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Latest & greatest articles for osteoarthritis
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Cost-effectiveness of a supplementary class-based exercise program in the treatment of knee osteoarthritis Cost-effectiveness of a supplementary class-based exercise program in the treatment of knee osteoarthritis Cost-effectiveness of a supplementary class-based exercise program in the treatment of knee osteoarthritis Richardson G, Hawkins N, McCarthy C J, Mills P M, Pullen R, Roberts C, Silman A, Oldham A Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study compared the combination of a class-based exercise programme and home-based exercise programme versus a home-based exercise programme alone for the treatment of knee osteoarthritis. Type of intervention Treatment. Economic study type Cost-effectiveness
(viscosupplementation) for knee osteoarthritis. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Issues in Emerging Health Technologies Issue 94. 2006 Authors' objectives The aim of this bulletin is to provide an overview of intra-articular hyaluronic acid (viscosupplementation) for knee osteoarthritis. Authors' conclusions In viscosupplementation, a glycosaminoglycan (GAG) called hyaluronic acid (HA) is administered via intra-articular (IA) injection for patients with knee osteoarthritis (OA (...) Intra-articular hyaluronic acid (viscosupplementation) for knee osteoarthritis Intra-articular hyaluronic acid (viscosupplementation) for knee osteoarthritis Intra-articular hyaluronic acid (viscosupplementation) for knee osteoarthritis Dagenais S Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Dagenais S. Intra-articular hyaluronic acid
strategies, such as intermittent dosing and drug holidays, affect the benefits and harms of oral medication use? (Note: The only benefits considered under this question are improvements in osteoarthritis symptoms from long-term use. Evidence of harms associated with nonsteroidal antiinflammatory drug (NSAID) use include long-term studies of these drugs for treating osteoarthritis or rheumatoid arthritis and for cancer prevention. 2. Do the comparative benefits and harms of oral treatments (...) for osteoarthritis vary for certain demographic and clinical subgroups of patients? - Demographic subgroups include age, sex, and race. - Coexisting diseases include hypertension, edema, ischemic heart disease, heart failure; peptic ulcer disease; history of previous bleeding due to NSAIDs. - Concomitant medication use includes anticoagulants. 3. What are the comparative effects of coprescribing of H2-antagonists, misoprostol, or proton pump inhibitors (PPIs) on the gastrointestinal harms associated with NSAID
concluded that the majority of adverse reactions to acupuncture treatment reported in trials of osteoarthritis of the knee are unspecific and not all reported adverse events should be attributed to acupuncture treatment. Due to lack of reporting of review methods, lack of validity assessment and paucity of study details the reliability of the authors' conclusions are uncertain. Authors' objectives To determine the safety of acupuncture for osteoarthritis (OA) of the knee. Searching PubMed and Japana (...) Safety of acupuncture for osteoarthritis of the knee: a review of randomised controlled trials, focusing on specific reactions to acupuncture Safety of acupuncture for osteoarthritis of the knee: a review of randomised controlled trials, focusing on specific reactions to acupuncture Safety of acupuncture for osteoarthritis of the knee: a review of randomised controlled trials, focusing on specific reactions to acupuncture Yamashita H, Masuyama S, Otsuki K, Tsukayama H CRD summary The review
A meta-analysis of controlled clinical studies with diacerein in the treatment of osteoarthritis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
for 18 months. The duration of the self-management component ranged from a single session to 15 months. Interventions were delivered in community, clinic or hospital settings. Studies of patients with knee or hip osteoarthritis were eligible for inclusion. Studies in which joint pathology resulted from inflammatory or systemic disorders were excluded. The majority of studies included patients with knee pain only. The mean age of the participants ranged from 65 to 75 years. Studies measuring pain (...) Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness Walsh N E, Mitchell H L, Reeves B C, Hurley M V CRD summary The authors concluded that combined exercise and self
review. Acupuncture in Medicine 2006; 24(Supplement 1): 40-48 Original Paper URL Other publications of related interest White A, Foster NE, Cummings M, Barlas P. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology 2007;46:384-90. Indexing Status Subject indexing assigned by CRD MeSH Acupuncture Analgesia; Arthralgia /therapy; Knee Joint; Osteoarthritis, Knee /complications; Treatment Outcome AccessionNumber 12006008551 Date bibliographic record published 14/02/2008 Date (...) The effectiveness of acupuncture for osteoarthritis of the knee: a systematic review The effectiveness of acupuncture for osteoarthritis of the knee: a systematic review The effectiveness of acupuncture for osteoarthritis of the knee: a systematic review White A, Foster N, Cummings M, Barlas P CRD summary This review concluded that acupuncture proved to be more effective for pain reduction and improvement of function than sham acupuncture and no additional treatment (usual care) for patients
suggest that the authors' conclusion should be interpreted with caution. Authors' objectives To determine the long-term efficacy (at least 4 weeks) of topical non-steroidal anti-inflammatory drugs (NSAIDs) for pain control in primary knee osteoarthritis (OA). Searching MEDLINE, PubMed, EMBASE and the Cochrane CENTRAL Register were searched from inception to the end of December 2004; the search terms were reported. Relevant journals and related conference abstracts (2003 to 2004), including the British (...) consisted of topical diclofenac or diclofenac or eltenac gel. The comparator in all but one trial was placebo; one trial used a vehicle control (dimethyl sulphoxide). The duration of treatment varied between studies and lasted between 4 and 12 weeks. Studies of patients with primary knee OA, confirmed by radiology, were eligible for inclusion. Studies of mixed patient populations, of patients with nonarthritic joint pain, or of patients with OA of joints other than the knee, were excluded. Most
(Harpagophytum procumbens) in the treatment of osteoarthritis, and that definitive trials are needed. Given the methodological weaknesses in the included studies, the authors' cautious conclusions are warranted. Authors' objectives To assess the efficacy and safety of Devil's Claw (Harpagophytum procumbens) in the treatment of osteoarthritis (OA). Searching AMED (1985 to 2006), CINAHL (1982 to 2006), EMBASE (1980 to 2006), MEDLINE (1960 to 2006) and ISI Web of Science (1981 to 2006) were searched (...) to confirm OA were not applied in all studies and some studies included patients with conditions other than OA. Outcomes assessed in the review The inclusion criteria for outcomes were not clearly specified. The outcome measures reported were pain severity (determined by either the Likert or visual analogue scales or the Hamberg Pain Adjective), concomitant medication use and change in symptoms (measured by disease-specific tools). Adverse events were also reported. How were decisions on the relevance
This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined current treatment and optimal treatments for patients with either rheumatoid arthritis (RA) or osteoarthritis (OA). Current treatment was defined as services used and interventions prescribed (...) Other publications of related interest Maetzel A, Li LC, Pencharz J, et al. Community Hypertension and Arthritis Project. The economic burden associated with osteoarthritis, rheumatoid arthritis and hypertension: a comparative study. Ann Rheum Dis 2004;63:395-401. Lapsey HM, March LM, Tribe KL, et al. Living with rheumatoid arthritis: expenditures, health status and social impact on patients. Ann Rheum Dis 2002;61:818-21. Ruof J, Hulsemann JL, Stucki G. Evaluation of costs in rheumatic disease
of the knee preferred to avoid total knee replacement surgery Free Faith J Forster , RN, MSN, APRN, BC Statistics from Altmetric.com Figaro MK, Russo PW, Allegrante JP. Preferences for arthritis care among urban African Americans: “I don’t want to be cut.” Health Psychol 2004 ; 23 : 324 –9. Q What are the preferences and expectations of older urban African-Americans regarding total knee replacement (TKR) for osteoarthritis (OA) of the knee? DESIGN Qualitative study based on the theory of reasoned action (...) and open ended questions. Responses to open ended questions were recorded and transcribed verbatim. Major themes were developed through a process of categorisation. MAIN FINDINGS Preference for natural remedies . 36% of patients thought that OA was caused by cold or dampness, either to the joint or from the environment. They tended to think that OA was a natural, irremediable, inevitable deterioration and a sign of ageing. A strong trend toward an external locus of control of their illness
, ARNP Statistics from Altmetric.com Zhang W, Jones A, Doherty M. Does paracetamol (acetaminophen) reduce the pain of osteoarthritis? A meta-analysis of randomised controlled trials. Ann Rheum Dis 2004 ; 63 : 901 –7. Q Is paracetamol efficacious for treatment of osteoarthritis (OA)? METHODS Data sources: Medline, CINAHL, EMBASE/Excerpta Medica, Scientific Citation Index, and Cochrane Library (up to July 2003); reference lists; and conference abstracts from international societies of rheumatology (...) WOMAC scores than those who received paracetamol (table ). NSAIDs were associated with greater gastrointestinal discomfort, but groups did not differ for nausea, headache, or dizziness. View this table: Paracetamol v placebo or non-steroidal anti-inflammatory drugs (NSAIDs) for osteoarthritis (OA)* CONCLUSIONS Paracetamol reduces osteoarthritis pain more than placebo but does not affect functioning or stiffness. Non-steroidal anti-inflammatory drugs are more effective than paracetamol for pain
: non-steroidal anti-inflammatory drugs are slightly better than paracetamol for reducing pain in osteoarthritis Free David Felson , MD, MPH Statistics from Altmetric.com Wegman A, van der Windt D, van Tulder M, et al. Nonsteroidal antiinflammatory drugs or acetaminophen for osteoarthritis of the hip or knee? A systematic review of evidence and guidelines. J Rheumatol 2004 ; 31 : 344 –54. Q In patients with osteoarthritis (OA) of the knee or hip, are non-steroidal anti-inflammatory drugs (NSAIDs (...) nonsteroidal antiinflammatory drugs for treatment of osteoarthritis and a plea for more evidence on other treatments [editorial]. Arthritis Rheum 2001 ; 44 : 1477 –80. Pincus T, Koch GG, Sokka T, et al . A randomized, double-blind, crossover clinical trial of diclofenac plus misoprostol versus acetaminophen in patients with osteoarthritis of the hip or knee. Arthritis Rheum 2001 ; 44 : 1587 –98. Footnotes For correspondence: Dr D van der Windt, Institute for Research in Extramural Medicine, Amsterdam
Ottawa Panel evidence-based clinical practice guidelines for therapeutic exercises and manual therapy in the management of osteoarthritis. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust
Randomised controlled trial of the cost-effectiveness of water-based therapy for lower limb osteoarthritis Randomised controlled trial of the cost-effectiveness of water-based therapy for lower limb osteoarthritis Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try
Patients who wore standard magnetic bracelets reported reduced pain from osteoarthritis of the hip or knee compared with patients wearing placebo bracelets. 16021720 2005 07 18 2005 07 15 1367-6539 8 3 2005 Jul Evidence-based nursing Evid Based Nurs Patients who wore standard magnetic bracelets reported reduced pain from osteoarthritis of the hip or knee compared with patients wearing placebo bracelets. 89 McDonald Heather L HL University of British Columbia, Vancouver, British Columbia, Canada
weeks the difference between the acupuncture and minimal acupuncture groups was no longer significant (p=0.08).After 8 weeks of treatment, pain and joint function are improved more with acupuncture than with minimal acupuncture or no acupuncture in patients with osteoarthritis of the knee. However, this benefit decreases over time. (...) Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Acupuncture is widely used by patients with chronic pain although there is little evidence of its effectiveness. We investigated the efficacy of acupuncture compared with minimal acupuncture and with no acupuncture in patients with osteoarthritis of the knee.Patients with chronic osteoarthritis of the knee (Kellgren grade < or =2) were randomly assigned to acupuncture (n=150), minimal acupuncture (superficial needling
2005LancetControlled trial quality: predicted high
1.Radiological progression of osteoarthritis of the hip, defined as a decrease of joint space width (> or = 1.0 mm) at follow-up or the presence of a total hip replacement.Potential determinants of progression of hip osteoarthritis were collected at baseline. x Ray films of the hip at baseline and follow-up (mean follow-up time 6.6 years) were evaluated. Multivariate logistic regression models were used to assess the association between potential risk factors and progression of hip (...) Role of radiography in predicting progression of osteoarthritis of the hip: prospective cohort study. To investigate which variables identify people at high risk of progression of osteoarthritis of the hip.Population based cohort study.Ommoord district in Rotterdam, Netherlands.1904 men and women aged 55 years and older from the Rotterdam study were selected on the basis of the presence of osteoarthritic signs on radiography at baseline, as defined by a Kellgren and Lawrence score > or = grade
Hunter , MD, PhD Statistics from Altmetric.com Jordan KM, Arden NK, Doherty M, et al . EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann Rheum Dis 2003 ; 62 : 1145 –55. Q What is the evidence for therapeutic interventions used in knee osteoarthritis (OA)? Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Rheumatology ★★★★★ (...) placebo for various knee osteoarthritis interventions* CONCLUSION Other than surgical studies, most of the 33 identified treatment options for knee OA are supported by evidence from randomised controlled trials. Commentary The review by Jordan et al is commendable for the breadth of management interventions considered. Although the methods used to develop these guidelines are somewhat more rigorous than those used for the American College of Rheumatology, the subjectivity may still introduce bias