The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.
Shangqiu Institute of Technology, Shangqiu, China.
Int Wound J. 2024 Apr;21(4):e14632. doi: 10.1111/iwj.14632. Epub 2023 Dec 29.
To assess the clinical data on the effectiveness of stem cell therapy for diabetic foot (DF) based on recent systematic reviews and meta-analyses (SRs/MAs). SRs/MAs that evaluate the clinical evidence on the efficacy of stem cell therapy for DF were identified through a systematic search in public databases. The methodological quality and evidence quality of the included SRs/MAs were assessed separately by two researchers. Eight SRs/MAs were included in this analysis. Since there were no registered protocol or exclusion criteria for the included SRs/MAs, the methodological quality was rated as critically low. There was no high-quality evidence available for the outcomes, and the evidence quality ranged from critically low to moderate. Evidence degradation was most commonly caused by the risk of bias, followed by imprecision, publication bias and inconsistency. In conclusion, stem cell therapy may be effective for DF. However, this conclusion should be approached with caution, considering the quality of the supporting SRs/MAs.
评估基于最近的系统评价和荟萃分析(SRs/MAs)的干细胞治疗糖尿病足(DF)的临床数据。通过在公共数据库中进行系统搜索,确定了评估干细胞治疗 DF 疗效的临床证据的 SRs/MAs。两位研究人员分别评估纳入的 SRs/MAs 的方法学质量和证据质量。本分析共纳入 8 篇 SRs/MAs。由于纳入的 SRs/MAs 没有注册的方案或排除标准,因此方法学质量被评为极低。对于结局没有高质量证据,证据质量从极低到中等不等。证据降级最常见的原因是偏倚风险,其次是不精确、发表偏倚和不一致性。总之,干细胞治疗可能对 DF 有效。然而,考虑到支持 SRs/MAs 的质量,这个结论应该谨慎对待。
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