Table 1 Objective 1, meta-regression analysis of the effect of (A) the biomaterial format, (B) the specific biomaterial on locomotor recovery and (C) the specific biomaterial on in vivo axonal regeneration in BMO studies.

From: Effectiveness of biomaterial-based combination strategies for spinal cord repair – a systematic review and meta-analysis of preclinical literature

A Improvement in locomotor outcomes

Biomaterial format

Effect size (%)

P > | t | 

95% Conf. Interval

Frequency % (n)

Scaffold

10.4

0.001

[5.2, 15.6]

33.8 (23)

Microsphere-loaded hydrogel

9.6

0.967

[−3.8, 22.9]

8.8 (6)

Hydrogel (not injected)

8.9

0.695

[1.1, 16.7]

27.9 (19)

Linear oriented scaffold

4.6

0.189

[−4.2, 13.4]

19.1 (13)

Hydrogel (injected)

1.4

0.120

[−10.2, 13]

8.8 (6)

Other formats

8.7

0.907

[−20, 37.5]

1.5 (1)

 

comparisons= 68, p = 0.610, Tau2 = 88.43, I2 = 88.43%, adj R2 = 0%

B Improvement in locomotor outcomes

Biomaterial name

Effect size (%)

P > | t | 

95% Conf. Interval

Frequency % (n)

PHEMA-MMA

12

0.553

[−2.2, 26.2]

7.3 (5)

PLGA

8.7

0.875

[−3.8, 21.3]

8.7 (6)

Collagen

7.8

0.054

[−0.2, 15.7]

20.6 (14)

HA

6.6

0.863

[−7.1, 20.3]

7.4 (5)

Chitosan

4.7

0.578

[−6.3, 15.6]

11.8 (8)

HAMC-PLGA

−0.8

0.196

[−13.9, 12.3]

7.4 (5)

Other biomaterials

10.7

0.001

[1.3, 20]

36.8 (25)

 

comparisons= 68, p = 0.510, Tau2 = 78.4, I2 = 87.2%, adj R2 = 6.28%

C Improvement in axonal regeneration

Biomaterial name

Effect size (SD)

P > | t | 

95% Conf. Interval

Frequency % (n)

PLGA

0.9

0.901

[−0.6, 2.4]

9.5 (6)

Collagen

0.8

0.076

[−0.1, 1.6]

22 (14)

HA-PLGA

0.1

0.412

[−1.4, 1.7]

9.5 (6)

Other biomaterials

1.4

0.207

[0.4, 2.5]

59 (37)

 

comparisons= 63, p = 0.240, Tau2 = 1.4, I2 = 72%, adj R2 = 0.41%

  1. PHEMA-MMA poly(2-hydroxyethyl methacrylate-comethylmethacrylate), PLGA poly(lactic-co-glycolic-acid), HA hyaluronic acid, HAMC hyaluronic acid methylcellulose.