Platelet-Rich Plasma in Chronic Wound Management: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Chronic wounds place a heavy burden on the healthcare system due to the prolonged, continuous need for human resources for wound management. Our aim was to investigate the therapeutic effects of platelet-rich plasma on the treatment of chronic wounds. The systematic literature search was performed i...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-12, Vol.11 (24), p.7532
Main Authors: Meznerics, Fanni Adél, Fehérvári, Péter, Dembrovszky, Fanni, Kovács, Kata Dorottya, Kemény, Lajos Vince, Csupor, Dezső, Hegyi, Péter, Bánvölgyi, András
Format: Article
Language:English
Subjects:
Bias
Clinical medicine
Clinical trials
Compression therapy
Confidence intervals
Diabetes
Foot diseases
Growth factors
Leg ulcers
Meta-analysis
Plasma
Quality of life
Quantitative analysis
Systematic Review
Wound healing
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Summary:Chronic wounds place a heavy burden on the healthcare system due to the prolonged, continuous need for human resources for wound management. Our aim was to investigate the therapeutic effects of platelet-rich plasma on the treatment of chronic wounds. The systematic literature search was performed in four databases. Randomized clinical trials reporting on patients with chronic wounds treated with platelet-rich plasma (PRP) were included, comparing PRP with conventional ulcer therapy. We pooled the data using the random effects model. Our primary outcome was the change in wound size. Our systematic search provided 2688 articles, and we identified 48 eligible studies after the selection and citation search. Thirty-three study groups of 29 RCTs with a total of 2198 wounds showed that the odds for complete closure were significantly higher in the PRP group than in the control group (OR = 5.32; CI: 3.37; 8.40; I = 58%). PRP is a safe and effective modality to enhance wound healing. By implementing it in clinical practice, platelet-rich plasma could become a widely used, valuable tool as it could not only improve patients' quality of life but also decrease the healthcare burden of wound management.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11247532