The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Efficacy and Safety of Intra-Articular Cell-Based Therapy for Osteoarthritis: Systematic Review and Network Meta-Analysis
Open accessAbstract
Objective: Osteoarthritis (OA) is a chronic joint disease characterized by degeneration of articular cartilage and secondary osteogenesis. Cell-based agents, such as mesenchymal stem cells, have turned into the most extensively explored new therapeutic agents for OA. However, evidence-based research is still lacking. Methods: We searched public databases up to February 2020 and only included randomized controlled trials. The outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Knee Injury and Osteoarthritis Outcome Score (KOOS), the visual analogue scale (VAS) score, and serious adverse events (SAEs). A network meta-analysis was also performed in this work. Results: We included 13 studies in the meta-analysis. The effect size showed that cell-based therapy did not significantly reduce the WOMAC score at the 6-month follow-up (standard mean difference [SMD] −3.6; 95% confidence interval [CI] −0.90 to 0.18; P = 0.1928). However, cell-based therapy significantly improved the KOOS at the 12-month follow-up (SMD 0.68; 95% CI 0.07-1.30; P = 0.0288) and relieved pain (SMD −1.05; 95% CI −1.46 to −0.64; P < 0.0001). The findings also indicated that high-dosage adipose-derived mesenchymal stem cells (ADMSCs) may be more advantageous in terms of long-term effects. Conclusions: Cell-based therapy had a better effect on KOOS improvement and pain relief without safety concerns. However, cell-based therapy did not show a benefit in terms of the WOMAC. Allogeneic cells might have advantages compared to controls in the WOMAC and KOOS scores. The long-term effect of high-dose ADMSC treatment for OA is worthy of further study.
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“Plateletrich plasma (PRP), derived from autologous blood and enriched with growth factors, has demonstrated potential to accelerate tissue healing.”
From Management of platelet-rich plasma and stem cells versus conventional treatments in musculoskeletal injury repair: A systematic review (2025) · cites this paper as [2]
In the citing paper
“Likewise, stem cell (SC) therapy, particularly using mesenchymal stem cells (MSCs), is of interest due to its capacity for differentiating and regenerating damaged musculoskeletal structures. [2]”
From Management of platelet-rich plasma and stem cells versus conventional treatments in musculoskeletal injury repair: A systematic review (2025) · cites this paper as [2]
In the citing paper
“Ding et al . (2021) [2] showed superior efficacy of intra-articular cell-based therapies over HA or corticosteroids in OA management.”
From Management of platelet-rich plasma and stem cells versus conventional treatments in musculoskeletal injury repair: A systematic review (2025) · cites this paper as [2]
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Cited by
Ballesta, F. J. G., Vásquez, L. N. A., Borbón, J. R., Leal, J. A. C., Agudelo, D. S. J., & Granados, J. P. A. (2025) · Journal of Musculoskeletal Surgery and Research · doi:10.25259/jmsr_402_2025
Metadata
- Authors
- Ding, W., Xu, Y.-Q., Zhang, Y., Li, A.-X., Qiu, X., Wen, H.-J., & Tan, H.-B.
- Affiliations
- Medical College, Yunnan University of Business Management, Kunming, Yunnan, People’s Repuplic of China
- Department of Orthopaedic, The 920th Hospital of Joint Logistics Support Force, Kunming, Yunnan, People’s Republic of China
- Department of Orthopedic Surgery, The Fourth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, Peoples’ Republic of China
- Venue
- CARTILAGE
- Publisher
- SAGE Publications
- Published
- 2020-07-22
- Volume
- 13
- Issue
- 1_suppl
- Pages
- 104S-115S
- ISSN
- 1947-6035 (ISSN-L)
- 1947-6043
- PMC
- PMC8808819
- OpenAlex
- W3045260871
- Cited by
- 32
- References
- 46
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 4
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
- Locations
- Cartilage (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- national basic research program of china (2017YFC1103904, 2018HB001)
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Health Sciences › Dentistry › Periodontics › Periodontal Regeneration and Treatments
- Keywords
- osteoarthritis, mesenchymal stem cells, adipose-derived stem cells, allogeneic cells, WOMAC, KOOS, analgesia, treatment efficacy, safety, dose comparison
- MeSH terms
- Network Meta-Analysis, Humans, Injections, Intra-Articular, Regeneration, Transplantation, Autologous, Treatment Outcome, Osteoarthritis, Knee, Mesenchymal Stem Cell Transplantation, Mesenchymal Stem Cells
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