Latest & greatest articles for osteoarthritis

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Top results for osteoarthritis

561. Analgesia and non-aspirin, non-steroidal anti-inflammatory drugs for osteoarthritis of the hip. (Abstract)

Analgesia and non-aspirin, non-steroidal anti-inflammatory drugs for osteoarthritis of the hip. To review all randomized trials of analgesics and anti-inflammatory therapy in osteoarthritis (OA) of the hip. To determine which non-steroidal, anti-inflammatory drug (NSAID) is the most effective, and which NSAID is the most toxic.We searched the Cochrane Musculoskeletal Group's trials register, the Cochrane Controlled Trials Register and Medline up to August 1994. Reference lists of all trials (...) were also manually searched.All randomized controlled trials comparing non-steroidal anti-inflammatory drugs (NSAIDs) and/or analgesics in patients with Osteoarthritis. The trials selected for inclusion were identified by one reviewer (TT) and rechecked by a second (MH).Qualitative assessments were performed using a quality scoring system designed for NSAID trials in rheumatoid arthritis. Both the design and analysis aspects of the trials were evaluated, each aspect being rated on a scale of 0 to 8

2000 Cochrane

562. Balneotherapy for rheumatoid arthritis and osteoarthritis. (Abstract)

: June, 1999Studies were eligible if they were randomized controlled trials (RCT) comparing balneotherapy with any intervention or with no intervention. Patients included had rheumatoid arthritis (RA), osteoarthritis (OA) or some other form of arthritis. Trials incorporating patients with definite or classical rheumatoid arthritis (RA) as defined by the American Rheumatism Association Criteria (ARA) (Ropes 1958) (these criteria have changed over time) or by the criteria of Steinbrocker (1949) were (...) Balneotherapy for rheumatoid arthritis and osteoarthritis. Balneotherapy (hydrotherapy or spa therapy) for patients with arthritis is one of the oldest forms of therapy. One of the aims of balneotherapy is to soothe the pain and as a consequence to relieve patients' suffering and make them feel well.To perform a systematic review to assess the effects of balneotherapy for rheumatoid arthritis and osteoarthritis.Using the Cochrane search strategy, studies were found by screening: 1) The Medline

2000 Cochrane

563. Acupuncture for chronic osteoarthritis pain, headache and low back pain

Subject indexing assigned by CRD MeSH Acupuncture Therapy; Chronic Disease; Complementary Therapies; Headache; Low Back Pain; Osteoarthritis; Pain Language Published English Country of organisation United States Address for correspondence 8009 34th Avenue South, Suite 1200, Bloomington, MN, USA. Tel: +1 952 814 7060; Fax: +1 952 858 9675 Email: icsi.info@icsi.org AccessionNumber 32003000534 Date bibliographic record published 14/07/2003 Date abstract record published 14/07/2003 Health Technology (...) Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Acupuncture for chronic osteoarthritis pain, headache and low back pain Institute for Clinical Systems Improvement Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institute for Clinical Systems Improvement. Acupuncture

2000 Health Technology Assessment (HTA) Database.

564. Osteoarthritis treatment with Hyalgan - an HTA

Osteoarthritis treatment with Hyalgan - an HTA Osteoarthritis treatment with Hyalgan - an HTA Osteoarthritis treatment with Hyalgan - an HTA Maschoreck T 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 Maschoreck T. Osteoarthritis treatment with Hyalgan - an HTA. Copenhagen: Danish Centre for Evaluation and Health Technology Assessment (...) (DACEHTA). 2000 Authors' objectives This report aims to assess whether Hyalgan is an adequate treatment offer for patients with osteoarthritis. Authors' conclusions If the treatment is introduced it should be applied for patients who have been slightly or moderately affected, while more serious cases should be offered alloplastics. Introduction of the treatment in hospitals would imply - besides an investment of 900,000 DKK for drug expenses - half a permanent post for a nurse and half a permanent post

2000 Health Technology Assessment (HTA) Database.

565. Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: A randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. (Abstract)

is unknown.To determine whether celecoxib, a COX-2-specific inhibitor, is associated with a lower incidence of significant upper GI toxic effects and other adverse effects compared with conventional NSAIDs.The Celecoxib Long-term Arthritis Safety Study (CLASS), a double-blind, randomized controlled trial conducted from September 1998 to March 2000.Three hundred eighty-six clinical sites in the United States and Canada.A total of 8059 patients (>/=18 years old) with osteoarthritis (OA) or rheumatoid (...) Gastrointestinal toxicity with celecoxib vs nonsteroidal anti-inflammatory drugs for osteoarthritis and rheumatoid arthritis: the CLASS study: A randomized controlled trial. Celecoxib Long-term Arthritis Safety Study. Conventional nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with a spectrum of toxic effects, notably gastrointestinal (GI) effects, because of inhibition of cyclooxygenase (COX)-1. Whether COX-2-specific inhibitors are associated with fewer clinical GI toxic effects

2000 JAMA Controlled trial quality: predicted high

566. Glucosamine and chondroitin for treatment of osteoarthritis: a systematic quality assessment and meta-analysis

) symptoms using meta-analysis combined with systematic quality assessment of clinical trials of these preparations in knee and/or hip OA. Searching MEDLINE (1966 to June 1999) and the Cochrane Controlled Trials Register were searched using the following as both MeSH terms and textwords: 'osteoarthritis', 'osteoarthrosis', 'degenerative arthritis', 'glucosamine', 'chondroitin' and 'glycosaminoglycans'. Additional studies were located through searching the citation lists of review articles and published (...) Glucosamine and chondroitin for treatment of osteoarthritis: a systematic quality assessment and meta-analysis Glucosamine and chondroitin for treatment of osteoarthritis: a systematic quality assessment and meta-analysis Glucosamine and chondroitin for treatment of osteoarthritis: a systematic quality assessment and meta-analysis McAlindon T E, LaValley M P, Gulin J P, Felson D T. Authors' objectives To evaluate the benefit of glucosamine and chondroitin preparations for osteoarthritis (OA

2000 DARE.

567. Use of the ACCES model to predict the health economic impact of celecoxib in patients with osteoarthritis or rheumatoid arthritis in Norway

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 use of celecoxib for the treatment of patients with osteoarthritis (OA) or rheumatoid arthritis (RA), in Norway. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population consisted (...) health care at reduced cost for patients with OA and RA. Generalisability to other economic settings will depend on their similarity to Norway. Source of funding None stated. Bibliographic details Svarvar P, Aly A. Use of the ACCES model to predict the health economic impact of celecoxib in patients with osteoarthritis or rheumatoid arthritis in Norway. Rheumatology 2000; 39(Supplement 2): 43-50 PubMedID Other publications of related interest 1. Pettitt D, Goldstein JL, McGuire A, Schwartz S, Burke T

2000 NHS Economic Evaluation Database.

568. Is exercise effective treatment for osteoarthritis of the knee?

Is exercise effective treatment for osteoarthritis of the knee? Is exercise effective treatment for osteoarthritis of the knee? Is exercise effective treatment for osteoarthritis of the knee? Petrella R J Authors' objectives To review and determine the effectiveness of exercise treatment for osteoarthritis of the knee. Searching The author searched MEDLINE from June 1966 to January 2000 using the following MeSH terms and textwords: 'osteoarthritis' or 'arthritis' and 'knee', 'exercise (...) , motor function or motor development. The treatments could be performed actively, passively or against resistance. Additional interventions were allowed. Studies were excluded if they concerned peri-operative exercise treatment, or if the intervention groups received identical exercise treatment and, therefore, no contrast existed between the intervention groups. Participants included in the review Patients with osteoarthritis of the knee, assessed using either clinical or radiological criteria

2000 DARE.

569. A metaanalysis of chondroitin sulfate in the treatment of osteoarthritis

800 to 2000mg daily was compared to placebo. Concomitant treatment with analgesics and non steroidal anti-inflammatory drugs (NSAIDs) was allowed. Participants included in the review Patients with osteoarthritis of the hip and knee joints were included. Outcomes assessed in the review The following outcomes were assessed: pain visual analogue score; Lequense Index; patient's and physician's global assessment; NSAID consumption; and side effects. How were decisions on the relevance of primary (...) be useful in osteoarthritis, but further investigation in larger cohorts of patients for longer time periods are needed to prove its usefulness as a symptom modifying drug in OA. CRD commentary The aims were stated and inclusion criteria defined in terms of study design, outcomes, intervention and participants, though it was not clear which criteria were used to diagnose patients with OA. Two databases were searched, but no mention was made of any limitations applied in respect of dates or languages

2000 DARE.

570. Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis

, Shumaker S. The evaluation of pain in patients with knee osteoarthritis: the knee pain scale. Journal of Rheumatology 1995;22:1124-9. Indexing Status Subject indexing assigned by NLM MeSH Aged; Community Health Services /economics; Cost-Benefit Analysis; Disabled Persons; Exercise Therapy /economics; Female; Geriatrics; Humans; Knee Joint /pathology; Male; Middle Aged; Osteoarthritis /economics /pathology /rehabilitation; Patient Education as Topic; Weight Lifting AccessionNumber 22000007671 Date (...) Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis Cost-effectiveness of aerobic and resistance exercise in seniors with knee osteoarthritis Sevick M A, Bradham D D, Muender M, Chen G J, Enarson C, Dailey M, Ettinger W H 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

2000 NHS Economic Evaluation Database.

571. Electrical muscle stimulation for osteoarthritis of the knee: biological basis and systematic review

status of people with knee osteoarthritis (OA). Searching The following sources were searched for articles published in the English language: MEDLINE from 1966 to 1999, CINAHL from 1982 to 1999, and EMBASE from 1980 to 1999. The keywords were 'electrical stimulation', 'electrostimulation therapy', 'osteoarthritis', 'knee', 'physiotherapy', 'randomised clinical trials', 'randomised controlled trials' and 'muscle'. In addition, the Cochrane Database of Systematic Reviews was searched from 1991 to 1999 (...) parameters. Participants included in the review Patients with OA of the knee were eligible. The included participants were those with OA, severe OA, total knee arthroplasty, and those awaiting knee surgery. The majority of trials only included individuals with severe OA. The documented age ranged from 53 to 86 years; the mean age was 68.4 years. Details of disease severity and disability, gender, co-morbid conditions, disease duration and weight were either unclear or were not generally documented

2000 DARE.

572. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis

of Bone and Joint Surgery. American volume 2000; 82A(1): 26-34 Indexing Status Subject indexing assigned by NLM MeSH Aged; Arthroplasty, Replacement /economics /methods; Costs and Cost Analysis; Female; Hospital Charges; Humans; Male; Middle Aged; Osteoarthritis /diagnosis /radiography /surgery; Postoperative Complications; Range of Motion, Articular; Research Support, Non-U.S. Gov't; Shoulder Joint /physiopathology /radiography /surgery AccessionNumber 22000000195 Date bibliographic record published (...) Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis Gartsman G M, Roddey T S, Hammerman S M 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

2000 NHS Economic Evaluation Database.

573. Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee

the intervention in the Osteoarthritis of the Knee (OAK) study 3. To estimate the impact of the programme on the direct and indirect costs of health care related to knee arthritis over the year of follow-up. Authors' conclusions The OAK study failed to demonstrate improvements in knowledge, self-efficacy in arthritis management, or health outcomes after one year. The evidence in this study lends support to the contention that general practice based patient education programmes for knee osteoarthritis (...) Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee Economic evaluation of a primary care-based education programme for patients with osteoarthritis of the knee Lord J, Victor C, Littlejohns P, Ross F M, Axford J S Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA

1999 Health Technology Assessment (HTA) Database.

574. Clinical efficacy of low power laser therapy in osteoarthritis

: osteoarthritis, articular cartilage, arthritis, joints, lasers, laser therapy, low level laser therapy, infra-red rays, phototherapy, and therapeutic intervention. Other databases investigated included Exerpta Medica, Science Citation Index, MEDLARS, Index Medicus, and Health. Study selection Study designs of evaluations included in the review Only controlled, blinded clinical studies were considered for inclusion in the review. Specific interventions included in the review Infra-red laser therapy and helium (...) Clinical efficacy of low power laser therapy in osteoarthritis Clinical efficacy of low power laser therapy in osteoarthritis Clinical efficacy of low power laser therapy in osteoarthritis Marks R, de Palma F Authors' objectives To conduct a systematic and critical analysis of studies of patient outcomes following either continuous or pulsed low level laser treatment of an osteoarthritic joint. Searching MEDLINE (1966 to 1998), CINAHL (1982 to 1998) were searched using the following terms

1999 DARE.

575. Knee osteoarthritis and high-heeled shoes. (Abstract)

Knee osteoarthritis and high-heeled shoes. Little is known about the effects of walking in high heels on joints in the legs. Since osteoarthritis of the knee is twice as common in women as in men, we investigated torques (forces applied about the leg joints) of women who wore high-heeled shoes.We studied 20 healthy women who were comfortable wearing high-heeled shoes. The women walked with their own high-heeled shoes and barefoot. Data were plotted and qualitatively compared; major peak values (...) for high-heeled and barefoot walking were statistically compared. Bonferroni adjustment was made for multiple comparisons.Measurement showed increased force across the patellofemoral joint and a greater compressive force on the medial compartment of the knee (average 23% greater forces) during walking in high heels than barefoot.The altered forces at the knee caused by walking in high heels may predispose to degenerative changes in the joint.

1998 Lancet Controlled trial quality: uncertain

576. Choice of NSAID and management strategy in rheumatoid arthritis and osteoarthritis: the impact on costs and outcomes in the UK

-3,200 mg per day), piroxicam (10-20 mg per day) and naproxen (500-1000 mg for patients with osteoarthritis and 1,500 mg per day for those with rheumatoid arthritis). Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Patients at least 18 years of age with either rheumatoid arthritis or osteoarthritis. Individuals were excluded if they had either a history of liver disease, blood dyscrasia, uncontrolled hypertension, abnormal laboratory values, recent (...) Choice of NSAID and management strategy in rheumatoid arthritis and osteoarthritis: the impact on costs and outcomes in the UK Choice of NSAID and management strategy in rheumatoid arthritis and osteoarthritis: the impact on costs and outcomes in the UK Choice of NSAID and management strategy in rheumatoid arthritis and osteoarthritis: the impact on costs and outcomes in the UK McCabe C J, Akehurst R L, Kirsch J, Whitfield M, Backhouse M, Woolf A D, Scott D L, Emery P, Haslock I Record Status

1998 NHS Economic Evaluation Database.

577. Medico-economic analysis of diacerein with or without standard therapy in the treatment of osteoarthritis

Medico-economic analysis of diacerein with or without standard therapy in the treatment of osteoarthritis Medico-economic analysis of diacerein with or without standard therapy in the treatment of osteoarthritis Medico-economic analysis of diacerein with or without standard therapy in the treatment of osteoarthritis Fagnani F, Bouvenot G, Valat J, Bardin T, Berdah L, Lafuma A, Bone I, Eschwege E, Dresier R 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 Standard therapy with or without diacerein used in the treatment of osteoarthritis. Type of intervention Treatment Economic study type Cost-effectiveness analysis. Study population The study population was defined as outpatients, aged over 50 years, with radiologically

1998 NHS Economic Evaluation Database.

578. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). (Abstract)

A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). To determine the effects of structured exercise programs on self-reported disability in older adults with knee osteoarthritis.A randomized, single-blind clinical trial lasting 18 months conducted at 2 academic medical centers.A total of 439 community-dwelling adults, aged 60 years or older (...) , with radiographically evident knee osteoarthritis, pain, and self-reported physical disability.An aerobic exercise program, a resistance exercise program, and a health education program.The primary outcome was self-reported disability score (range, 1-5). The secondary outcomes were knee pain score (range, 1-6), performance measures of physical function, x-ray score, aerobic capacity, and knee muscle strength.A total of 365 (83%) participants completed the trial. Overall compliance with the exercise prescription

1997 JAMA Controlled trial quality: uncertain

579. Acupuncture as a symptomatic treatment of osteoarthritis: a systematic review

Acupuncture as a symptomatic treatment of osteoarthritis: a systematic review Acupuncture as a symptomatic treatment of osteoarthritis: a systematic review Acupuncture as a symptomatic treatment of osteoarthritis: a systematic review Ernst E Authors' objectives To assess the effectiveness of acupuncture as a complementary treatment for osteoarthritis (OA). Searching MEDLINE from 1966 to 1996, and CISCOM were searched. IN addition, the bibliographies of the retrieved studies were examined (...) of axial and peripheral joint OA. CRD commentary This was a generally methodologically sound review. Although the studies were not critically appraised in detail, aspects of the methodological quality were assessed and the author's conclusions were based on the most robust studies. It is unclear whether additional relevant trials would have been identified by searching other databases, e.g. CINAHL, EMBASE, and the Cochrane Controlled Trials Register. Bibliographic details Ernst E. Acupuncture

1997 DARE.

580. A systematic review of randomized controlled trials of pharmacological therapy in osteoarthritis of the knee, with an emphasis on trial methodology

in Arthritis and Rheumatism 1997; 26(5): 755-770 PubMedID Other publications of related interest Gotzche P. Methodology and overt hidden bias in reports of 196 double-blind trials of non-steroidal anti-inflammatory drugs in rheumatoid arthritis. Control Clin Trials 1989;10:31-56. Indexing Status Subject indexing assigned by NLM MeSH Humans; Knee Joint; Osteoarthritis /drug therapy; Randomized Controlled Trials as Topic /methods; Research Design AccessionNumber 11997000656 Date bibliographic record (...) To compare the efficacy of pharmacological agents for the treatment of osteoarthritis of the knee. Searching MEDLINE was searched from 1966 to 1994, using MeSH terms 'osteoarthritis', 'knee', 'knee joint'. Only English language publications were included. Reference lists of publications retrieved were also searched. Study selection Study designs of evaluations included in the review Only randomised controlled trials (RCTs) were included. Specific interventions included in the review Nonsteroidal anti

1997 DARE.