Evidence map›Paper›PMID 19237406›Full record

Trial reportBMJ (Clinical research ed.)2009

ARTIST (osteoarthritis intervention standardized) study of standardised consultation versus usual care for patients with osteoarthritis of the knee in primary care in France: pragmatic randomised controlled trial.

P Ravaud, R-M Flipo, I Boutron, C Roy, A Mahmoudi, B Giraudeau, T Pham

2 registry-linked trialsAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT00462319 phase4completednot on this map

Evaluation of Standardized Management of Knee Arthritis Patients

TypeinterventionalSponsorAlmirall, SASRan2005ConditionsKnee OsteoarthritisArmsEducation, weight reduction and physical exercise
NCT01848522 completednot on this mapstarted 2012, after this paper: background citation

Creation and Setting up of Therapeutic Programs, Interprofessional Communication, Patients' Education and Counseling: a Qualitative Study in 3 Physical Therapy and Rehabilitation Departments

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2012 to 2014Enrolled63ConditionsProfessionals and Patients in the Department of Physical Medicine and Rehabilitation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Observational
  17. State-of-the-Art management of knee osteoarthritis.World journal of clinical cases · 2015
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

P RavaudINSERM, U738, Paris, France. philippe.ravaud@bch.ap-hop-paris.fr
R-M Flipo
I Boutron
C Roy
A Mahmoudi
B Giraudeau
T Pham

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of standardised consultations on patients with osteoarthritis of the knee.

designOpen pragmatic cluster randomised controlled trial.

settingPrimary care in France.

participants198 primary care rheumatologists, each of whom had to include two consecutive patients who met the American College of Rheumatology criteria for osteoarthritis of the knee.

interventionsStandardised consultation was provided during three goal oriented visits (education on osteoarthritis and treatment management; information on physical exercises; information on weight loss) or usual care.

main outcome measuresChange in body weight and in time spent on physical exercises (Baecke index) at four months.

results336 patients were included (154 allocated to standardised consultation and 182 to usual care). Nine patients were excluded because of lack of baseline data (standardised consultation, n=8; usual care, n=1). At four months, taking into account the clustering effect, the decrease in weight was greater in the standardised consultation group than in the usual care group (mean -1.11 (SD 2.49) kg v -0.37 (2.39) kg; P=0.007). The physical activity score was higher for the standardised consultation group than for the usual care group (mean 0.20 (0.65) v 0.04 (0.78); P=0.013). The standardised consultation and usual care groups did not differ in secondary outcomes, except for global assessment of disease activity (0-10 numeric scale: mean -1.66 (2.26) v -0.90 (2.48); P=0.003) and pain level (0-10 numeric scale: mean -1.65 (2.32) v -1.18 (2.58); P=0.04).

conclusionsA structured consultation programme for patients with osteoarthritis of the knee resulted in short term improvement in weight loss and time spent on physical activity.

trial registrationClinical trials NCT00462319.

Indexed as

AgedAnalgesicsAnti-Inflammatory Agents, Non-SteroidalCluster AnalysisExercise TherapyFemaleFranceGuideline AdherenceHumansMaleMiddle AgedObesityOsteoarthritis, KneePatient SatisfactionPractice Guidelines as TopicPrimary Health CareAnalgesicsAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID19237406
PMCPMC2651104

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.