Autologous platelet-rich plasma treatment for patients with diabetic foot ulcers: a meta-analysis of randomized studies.
J Diabetes Complications
; 34(8): 107611, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-32402839
ABSTRACT
BACKGROUND:
This study will explore the effectiveness and safety of autologous PRP in the treatment of patients with DFU.METHODS:
The electronic databases of PubMed, EMBASE, BIOSIS, Cochrane central, and Google Scholar internet were searched updated on Jan 30, 2020. Evaluated outcomes included rate of complete ulcer healing, time to healing and adverse events. Statistical analysis was performed with RevMan 5.0 software and STATA 10.0 software.RESULTS:
Ten RCTs with 456 patients were included in this study. The meta-analysis showed a higher complete ulcer healing rate (RRâ¯=â¯1.32, 95% CI 1.06 to 1.65, Pâ¯=â¯0.01, I2â¯=â¯57%), a shorter healing time (MDâ¯=â¯-23.42, 95% CI -37.33 to -9.51, Pâ¯=â¯0.01, I2â¯=â¯78%), with no increasing the incidence of adverse events (RRâ¯=â¯0.48, 95% CI 0.22 to 1.05, Pâ¯=â¯0.75, I2â¯=â¯0%) in PRP group compared with control. Mixed evidence was seen for publication bias, but analyses by using the trim-and-fill method did not appreciably alter results.CONCLUSION:
Our findings suggest that autologous PRP may improve the complete ulcer healing rate, shorten the healing time, with no increasing the incidence of adverse events.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Transfusão de Sangue Autóloga
/
Transfusão de Plaquetas
/
Pé Diabético
/
Plasma Rico em Plaquetas
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article