As I’ve blogged about many times before, we’re in the wild west of stem cells. I see stuff being advertised every day that makes no scientific sense, and, regrettably, most physicians working in this area don’t know what they don’t know. The physicians and companies who do take this field seriously have discussed in various forums the need for an ethical guidelines statement. The goal is to craft this document so that the ethical providers and device manufacturers can all sign on and then adhere to these principles. This is my first draft of that document:
Background: As providers who use orthobiologics to treat our patients, we have observed unethical behavior and advertising that isn’t consistent with best physician practices. Hence, we wish to provide a set of ethical guidelines for orthobiologic use to which we can all strive to adhere. For the purpose of this document, orthobiologics are defined as substances that can facilitate the healing of bone, tendon, ligament, muscle, cartilage, or nerve.
The upshot? This is a first draft that I’m sure will be edited, but it’s a start at trying to clean up an out-of-control field. It’s my hope that disparate interests who are trying hard to do good work using PRP, cytokines, and stem cell procedures can come together and drive out the nutty stuff and practitioners.
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About the Author
Christopher J. Centeno, M.D. is an international expert and specialist in regenerative medicine and the clinical use of mesenchymal stem cells in orthopedics. He is board certified in physical medicine as well as rehabilitation and in pain management through The American Board of Physical Medicine and Rehabilitation.…