SynthesisThe Cochrane database of systematic reviews2001
Glucosamine therapy for treating osteoarthritis.
Synthesis in The Cochrane database of systematic reviews, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.
- Chondroitin for osteoarthritis.The Cochrane database of systematic reviews · 2015Pooled it
- [Evidence-based evaluation of study results of symptomatic glucosamine therapy].Zeitschrift fur Rheumatologie · 2005Pooled it
- EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT).Annals of the rheumatic diseases · 2005Guideline
- The effect of glucosamine sulphate on osteoarthritis: design of a long-term randomised clinical trial [ISRCTN54513166].BMC musculoskeletal disorders · 2005Trial
- Impact of Symptomatic Slow-Acting Drugs on Inflammatory Pathways in Osteoarthritis: Therapeutic Advances and Future Challenges.ACS pharmacology & translational science · 2025Review
- Patterns of dietary supplement use among United States patients with steatotic liver disease: Vitamins, minerals and botanicals.World journal of hepatology · 2025Article
- Re-appraising the potential of naringin for natural, novel orthopedic biotherapies.Therapeutic advances in musculoskeletal disease · 2020Review
- [Pharmacological treatment of osteoarthritis-related pain].Schmerz (Berlin, Germany) · 2019Review
- Pharmacological Approaches for the Management of Persistent Pain in Older Adults: What Nurses Need to Know.Journal of gerontological nursing · 2016Article
- The effects of glucosamine sulfate on intervertebral disc annulus fibrosus cells in vitro.The spine journal : official journal of the North American Spine Society · 2015Article
- Knee osteoarthritis related pain: a narrative review of diagnosis and treatment.International journal of health sciences · 2014Review
- The use of glucosamine for chronic low back pain: a systematic review of randomised control trials.BMJ open · 2013Article
- Pharmacologic Management of Osteoarthritis-Related Pain in Older Adults: A Review Shows that Many Drug Therapies Provide Small-to-Modest Pain Relief.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2012Article
- Pharmacologic management of osteoarthritis-related pain in older adults.The American journal of nursing · 2012Review
- Experimental pharmacology of glucosamine sulfate.International journal of rheumatology · 2011Article
- Predictors of symptomatic response to glucosamine in knee osteoarthritis: an exploratory study.British journal of sports medicine · 2007Article
- Disease-modifying therapies for osteoarthritis : current status.Drugs & aging · 2005Review
- Managing osteoarthritis of the knee.BMJ (Clinical research ed.) · 2004Article
- The use of glucosamine therapy in osteoarthritis.Current pain and headache reports · 2004Review
- Use of complementary therapies among primary care clinic patients with arthritis.Preventing chronic disease · 2004Article
Corrections and comments
- Updated by
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthritis (OA) is the most common form of arthritis, and it is often associated with significant disability and an impaired quality of life.
objectivesTo review all randomized controlled trials (RCTs) evaluating the effectiveness and toxicity of glucosamine in osteoarthritis (OA). SEARCH STRATEGY: We searched MEDLINE, Embase, and Current Contents up to November 1999, and the Cochrane Controlled Trials Register. We also wrote letters to content experts, and hand searched reference lists of identified RCTs and pertinent review articles. SELECTION CRITERIA: Relevant studies met the following criteria: 1) RCTs evaluating the effectiveness and safety of glucosamine in OA, 2) Both placebo based and comparative studies were eligible, 3) Both single blinded and double-blinded studies were eligible. DATA COLLECTION AND ANALYSIS: Data abstraction was performed independently by two investigators and the results were compared for degree of agreement. Gotzsche's method and a validated tool (Jadad 1995) were used to score the quality of the RCTs. Continuous outcome measures were pooled using standardized mean differences. Dichotomous outcome measures were pooled using Peto Odds Ratios. MAIN
resultsCollectively, the 16 identified RCTs provided evidence that glucosamine is both effective and safe in OA. In the 13 RCTs in which glucosamine was compared to placebo, glucosamine was found to be superior in all RCTs, except one. In the four RCTs in which glucosamine was compared to an NSAID, glucosamine was superior in two, and equivalent in two. REVIEWER'S
conclusionsFurther research is necessary to confirm the long term effectiveness and toxicity of glucosamine therapy in OA. Most of the trials reviewed only evaluated the Rotta preparation of glucosamine sulfate. It is not known whether different glucosamine preparations prepared by different manufacturers are equally effective in the therapy of OA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.