Evidence map›Paper›PMID 24107979›Full record

Trial reportAnnals of the rheumatic diseases2015

Self-management approaches for osteoarthritis in the hand: a 2×2 factorial randomised trial.

Krysia Dziedzic, Elaine Nicholls, Susan Hill, Alison Hammond, June Handy, Elaine Thomas, Elaine Hay

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of the rheumatic diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
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  4. Exercise for hand osteoarthritis.The Cochrane database of systematic reviews · 2017
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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

7 authors at 2 institutions in 1 country.

Krysia DziedzicArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Elaine NichollsArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Susan HillArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Alison HammondCentre for Health Sciences Research, University of Salford, Salford, UK.
June HandyArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Elaine ThomasArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Elaine HayArthritis Research UK Primary Care Centre, Keele University, Keele, UK.
Keele University · GBUniversity of Salford · GB

Funding

Arthritis Research UK 17958Department of Health CAT CDRF 10-018Department of Health KMRF-2014-03-002Department of Health RP-PG-0407-10386Medical Research Council G0501798
6 · The paper itself

Abstract

backgroundOsteoarthritis is the leading cause of disability in older adults. Evidence of effectiveness for self-management of hand osteoarthritis is lacking.

methodsIn this randomised, factorial trial, we evaluated the effectiveness of joint protection versus no joint protection, and hand exercise versus no hand exercise in adults, 50 years of age or older, with hand osteoarthritis. Following a population survey (n=12 297), eligible individuals were randomly assigned (1:1:1:1) to: leaflet and advice; joint protection; hand exercise; joint protection plus hand exercise. Joint protection and hand exercises were delivered by nine occupational therapists, over four group sessions. The primary outcome was the OARSI/OMERACT responder criteria at 6 months. Outcomes were collected blind to allocation (3, 6, 12 m). Analysis was by intention to treat.

resultsOf 257 participants randomised (65:62:65:65) (mean age (SD) 66 years (9.1); female 66%) follow-up was 85% at 6 m (n=212). Baseline characteristics and loss to follow-up were similar between groups. There were no reported treatment side effects. At 6 m 33% assigned joint protection were responders compared with 21% with no joint protection (p=0.03). Of those assigned hand exercises, 28% were responders compared with 25% with no exercises (n.s.). Differences in secondary outcomes were not statistically significant, except for improvement in pain self-efficacy with joint protection (3 m p=0.002; 6 m p=0.001; 12 m p=0.03).

conclusionsThese findings show that occupational therapists can support self-management in older adults with hand osteoarthritis, and that joint protection provides an effective intervention for medium term outcome. (Funded by the Arthritis Research UK ISRCTN 33870549).

Indexed as

Hand JointsAgedExercise TherapyFemaleHumansMaleMiddle AgedOsteoarthritisSecondary PreventionSelf CareSingle-Blind MethodTreatment OutcomeHand OsteoarthritisOccupational therapyTreatment

Identifiers

PMID24107979
PMCPMC4283664
OpenAlexW2126009889

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.