Evidence map›Paper›PMID 25887429›Full record

Trial reportActa veterinaria Scandinavica2015

An international multi-centre prospective study on the efficacy of an intraarticular polyacrylamide hydrogel in horses with osteoarthritis: a 24 months follow-up.

Aziz Tnibar, Hans Schougaard, Linus Camitz, Jonas Rasmussen, Marc Koene, Werner Jahn, Bo Markussen

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Acta veterinaria Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.1field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 47 citations in OpenAlex.

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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.

Aziz TnibarDepartment of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Hoejbakkegaard alle 5, DK-2630, Taastrup, Denmark. aztnibar@gmail.com.
Hans SchougaardNoerlund Hestehospital, Roedebækvej 2, DK-8653, Them, Denmark. mail@hestehospitalet.dk.
Linus CamitzCamitz equestrian, Aasoe Mosevej 13, DK-4171, Glumsoe, Denmark. camitz@mail.dk.
Jonas RasmussenHoejgaard Hestehospital, Rugaardsvej 696, DK-5462, Morud, Denmark. jr@hoejgaard-hestehospital.dk.
Marc KoeneTieraerztlische Klinik fuer Pferde, Essener Strasse 39a, D-49456, Bakum, Germany. mkoene@tierklinik-luesche.de.
Werner JahnPferdeklinik Bargteheide, Alte Landstrasse 104, D-22941, Bargteheide, Germany. w.jahn@pferdeklinik-bargteheide.de.
Bo MarkussenDepartment of Mathematical Sciences, Laboratory of Applied Statistics, University of Copenhagen, Universitetsparken 5, DK-2100, Copenhagen, Denmark. bomar@math.ku.dk.
University of Copenhagen · DKMoesgaard Museum · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolyacrylamide hydrogel (PAAG) was evaluated recently to treat osteoarthritis (OA) in horses with highly encouraging results; however no long term field-study was done to explore its clinical efficacy and lasting effect. The objective of this study was to evaluate the efficacy of PAAG in improving clinical signs of OA in horses. We hypothesized that lameness grade would significantly improve and the effect would last at least 2 years in osteoarthritic joints treated with PAAG. Forty three horses older than 2 years with OA in only one joint based on clinical evaluation, intra-articular anaesthesia and imaging (radiography) were included in this study. Horses were injected with 2 ml of PAAG into the affected joint and were followed up at 1, 3, 6, 12 and 24 months. Efficacy of PAAG was evaluated by blinded clinical assessment of lameness. Adverse reactions to joint injection were assessed. Data relating to case details, type of activity, joint and limb involved, lameness duration, lameness grading, previous joint treatment, joint effusion grading, radiographic grading, and owner assessment were recorded. Factors associated with the outcome measure "lameness grading" were analyzed using generalized linear mixed model for logistic regression.

resultsAt 1, 3, 6, 12 and 24 months follow-up, 59%, 69%, 79%, 81/% and 82.5% of horses were non-lame respectively. Reduction of joint effusion was observed over time. No side effect was observed in the treated joints. There was a significant decrease in lameness grade from baseline to 1, 3, 6, 12 and 24 months (P < 0.0001) and a significant positive association with joint effusion (P < 0.0001). Estimates for odds ratio (OR) showed that the effect of treatment increased over time (OR for lower lameness from month 1 to month 24 relative to baseline increased from 20 to 58).

conclusionsPAAG significantly alleviated lameness and joint effusion in osteoarthritic joints. PAAG is a safe and lasting (at least 24 months) OA treatment in horses. PAAG is a promising new treatment for OA in horses.

Indexed as

Acrylic ResinsAnimalsAnti-Inflammatory Agents, Non-SteroidalCarpal JointsHorse DiseasesHorsesInjections, Intra-ArticularLameness, AnimalOsteoarthritisProspective StudiesTarsal JointsTime FactorsAcrylic ResinsAnti-Inflammatory Agents, Non-Steroidalpolyacrylamide gels

Identifiers

PMID25887429
PMCPMC4403890
OpenAlexW2114469126

What OpenQuestion holds

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LicenceCC BY
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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.