Evidence map›Paper›PMID 21396470›Full record

ArticleOsteoarthritis and cartilage2011

Methodologic issues in clinical trials for prevention or risk reduction in osteoarthritis.

J M Jordan, M F Sowers, S P Messier, J Bradley, G Arangio, J N Katz, E Losina, L Rovati, N Bachtell, C Cooper and 4 more

Open access · greenAbstract readConsensus Statement
In one paragraph

Article in Osteoarthritis and cartilage, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. A marker-free registration method for standing X-ray panorama reconstruction for hip-knee-ankle axis deformity assessment.Computer methods in biomechanics and biomedical engineering. Imaging & visualization · 2019
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Effects of exercise interventions in older adults with knee osteoarthritis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2012
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 2 countries.

J M JordanThurston Arthritis Research Center, University of North Carolina, Chapel Hill, NC 27599-7280, USA. joanne_jordan@med.unc.edu
M F Sowers
S P Messier
J Bradley
G Arangio
J N Katz
E Losina
L Rovati
N Bachtell
C Cooper
T Spector
W Zhang
J Gardiner
M Wahba
Boston University · USBrigham and Women's Hospital · USNovartis (United States) · USPenn State Milton S. Hershey Medical Center · USPfizer (United States) · USSouthampton General Hospital · GBSt Thomas' Hospital · GBUniversity of Michigan · USUniversity of North Carolina at Chapel Hill · USUniversity of Nottingham · GBWake Forest University · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Patient Oriented Research and Mentoring Program in OrthopedicsK24AR057827 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2010 to 2019
$1.7M
Musculoskeletal Research and Mentoring ProgramsK24AR002123 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL · 2000 to 2009
$1.1M
Modeling Sequential Antiretroviral Therapy in HIVK25AI050436 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LOSINA, ELENA · 2001 to 2005
$697k
Medical Research Council MC_UP_A620_1014NIAID NIH HHS K25 AI050436NIAMS NIH HHS K24 AR002123NIAMS NIH HHS K24 AR057827NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

The design and execution of prevention trials for OA have methodological issues that are distinct from trials designed to impact prevalent disease. Disease definitions and their precise and sensitive measurement, identification of high-risk populations, the nature of the intervention (pharmaceutical, nutraceutical, behavioral) and its potential pleiotropic impacts on other organ systems are critical to consider. Because prevention trials may be prolonged, close attention to concomitant life changes and co-morbidities, adherence and participant retention in the trial is of primary importance, as is recognition of the potential for "preventive misconception" and "behavioral disinhibition" to affect the ability of the trial to show an effect of the intervention under study. None of these potential pitfalls precludes a successful and scientifically rigorous process and outcome. As technology improves the means to measure and predict the OA process and its clinical consequences, it will be increasingly possible to screen individuals for high-risk phenotypes, combining clinical factors with information from imaging, genetic, metabolic and other biomarkers and to impact this high-risk condition to avoid or delay OA both structurally and symptomatically.

Indexed as

AdultClinical Trials as TopicEthics, ResearchFemaleHumansKnee InjuriesMaleMiddle AgedOsteoarthritisOsteoarthritis, KneeOverweightResearch DesignRisk Reduction BehaviorYoung Adult

Identifiers

PMID21396470
PMCPMC3260468
OpenAlexW2082120365

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.