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ORIGINAL ARTICLE
Year : 2020  |  Volume : 38  |  Issue : 3  |  Page : 151-158

Amniotic membrane for treating chronic cutaneous ulcers: A systematic review and meta-analysis of randomized controlled trials


1 Department of Dermatology, Maoming People's Hospital, Maoming, Guangdong, China
2 Department of Urology, Maoming People's Hospital, Maoming, Guangdong, China
3 Department of Internal Medicine, Southern Medical University, Guangzhou, China
4 Department of Pulmonary Medicine, Marshall University School of Medicine, Huntington, West Virginia, USA
5 Institute for Hospital Management, Tsinghua University, Shenzhen, China
6 Department of Dermatology, Maoming People's Hospital, Maoming, Guangdong, China; Department of Medical Research and Education, Cheng-Hsin General Hospital, Taipei, Taiwan

Correspondence Address:
Prof. Ching-Wen Chien
Institute for Hospital Management, Tsing Hua University, Shenzhen Campus, Shenzhen
China
Dr. Tao-Hsin Tung
Department of Medical Research and Education, Cheng Hsin General Hospital, Taipei; Maoming People's Hospital, Maoming, Guangdong

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ds.ds_12_20

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Background: In recent years, many studies have reported that amniotic membrane (AM) is an effective adjuvant for promoting the healing of chronic cutaneous ulcers (CCUs). Objectives: The objective of the present study was to evaluate the efficacy and safety of AM for the topical treatment of CCUs. Methods: A literature search was performed using PubMed, Cochrane Library, and Embase for all related studies from inception to May 31, 2019, without restriction on language. A quantitative synthesis of randomized controlled trials (RCTs) was conducted to compare the effectiveness and safety between the AM therapy and standard of care/conventional treatment by employing a random-effect model. Results: Thirteen RCTs with 947 patients were included in the study. Compared to standard of care (SOC), the relative risk (RR) for the healing rate was 1.99 (95% confidence interval [CI]: 1.75–2.26, P < 0.001). A greater percentage area reduction could be found in AM group (mean difference = 70.00%, 95% CI: 15.82–124.17, P = 0.01). There was no statistically significant difference in pain relief (P = 0.36). The RR for adverse events was estimated 0.54 (95% CI: 0.31–0.93) when compared AM group with SOC group (P = 0.03). Conclusion: This systematic review and meta-analysis indicate that it is effective and safe to use AM as an adjuvant treatment for treating CCUs.


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