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Bibliometric analysis of the top 50 highly cited articles on platelet-rich plasma in osteoarthritis and tendinopathy

    Carsen Cash

    *Author for correspondence: Tel.: +1 618 751 3853;

    E-mail Address: carsencash@gmail.com

    Vanderbilt University School of Medicine, Nashville, TN 37232, USA

    ,
    Leon Scott

    Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA

    ,
    Rachel Lane Walden

    Eskind Biomedical Library, Vanderbilt University, Nashville, TN 37232, USA

    ,
    Andrew Kuhn

    Department of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA

    &
    Eric Bowman

    Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232, USA

    Published Online:https://doi.org/10.2217/rme-2022-0024

    The primary goal of this study was to compile the top 50 most cited articles on the use of platelet-rich plasma (PRP). A search of relevant studies was performed in accordance with the PRISMA guidelines in Web of Science. The top 25 most cited articles in osteoarthritis and tendinopathy were then compiled and evaluated. Level 1 evidence articles constituted the majority of the studies (64%) and were more likely to have a higher citation density. Altmetric data was highest for level 1 systematic reviews. Of the articles that report a positive outcome for PRP, 13% (2/16) had low risk of bias. This study defines the most cited and influential publications regarding PRP to further research in this area.

    Plain language summary

    Osteoarthritis, which is degeneration of joints from overuse and/or injuries, and tendinopathy, which is usually a chronic injury of the tendons attached to muscles and bones, are big issues in sports medicine. Platelet-rich plasma (PRP), which is a concentrated mixture of platelets from the patient’s own blood, could be an effective treatment for these conditions, but the literature on PRP is limited. This article lists the top 25 most cited articles on the use of PRP in osteoarthritis and in tendinopathy, and it also analyzes how much these articles have been used in research and in public discord. This article is useful as a reading list for physicians, trainees, patients and researchers to know the evidence for PRP.

    Tweetable abstract

    The top 25 most cited articles on the use of platelet-rich plasma in both osteoarthritis and tendinopathy are listed. This article is useful as a reading list for medical practitioners and researchers.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1. Wasterlain AS, Braun HJ, Harris AHS, Kim HJ, Dragoo JL. The systemic effects of platelet-rich plasma injection. Am. J. Sports Med. 41(1), 186–193 (2013).
    • 2. American Academy of Orthopaedic Surgeons (AAOS). Management of Osteoarthritis of the Knee (Non-Arthroplasty): Evidence-Based Clinical Practice Guideline AAOS, IL, USA (2021).
    • 3. Phillips NR, Harmon K. Platelet-rich plasma (PRP). AMSSM SportsMedToday.com www.sportsmedtoday.com/plateletrich-plasma-va-65.htm
    • 4. Zhang Y, Jordan JM. Epidemiology of osteoarthritis. Clin. Geriatr. Med. 26(3), 355–369 (2010).
    • 5. Dillon CF, Rasch EK, Gu Q, Hirsch R. Prevalence of knee osteoarthritis in the United States: arthritis data from the Third National Health and Nutrition Examination Survey 1991-1994. J. Rheumatol. 33(11), 2271–2279 (2006).
    • 6. Hussain N, Johal H, Bhandari M. An evidence-based evaluation on the use of platelet rich plasma in orthopedics – a review of the literature. SICOT J. 3, 57 (2017).
    • 7. Saito M, Takahashi KA, Aiai Y et al. Intraarticular administration of platelet-rich plasma with biodegradable gelatin hydrogel microspheres prevents osteoarthritis progression in the rabbit knee. Clin. Exp. Rheumatol. 27, 201–207 (2009).
    • 8. Pavlovic V, Ciric M, Jovanovic V, Stojanovic P. Platelet rich plasma: a short overview of certain bioactive components. Open Med. 11(1), 242–247 (2016).
    • 9. Wang JHC, Guo Q, Li B. Tendon biomechanics and mechanobiology – a minireview of basic concepts and recent advancements. J. Hand Ther. 25(2), 133–141 (2012).
    • 10. Unlu MC, Kivrak A, Kayaalp ME, Birsel O, Akgun I. Peritendinous injection of platelet-rich plasma to treat tendinopathy: a retrospective review. Acta Orthop. 51(6), 482–487 (2017).
    • 11. Kaux JF, Drion P, Croisier JL, Crielaard JM. Tendinopathies and platelet-rich plasma (PRP): from pre-clinical experiments to therapeutic use. J. Stem Cells Regen. Med. 11(1), P7–P17 (2015).
    • 12. Everts P, Onishi K, Jayaram P, Lana JF, Mautner K. Platelet-rich plasma: new performance understandings and therapeutic considerations in 2020. Int. J. Mol. Sci. 21(20), 7794 (2020).
    • 13. Hong M, Cheng C, Sun X et al. Efficacy and safety of intra-articular platelet-rich plasma in osteoarthritis knee: a systematic review and meta-analysis. Bio. Med. Res. Int. 2021, 1–14 (2021).
    • 14. Vielgut I, Dauwe J, Leithner A, Holzer LA. The fifty highest cited papers in anterior cruciate ligament injury. Int. Orthop. 41(7), 1405–1412 (2017).
    • 15. Kraeulter JM, Freedman KB, MacLeod RA, Schrock JB, Tjoumakaris FP, McCarty EC. The 50 most dited articles in rotator cuff repair research. Orthopedics 39(6), e1045–e1051 (2016).
    • 16. Barbera J, Selverian S, Courington R, Mikhail C, Colvin A. The top 50 most influential articles in hip arthroscopy. Arthrosc – J. Arthrosc. Relat. Surg. 36(3), 716–722 (2020).
    • 17. Malik AT, Noordin S. The top 50 most-cited articles on total ankle arthroplasty: a bibliometric analysis. Orthop. Rev. 10(1), 7498 (2018).
    • 18. Clarivate. Web of Science Core Collection Overview (2021). https://clarivate.com
    • 19. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan – a web and mobile app for systematic reviews. Syst. Rev. 5(1), 210 (2016).
    • 20. Page MJ, Mckenzie JE, Bossuyt PM et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372, n71 (2021).
    • 21. Altmetrics. What Are Altmetrics? (2021). www.altmetric.com/about-altmetrics/what-are-altmetrics/
    • 22. Murray IR, Geeslin AG, Goudie EB, Petrigliano FA, Laprade RF. Minimum information for studies evaluating biologics in orthopaedics (MIBO): platelet-rich plasma and mesenchymal stem cells. J. Bone Joint Surg. Am. 99, 809–819 (2017). • Minimal reporting requirements for articles on the use of platelet-rich and mesenchymal stem cells were developed in this article to ensure future studies were well defined.
    • 23. Sterne JAC, Savović J, Page MJ et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ 366, 14898 (2019).
    • 24. Wright JG, Swiontkowski MF, Heckman JD. Introducing levels of evidence to the journal. J. Bone Joint Surg. Am. 85(1), 1–3 (2003).
    • 25. Patel S, Dhillon MS, Aggarwal S, Marwaha N, Jain A. Treatment with platelet-rich plasma is more effective than placebo for knee osteoarthritis: a prospective, double-blind, randomized trial. Am. J. Sports Med. 41(2), 356–364 (2013). •• A total of 156 knees were randomized in a randomized controlled trial to either platelet-rich plasma or saline for early osteoarthritis. Platelet-rich plasma performs better than saline, but the effects wane after 6 months.
    • 26. Kon E, Buda R, Filardo G et al. Platelet-rich plasma: intra-articular knee injections produced favorable results on degenerative cartilage lesions. Knee Surg. Sports Traumatol. Arthrosc. 18(4), 472–479 (2010).
    • 27. Kon E, Mandelbaum B, Buda R et al. Platelet-rich plasma intra-articular injection versus hyaluronic acid viscosupplementation as treatments for cartilage pathology: from early degeneration to osteoarthritis. Arthrosc – J. Arthrosc. Relat. Surg. 27(11), 1490–1501 (2011).
    • 28. Filardo G, Kon E, Buda R et al. Platelet-rich plasma intra-articular knee injections for the treatment of degenerative cartilage lesions and osteoarthritis. Knee Surg. Sports Traumatol. Arthrosc. 19(4), 528–535 (2011).
    • 29. Cerza F, Carnì S, Carcangiu A et al. Comparison between hyaluronic acid and platelet-rich plasma, intra-articular infiltration in the treatment of gonarthrosis. Am. J. Sports Med. 40(12), 2822–2827 (2012).
    • 30. Filardo G, Kon E, Di Martino A et al. Platelet-rich plasma vs hyaluronic acid to treat knee degenerative pathology: study design and preliminary results of a randomized controlled trial. BMC Musculoskelet Disord. 13, 229 (2012).
    • 31. Filardo G, Kon E, Pereira Ruiz MT et al. Platelet-rich plasma intra-articular injections for cartilage degeneration and osteoarthritis: single- versus double-spinning approach. Knee Surg. Sports Traumatol. Arthrosc. 20(10), 2082–2091 (2012).
    • 32. Meheux CJ, Mcculloch PC, Lintner DM, Varner KE, Harris JD. Efficacy of intra-articular platelet-rich plasma injections in knee osteoarthritis: a systematic review. Arthrosc – J. Arthrosc. Relat. Surg. 32(3), 495–505 (2016).
    • 33. Spaková T, Rosocha J, Lacko M, Harvanová D, Gharaibeh A. Treatment of knee joint osteoarthritis with autologous platelet-rich plasma in comparison with hyaluronic acid. Am. J. Phys. Med. Rehabil. 91(5), 411–417 (2012).
    • 34. Filardo G, Di Matteo B, Di Martino A et al. Platelet-rich plasma intra-articular knee injections show no superiority versus viscosupplementation: a randomized controlled trial. Am. J. Sports Med. 43(7), 1575–1582 (2015).
    • 35. Riboh JC, Saltzman BM, Yanke AB, Fortier L, Cole BJ. Effect of leukocyte concentration on the efficacy of platelet-rich plasma in the treatment of knee osteoarthritis. Am. J. Sports Med. 44(3), 792–800 (2016).
    • 36. Laudy ABM, Bakker EWP, Rekers M, Moen MH. Efficacy of platelet-rich plasma injections in osteoarthritis of the knee: a systematic review and meta-analysis. Br. J. Sports Med. 49(10), 657–672 (2015).
    • 37. Dai WL, Zhou AG, Zhang H, Zhang J. Efficacy of platelet-rich plasma in the treatment of knee osteoarthritis: a meta-analysis of randomized controlled trials. Arthrosc – J. Arthrosc. Relat. Surg. 33(3), 659–670.e651 (2017).
    • 38. Sampson S, Reed M, Silvers H, Meng M, Mandelbaum B. Injection of platelet-rich plasma in patients with primary and secondary knee osteoarthritis: a pilot study. Am. J. Phys. Med. Rehabil. 89(12), 961–969 (2010).
    • 39. Cole BJ, Karas V, Hussey K, Pilz K, Fortier LA. Hyaluronic acid versus platelet-rich plasma: a prospective, double-blind randomized controlled trial comparing clinical outcomes and effects on intra-articular biology for the treatment of knee osteoarthritis. Am. J. Sports Med. 45(2), 339–346 (2017).
    • 40. Raeissadat SA, Rayegani SM, Hassanabadi H et al. Knee osteoarthritis injection choices: platelet-rich plasma (PRP) versus hyaluronic acid (a one-year randomized clinical trial). Clin. Med. Insights: Arthritis Musculoskelet. Disord. 8, 1–8 (2015).
    • 41. Gormeli G, Gormeli C, Ataoglu B, Colak C, Aslanturk O, Ertem K. Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis: a randomized, double-blind, placebo-controlled trial. Knee Surg. Sports Traumatol. Arthrosc. 25(3), 958–965 (2017).
    • 42. Chang KV, Hung CY, Aliwarga F, Wang TG, Han DS, Chen WS. Comparative effectiveness of platelet-rich plasma injections for treating knee joint cartilage. Degenerative pathology: a systematic review and meta-analysis. Arch. Phys. Med. Rehabil. 95(3), 562–575 (2014).
    • 43. Vaquerizo V, Plasencia MÁ, Arribas I et al. Comparison of intra-articular injections of plasma rich in growth factors (PRGF-Endoret) versus durolane hyaluronic acid in the treatment of patients with symptomatic osteoarthritis: a randomized controlled trial. Arthrosc – J. Arthrosc. Relat. Surg. 29(10), 1635–1643 (2013).
    • 44. Smith PA. Intra-articular autologous conditioned plasma injections provide safe and efficacious treatment for knee osteoarthritis: an FDA-sanctioned, randomized, double-blind, placebo-controlled clinical trial. Am. J. Sports Med. 44(4), 884–891 (2016).
    • 45. Campbell KA, Saltzman BM, Mascarenhas R et al. Does intra-articular platelet-rich plasma injection provide clinically superior outcomes compared with other therapies in the treatment of knee osteoarthritis? A systematic review of overlapping meta-analyses. Arthrosc – J. Arthrosc. Relat. Surg. 31(11), 2213–2221 (2015).
    • 46. Shen L, Yuan T, Chen S, Xie X, Zhang C. The temporal effect of platelet-rich plasma on pain and physical function in the treatment of knee osteoarthritis: systematic review and meta-analysis of randomized controlled trials. J. Orthop. Surg. Res. 12(1), 16 (2017).
    • 47. Wang-Saegusa A, Cugat R, Ares O, Seijas R, Cusco X, Garcia-Balletbo M. Infiltration of plasma rich in growth factors for osteoarthritis of the knee short-term effects on function and quality of life. Arch. Orthop. Trauma Surg. 131(3), 311–317 (2011).
    • 48. Khoshbin A, Leroux T, Wasserstein D et al. The efficacy of platelet-rich plasma in the treatment of symptomatic knee osteoarthritis: a systematic review with quantitative synthesis. Arthrosc – J. Arthrosc. Relat. Surg. 29(12), 2037–2048 (2013).
    • 49. Gobbi A, Karnatzikos G, Mahajan V, Malchira S. Platelet-rich plasma treatment in symptomatic patients with knee osteoarthritis: preliminary results in a group of active patients. Sports Health 4(2), 162–172 (2012).
    • 50. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am. J. Sports Med. 34(11), 1774–1778 (2006). • A prospective cohort study was conducted on 140 patients with lateral epicondylitis given platelet-rich plasma or bupivacaine if they failed nonoperative treatment, showing significantly reduced pain.
    • 51. De Vos RJ, Weir A, van Schie HTM et al. Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA 303(2), 144–149 (2010).
    • 52. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 376(9754), 1751–1767 (2010).
    • 53. Peerbooms JC, Sluimer J, Bruijn DJ, Gosens T. Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am. J. Sports Med. 38(2), 255–262 (2010).
    • 54. Gosens T, Peerbooms JC, van Laar W, Den Oudsten BL. Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: a double-blind randomized controlled trial with 2-year follow-up. Am. J. Sports Med. 39(6), 1200–1208 (2011).
    • 55. De Jonge S, de Vos RJ, Weir A et al. One-year follow-up of platelet-rich plasma treatment in chronic Achilles tendinopathy: a double-blind randomized placebo-controlled trial. Am. J. Sports Med. 39(8), 1623–1629 (2011).
    • 56. Kon E, Filardo G, Delcogliano M et al. Platelet-rich plasma: new clinical application – a pilot study for treatment of jumper’s knee. Injury 40(6), 598–603 (2009).
    • 57. Thanasas C, Papadimitriou G, Charalambidis C, Paraskevopoulos I, Papanikolaou A. Platelet-rich plasma versus autologous whole blood for the treatment of chronic lateral elbow epicondylitis: a randomized controlled clinical trial. Am. J. Sports Med. 39(10), 2130–2134 (2011).
    • 58. Krogh TP, Fredberg U, Stengaard-Pedersen K, Christensen R, Jensen P, Ellingsen T. Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial. Am. J. Sports Med. 41(3), 625–635 (2013).
    • 59. Mishra AK, Skrepnik NV, Edwards SG et al. Efficacy of platelet-rich plasma for chronic tennis elbow: a double-blind, prospective, multicenter, randomized controlled trial of 230 patients. Am. J. Sports Med. 42(2), 463–471 (2014).
    • 60. Filardo G, Kon E, Della Villa S, Vincentelli F, Fornasari PM, Marcacci M. Use of platelet-rich plasma for the treatment of refractory jumper’s knee. Int. Orthop. 34(6), 909–915 (2010).
    • 61. Dragoo JL, Wasterlain AS, Braun HJ, Nead KT. Platelet-rich plasma as a treatment for patellar tendinopathy: a double-blind, randomized controlled trial. Am. J. Sports Med. 42(3), 610–618 (2014).
    • 62. Creaney L, Wallace A, Curtis M, Connell D. Growth factor-based therapies provide additional benefit beyond physical therapy in resistant elbow tendinopathy: a prospective, single-blind, randomised trial of autologous blood injections versus platelet-rich plasma injections. Br. J. Sports Med. 45(12), 966–971 (2011).
    • 63. Fitzpatrick J, Bulsara M, Zheng MH. The effectiveness of platelet-rich plasma in the treatment of tendinopathy: a meta-analysis of randomized controlled clinical trials. Am. J. Sports Med. 45(1), 226–233 (2017). • This is a meta-analysis on 18 studies about the platelet-rich plasma injection method and preparation in tendinopathy, showing evidence to support ultrasound-guided platelet-rich plasma injection for tendinopathy.
    • 64. Kesikburun S, Tan AK, Yilmaz B, Yaşar E, Yazicioğlu K. Platelet-rich plasma injections in the treatment of chronic rotator cuff tendinopathy: a randomized controlled trial with 1-year follow-up. Am. J. Sports Med. 41(11), 2609–2615 (2013).
    • 65. Rha DW, Park GY, Kim YK, Kim MT, Lee SC. Comparison of the therapeutic effects of ultrasound-guided platelet-rich plasma injection and dry needling in rotator cuff disease: a randomized controlled trial. Clin. Rehabil. 27(2), 113–122 (2013).
    • 66. De Vos RJ, Weir A, Tol JL, Verhaar JAN, Weinans H, Van Schie HTM. No effects of PRP on ultrasonographic tendon structure and neovascularisation in chronic midportion Achilles tendinopathy. Br. J. Sports Med. 45(5), 387–392 (2011).
    • 67. Vetrano M, Castorina A, Vulpiani MC, Baldini R, Pavan A, Ferretti A. Platelet-rich plasma versus focused shock waves in the treatment of jumper’s knee in athletes. Am. J. Sports Med. 41(4), 795–803 (2013).
    • 68. Krogh TP, Bartels EM, Ellingsen T et al. Comparative effectiveness of injection therapies in lateral epicondylitis: a systematic review and network meta-analysis of randomized controlled trials. Am. J. Sports Med. 41(6), 1435–1446 (2013).
    • 69. De Vos RJ, van Veldhoven PLJ, Moen MH, Weir A, Tol JL, Maffulli N. Autologous growth factor injections in chronic tendinopathy: a systematic review. Br. Med. Bull. 95(1), 63–77 (2010).
    • 70. Gaweda K, Tarczynska M, Krzyzanowski W. Treatment of Achilles tendinopathy with platelet-rich plasma. Int. J. Sports Med. 31(8), 577–583 (2010).
    • 71. Rabago D, Best TM, Zgierska AE, Zeisig E, Ryan M, Crane D. A systematic review of four injection therapies for lateral epicondylosis: prolotherapy, polidocanol, whole blood and platelet-rich plasma. Br. J. Sports Med. 43(7), 471–481 (2009).
    • 72. De Vos RJ, Windt J, Weir A. Strong evidence against platelet-rich plasma injections for chronic lateral epicondylar tendinopathy: a systematic review. Br. J. Sports Med. 48(12), 952–956 (2014).
    • 73. Boesen AP, Hansen R, Boesen MI, Malliaras P, Langberg H. Effect of high-volume injection, platelet-rich plasma, and sham treatment in chronic midportion Achilles tendinopathy: a randomized double-blinded prospective study. Am. J. Sports Med. 45(9), 2034–2043 (2017).
    • 74. Mautner K, Colberg RE, Malanga G et al. Outcomes after ultrasound-guided platelet-rich plasma injections for chronic tendinopathy: a multicenter, retrospective review. PM&R 5(3), 169–175 (2013).
    • 75. Yaradilmis YU, Demirkale I, Tagral AS, Okkaoglu MC, Ates A, Altay M. Comparison of two platelet rich plasma formulations with viscosupplementation in treatment of moderate grade gonarthrosis: a prospective randomized controlled study. J. Orthop. 20, 240–246 (2020).
    • 76. Duymus TM, Mutlu S, Dernek B, Komur B, Aydogmus S, Kesiktas FN. Choice of intra-articular injection in treatment of knee osteoarthritis: platelet-rich plasma, hyaluronic acid or ozone options. Knee Surg. Sports Traumatol. Arthrosc. 25(2), 485–492 (2017).
    • 77. Di Martino A, Di Matteo B, Papio T et al. Platelet-rich plasma versus hyaluronic acid injections for the treatment of knee osteoarthritis: results at 5 years of a double-blind, randomized controlled trial. Am. J. Sports Med. 47(2), 347–354 (2019).
    • 78. Bennell KL, Paterson KL, Metcalf BR et al. Effect of intra-articular platelet-rich plasma vs placebo injection on pain and medial tibial cartilage volume in patients with knee osteoarthritis: the RESTORE randomized clinical trial. JAMA 326(20), 2021–2030 (2021). •• A double-blinded, randomized, controlled trial was conducted on 288 patients getting platelet-rich plasma or saline for symptomatic knee osteoarthritis. No significant symptom or joint structure difference was found at 12 months.
    • 79. Ren B, Lv X, Tu C, Li Z. Research trends of platelet-rich plasma applications in orthopaedics from 2002 to 2020: a bibliometric analysis. Int. Orthop. 45(11), 2773–2790 (2020). • A bibliometric analysis about articles on platelet-rich plasma from 2002 to 2020 was performed showing the journals, authors and keywords most associated with research on platelet-rich plasma.