Evidence map›Paper›PMID 39446263›Full record

ReviewJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2024

Differences in the effectiveness of leukocyte-rich platelet-rich plasma compared with leukocyte-poor platelet-rich plasma in the treatment of rotator cuff surgery: an umbrella review of meta-analyses.

Peiyuan Tang, Masoud Rahmati, Wenfeng Xiao, Ting Wen, Dong Keon Yon, Lee Smith, Jingyue Su, Shengwu Yang, Yusheng Li, Zhenhan Deng

Abstract readComparative StudyReview
In one paragraph

Review in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

10 authors.

Peiyuan TangDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Masoud RahmatiDepartment of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran.
Wenfeng XiaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Ting WenDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, 410008, China.
Dong Keon YonDepartment of Regulatory Science, Kyung Hee University, Seoul, South Korea.
Lee SmithCentre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Jingyue SuDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Shengwu YangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Yusheng LiDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, 410008, China. liyusheng@csu.edu.cn.
Zhenhan DengDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. dengzhenhan@wmu.edu.cn.ORCID http://orcid.org/0000-0003-0522-8269

Funding

Hunan Provincial Innovation Foundation for Postgraduate CX20230308Hunan Provincial Innovation Foundation for Postgraduate CX20230312National Clinical Research Center for Geriatric Disorders 2021KFJJ02National Clinical Research Center for Geriatric Disorders 2021LNJJ05National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation 2021-NCRC-CXJJ-PY-40National Key R&D Program of China 2019YFA0111900National Natural Science Foundation of China 82272611National Natural Science Foundation of China 882072506National Natural Science Foundation of China 92268115Science and Technology Innovation Program of Hunan Province 2021JJ31105
6 · The paper itself

Abstract

backgroundAn umbrella review of meta-analyses was conducted to evaluate the use of platelet-rich plasma (PRP) in arthroscopic surgeries of rotator cuff injury. The effectiveness of leukocyte-poor PRP and leukocyte-rich PRP in the treatment of rotator cuff surgery was also compared.

methodsWeb of Science, Embase, PubMed/MEDLINE, and the Cochrane Library were searched from inception to May 2024. Literature screening, quality evaluation, and data extraction were performed according to the inclusion and exclusion criteria. The Jadad decision algorithm was used to ascertain which meta-analysis represented the best evidence.

resultsA total of 11 meta-analyses with evidence level ranging from level 1 to 2 were included in this umbrella review. Leukocyte-poor PRP was effective in reducing rotator cuff retear rates, alleviating pain, and increasing Constant scores compared with non-PRP treatments. However, it did not show improvement on the University of California Los Angeles (UCLA) score, the American Shoulder and Elbow Surgeons (ASES) score, and the Simple Shoulder Test (SST) compared with the non-PRP treatment group. Meanwhile, the leukocyte-rich PRP group improved the SST but showed no different results when compared with the non-PRP treatment group.

conclusionCompared with no use of PRP, leukocyte-poor PRP was able to alleviate postoperative pain, reduce the retear rate, and improve the postoperative Constant score. Leukocyte-rich PRP could effectively enhance postoperative SST outcomes, leading to improvement of patient satisfaction and quality of life. Future researches should prioritize long-term follow-up studies and evaluate the durability of these results.

Indexed as

Meta-Analysis as TopicPlatelet-Rich PlasmaRotator Cuff InjuriesArthroscopyHumansLeukocytesTreatment OutcomeMeta-analysesPlatelet-rich plasmaRotator cuffUmbrella review

Identifiers

PMID39446263
PMCPMC11502652

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.