2021, Número 1
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Medicina & Laboratorio 2021; 25 (1)
Tratamiento ortobiológico con plasma rico en plaquetas. Revisión sistemática y clasificación de la evidencia
Vizcaíno-Salazar GJ
Idioma: Español
Referencias bibliográficas: 85
Paginas: 419-440
Archivo PDF: 241.68 Kb.
RESUMEN
Introducción. El empleo del plasma rico en plaquetas (PRP) o plasma autólogo
con una cifra de plaquetas superior a la del plasma basal, ha tomado un auge
notorio para estimular la regeneración tisular en las afecciones musculoesqueléticas
y de tejidos blandos. El objetivo de este estudio fue revisar sistemáticamente la eficacia
del tratamiento con PRP en algunas lesiones musculoesqueléticas y de tejidos
blandos en cirugía plástica y maxilofacial, así como en odontología y dermatología,
con su nivel de evidencia y grado de recomendación.
Metodología. Se utilizaron
los buscadores PubMed, Google Académico y la Biblioteca Cochrane con terminología
MeSH. Se analizaron un total de 44 artículos que cumplieron los criterios de
inclusión y exclusión.
Resultados. El análisis de los estudios encontró que el nivel de
evidencia fue de 1 en el 75%, nivel 2 en el 15,9%, nivel 3 en el 6,8%, y nivel 4 en el
2,2%. El grado de recomendación se distribuyó entre bueno y favorable; el 40,9%
de los estudios reflejaron grado A, 50% grado B y 9% grado C. No obstante, el 50%
de los estudios reportaron en sus conclusiones que hay una deficiencia en el diseño
metodológico, con inconsistencia en sus resultados.
Conclusión. Estos hallazgos
señalan que en la evidencia encontrada se observan resultados contradictorios, la
mayoría de ellos no muestran una prueba firme que apoye el empleo rutinario del
PRP, porque sus diseños y poder estadístico son de baja calidad. Hace falta unificar
criterios y diseños de investigación con evidencia científica altamente recomendable,
para que el uso del PRP como agente ortobiológico en estas patologías, pueda
ser ampliamente aceptado.
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