M CarloClinica Mediterranea, 80122, Naples, Italy.
R MariaDivision of Endocrinology and Diabetology, Department of Medical Sciences, Fondazione Policlinico "Tor Vergata", 00133, Rome, Italy.
A AikateriniDepartment of Systems Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy.
G LauraDivision of Endocrinology and Diabetes, CTO Andrea Alesini Hospital, 00145, Rome, Italy.
B AlfonsoDepartment of Systems Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy.
L DavideDepartment of Systems Medicine, University of Rome "Tor Vergata", 00133, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe current study aimed to evaluate the effectiveness of peripheral blood mononuclear cells (PB-MNCs) therapy for patients with ischaemic diabetic foot ulcers (DFUs) treated through indirect revascularization.

methodsThe study is a prospective non-controlled observational study including patients with neuro-ischaemic DFUs who received indirect peripheral revascularization and showed a persistence of wound ischaemia defined by the absence of angiographic collateral vessels and TcPO2 values < 30 mmHg in the wound angiosome area. All patients received 3 cycles of PB-MNCs therapy administered along the wound related artery based on the angiosome theory. The primary outcomes measures were healing, major amputation, and survival after 1 year of follow-up. The secondary outcomes measures were the evaluation of tissue perfusion by TcPO2 and foot pain defined by the Numerical Rating Scale (NRS).

resultsOverall 52 (9.7%) patients were included. Most patients were aged (> 70 years), all of them were affected by Type 2 Diabetes with a long diabetes duration (> 20 years). Almost 80% were assessed as grade 2D- 3D of Texas University Classification. Forty-four patients (84.6%) patients healed and survived, 2 (3.85%) healed and deceased, 2 (3.85%) not healed and deceased, 4 (7.7%) not healed and survived. No major amputations were recorded. A significant increase of TcPO

conclusionsPB-MNCs resulted effective to promote wound healing and limb salvage in diabetic patients with ischaemic DFUs who received indirect revascularization.

Indexed as

Diabetic FootIschemiaLeukocytes, MononuclearLower ExtremityAgedAged, 80 and overAmputation, SurgicalDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedProspective StudiesTransplantation, AutologousTreatment OutcomeWound HealingDiabetesDiabetic footPeripheral arterial diseasePeripheral blood mononuclear cellsRevascularization

Identifiers

What Socratic holds

Textmetadata
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.