Enwemeka_2004

Supportive Therapie · Version 2.1

Referenz

(Autor, Jahr, Journal)

Studientyp

Mono- vs. Multizentrisch, Verblindung, Randomisierung, Arme, Fallzahl n, Land, Zeitraum

 

Patienten-merkmale

Indikation, Alter, Geschlecht (m/w)

Intervention

Fallzahl n, Beschreibung der präventiven bzw. therapeutischen Maßnahme

Kontrolle

Fallzahl n, Beschreibung der präventiven Maßnahme bzw. therapeutischen Maßnahme

Zielgrößen

Primärer Endpunkt

Sekundäre(r) Endpunkt(e)

Primärer Endpunkt

Angaben für Intervention vs. Kontrolle

Sekundäre(r) Endpunkt(e)

Angaben für Intervention vs. Kontrolle

Finanzierung

Evidenzstufe

Bei Abwertung: Angabe von Gründen

Bewertung des Autors

Enwemeka

 

2004

 

Photomedicine and Laser Surgery

Meta-Analysis Study

 

34 tissue repair studies

 

9 pain control papers

 

USA

 

published within the last

30 years

 

condition treated (e.g., bed sores, venous ulcers, diabetic

ulcers, surgical wounds)

Low-Power Laser with ≤ 500 mW average

power

-

Cohen’s d

 

Tissue Repair

 

Pain Control

pain relief:

effect size: +1.11 (SD = 1.02; median = +0.79; 95%

CI = +0.44 to +1.78).

 

tissue repair:

effect size: +1.81; (SD = 2.26; median = 0.88; 95% CI = 1.16 to 2.46)

 

collagen formation (d = +2.78)

rate of healing (d = +1.57)

tensile strength (d = +2.13)

time needed for wound closure (d = +0.76)

tensile stress (d = +2.65)

number and rate of degranulation of mast cells (d = +1.87)

flap survival (d = +1.95)

 

various wavelengths of laser light on tissue repair:

632.8 nm (d = +2.44)

780 nm (d = 0.60).

 

fail-safe number

tissue repair: 370

pain control: 41

-

2a

only papers published in the English literature
no information about the excluded studies
no information about funding
wavelengths interpreted with great caution

 

"These findings mandate the conclusion that laser phototherapy is a highly effective therapeutic armamentarium for tissue repair and pain relief."