Evidence map›Paper›PMID 21887488›Full record

ArticleClinical rheumatology2011

"Beating osteoARThritis": development of a stepped care strategy to optimize utilization and timing of non-surgical treatment modalities for patients with hip or knee osteoarthritis.

Agnes J Smink, Cornelia H M van den Ende, Thea P M Vliet Vlieland, Bart A Swierstra, Joke H Kortland, Johannes W J Bijlsma, Theo B Voorn, Henk J Schers, Sita M A Bierma-Zeinstra, Joost Dekker

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In one paragraph

Article in Clinical rheumatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 6% 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

64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  3. Paracetamol versus placebo for knee and hip osteoarthritis.The Cochrane database of systematic reviews · 2019
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  16. Effectiveness of diclofenac versus paracetamol in knee osteoarthritis: a randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015
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4 more citing papers are in PubMed but not listed here.

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

10 authors at 9 institutions in 3 countries.

Agnes J SminkDepartment of Rheumatology, Sint Maartenskliniek, P.O. Box 9011, 6500 GM Nijmegen, The Netherlands. a.smink@maartenskliniek.nl
Cornelia H M van den Ende
Thea P M Vliet Vlieland
Bart A Swierstra
Joke H Kortland
Johannes W J Bijlsma
Theo B Voorn
Henk J Schers
Sita M A Bierma-Zeinstra
Joost Dekker
Sint Maartenskliniek · NLAmsterdam UMC Location VUmc · NLErasmus MC · NLInstitute for Rheumatic Diseases (Japan) · JPLeiden University Medical Center · NLRadboud University Medical Center · NLRadboud University Nijmegen · NLSint Maartenskliniek · NLUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inadequacies in health care practices have been reported despite existing guidelines to manage hip or knee osteoarthritis. To facilitate guideline implementation and improve utilization of non-surgical treatment options a care strategy should be developed. This study describes the development of an evidence-based, multidisciplinary, patient-centered, stepped care strategy. A national, multidisciplinary, steering group developed the strategy in three phases: (1) consensus among steering group members (first draft); (2) written consultation of 23 representatives of patient organizations and professional associations involved in osteoarthritis care (second draft); (3) consensus of the final draft after discussion in two rounds during a conference with representatives from the different disciplines. The final stepped care strategy presents, in three tiers, the optimal order for non-surgical treatment modalities. It recommends that more advanced options should only be considered if options listed in previous steps failed to produce satisfactory results. Hence, the first step treatment options can be offered to all patients but may also be provided through self care (education, life style advice, and acetaminophen). The second step (exercise therapy, dietary therapy, and non-steroidal anti-inflammatory drugs) and third step treatment options (multidisciplinary care, intra-articular injections, and transcutaneous electrical nerve stimulation) can be considered for people with persisting complaints. Trough a consensus procedure, we succeeded to develop a multidisciplinary, patient-centered, stepped care strategy based on national guidelines. This strategy provides a framework for health care providers and patients with hip or knee osteoarthritis to discuss the optimal timing of the various treatment options.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalClinical ProtocolsConsensusExercise TherapyHumansInjections, Intra-ArticularNetherlandsOsteoarthritis, HipOsteoarthritis, KneePractice Guidelines as TopicSelf CareTreatment OutcomeAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID21887488
OpenAlexW2128189927

What OpenQuestion holds

Textmetadata
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.