Evidence map›Paper›PMID 25872665›Full record

Trial reportTrials2015

Clinical effectiveness and micro-perfusion alteration of Jingui external lotion in patients with knee osteoarthritis: study protocol for a randomized controlled trial.

Da Guo, Xue-Wei Cao, Jin-Wen Liu, Wei Niu, Zhen-Wei Ma, Ding-Kun Lin, Jia-Yi Chen, Wei-Dong Lian, Wen-Wei Ouyang, Jun Liu

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 3 institutions in 1 country.

Da GuoDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. 341127403@QQ.COM.
Xue-Wei CaoDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. CAOXUEWEI@126.COM.
Jin-Wen LiuDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. LIUJINWEN2003@126.COM.
Wei NiuDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. niuwei@139.com.
Zhen-Wei MaDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. 379923475@qq.com.
Ding-Kun LinDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. lindingkun@126.com.
Jia-Yi ChenDepartment of Orthopedic Surgery, Hospital of Traditional Chinese Medicine of Zhongshan, No. 3 Xunkang Road, Zhongshan, Guangdong, 528400, China. 258001053@qq.com.
Wei-Dong LianDepartment of Orthopedic Surgery, Hospital of Traditional Chinese Medicine of Meizhou, No. 35 Meishong Road, Meizhou, Guangdong, 514000, China. Lianweidonglove@21cn.com.
Wen-Wei OuyangDepartment of Statistical Secretary, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. 35635369@QQ.COM.
Jun LiuDepartment of Orthopedic Surgery, The Second School of Clinic Medicine, Guangzhou University of Chinese Medicine, No. 111 Dade Road, Guangzhou, Guangdong, 510120, China. liujun.gdtcm@hotmail.com.
Guangzhou University of Chinese Medicine · CNMeizhou City People's Hospital · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnee osteoarthritis is a major cause of disability in the aging population. Based on pathological, magnetic resonance imaging (MRI) and arthroscopy studies, progressive osteoarthritis involves all tissues of the joint and includes bone marrow lesions, synovial proliferation, fat pad inflammation, and high subchondral bone turnover. Recent research suggests that abnormal perfusion in bone marrow lesions, fat pads, and subchondral bone is associated with pain in knee osteoarthritis, and that dynamic contrast-enhanced MRI is a promising method for studying micro-perfusion alteration in knee osteoarthritis. Traditional Chinese Medicine approaches have been employed for thousands of years to relieve knee osteoarthritis pain. Among herbal medicines, the Jingui external lotion is the preferred and most commonly used method in China to reduce pain in patients with knee osteoarthritis; however, there is a lack of validated evidence for its effectiveness. The purpose of this study is to explore the effectiveness of Jingui external lotion for the management of painful knee osteoarthritis in a short-term study. In addition, we will assess micro-perfusion alteration in the patellar fat pad as well as the femur and tibia subchondral bone via dynamic contrast-enhanced MRI. METHODS/

designThis trial is a randomized, controlled study. A total of 168 patients will be randomized into the following two groups: 1) the Jingui external lotion group (treatment group); and 2) the placebo lotion group (control group). In both groups, lotion fumigation and external washing of the patients' knees will be administered twice a day for 14 consecutive days. Follow-up will be at regular intervals during a 4-week period with a visual analog scale to assess pain, and additional characterization with the Western Ontario and McMaster Universities Index score; rescue medication will be recorded as the extent and time pattern. In addition, micro-perfusion alteration in the patellar fat pad, femur and tibia subchondral bone will be assessed via dynamic contrast-enhanced MRI. DISCUSSION: This study will provide clinical evidence of the efficacy of Jingui external lotion in treating knee osteoarthritis, and it will be the first randomized controlled trial to investigate micro-perfusion alteration of knee osteoarthritis with Traditional Chinese Medicine external lotion via dynamic contrast-enhanced MRI.

trial registrationClinicalTrials.gov identifier: ChiCTR-TRC-14004727 ; 31 May 2014.

Indexed as

Medicine, Chinese TraditionalPhytotherapyClinical ProtocolsHumansOsteoarthritis, KneePlant PreparationsResearch DesignSkin CreamPlant Preparations

Identifiers

PMID25872665
PMCPMC4383077
OpenAlexW2145127769

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.