ReviewRheumatology (Oxford, England)2018
Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care.
Review in Rheumatology (Oxford, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Implementation research on osteoarthritis in Asia: a systematic review.Frontiers in public health · 2026Pooled it
- Pooled it
- Use of Implementation Strategies to Promote the Uptake of Knee Osteoarthritis Practice Guidelines and Improve Patient Outcomes: A Systematic Review.Arthritis care & research · 2024Pooled it
- EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update.Annals of the rheumatic diseases · 2024Guideline
- Changing Habits With the Happy Hands App: Qualitative Focus Group Study of a Hand Osteoarthritis Self-Management Intervention.Journal of medical Internet research · 2026Trial
- Non-pharmacological treatment gap preceding surgical consultation in thumb carpometacarpal osteoarthritis - a cross-sectional study.BMC musculoskeletal disorders · 2019Trial
- Trial
- Implementation of Models of Service Delivery Designed for the Management of People With Hip and/or Knee Osteoarthritis in Primary Care: A Scoping Review Protocol.Journal of evaluation in clinical practice · 2026Article
- Advances in heterogeneity and classification of osteoarthritis.Bone research · 2026Review
- Implantable Shock Absorber for Knee Osteoarthritis in Older Patients: Evidence From Two Clinical Studies.Cureus · 2026Article
- Co-designing a joint protection program for hand osteoarthritis: a latent-class discrete choice experiment of patient preferences.Rheumatology advances in practice · 2026Article
- SPM Differences in Gait Pattern of Women After Total Hip Replacement: A Longitudinal Study.Journal of clinical medicine · 2025Article
- Non-Pharmacological Pain Management for Osteoarthritis: Review Update.Current rheumatology reports · 2025Review
- Evaluation of an e-self-management intervention (Happy Hands app) for hand osteoarthritis: Study protocol for a multicentre randomised controlled trial.Rheumatology international · 2025Article
- Interventions supporting people from Black, Asian and Minority Ethnic groups in the United Kingdom with musculoskeletal disorders: a scoping review.Frontiers in public health · 2025Article
- Osteoarthritis: multitissue pathology, molecular mechanisms, clinical management, and emerging precision and regenerative therapies.Frontiers in pharmacology · 2025Review
- Article
- Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study.Osteoarthritis and cartilage open · 2023Article
- The OARSI Joint Effort Initiative: Priorities for osteoarthritis management program implementation and research 2024-2028.Osteoarthritis and cartilage open · 2023Article
- Proteomic Analysis of Female Synovial Fluid to Identify Novel Biomarkers for Osteoarthritis.Life (Basel, Switzerland) · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in the context of competing health priorities and multimorbidity, access to high quality conservative care, non-pharmacological therapies, resource limitations and models of care. The overuse of some therapies and neglect of others are discussed, as well as the potential for self-management. The roles of patient and public involvement and the healthcare team are highlighted in enhancing best care for OA and providing solutions for closing the evidence-to-practice gap. Implementation of models of care offer one solution to the challenges and progress of such implementation is described. Areas for further research are highlighted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.