Evidence map›Paper›PMID 30046586›Full record

SynthesisBioMed research international2018

Efficacy of Spa Therapy, Mud-Pack Therapy, Balneotherapy, and Mud-Bath Therapy in the Management of Knee Osteoarthritis. A Systematic Review.

Antonio Fraioli, Gioacchino Mennuni, Mario Fontana, Silvia Nocchi, Fulvia Ceccarelli, Carlo Perricone, Angelo Serio

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
12.1field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  3. Clinical efficacy of medical hydrology: an umbrella review.International journal of biometeorology · 2021
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  20. Italian Orthopaedic and Traumatology Society (SIOT) position statement on the non-surgical management of knee osteoarthritis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
    Review
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.

Antonio FraioliUOC Medicina Interna, Terapia Medica e Medicina Termale, Scuola di Specializzazione in Medicina Termale, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.ORCID 0000-0003-0366-7081
Gioacchino MennuniUOC Medicina Interna, Terapia Medica e Medicina Termale, Scuola di Specializzazione in Medicina Termale, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.
Mario FontanaUOC Medicina Interna, Terapia Medica e Medicina Termale, Scuola di Specializzazione in Medicina Termale, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.
Silvia NocchiUOC Medicina Interna, Terapia Medica e Medicina Termale, Scuola di Specializzazione in Medicina Termale, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.
Fulvia CeccarelliUOC Reumatologia, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.ORCID 0000-0001-5026-8783
Carlo PerriconeUOC Reumatologia, Dipartimento di Medicina Interna e Specialità mediche, Sapienza Università di Roma, Azienda Ospedaliera Universitaria Policlinico Umberto I, Roma, Italy.ORCID 0000-0003-4771-6981
Angelo SerioUniversità Campus Bio-Medico di Roma, Roma, Italy.
Policlinico Umberto I · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) is the most common musculoskeletal disease in the world. OA is the result of an inflammatory and degenerative process affecting the entire joint. Osteoarthritis, especially involving the knee, has a relevant socioeconomic impact in terms of drugs, hospital admissions, work absences, and temporary or permanent invalidity. Therapy of knee osteoarthritis is based on pharmacological and nonpharmacological measures.

methodsWe conducted a systematic review of the studies published between 2002 and 2017 on spa therapy, mud-pack therapy, balneotherapy, and mud-bath therapy in the treatment of knee osteoarthritis in order to investigate the evidence of the efficacy of such treatment on pain, functional limitation, drug use, and quality of life. Overall, 35 studies were examined among which 12 were selected and included in the review if they are trial comparative. We have been able to illustrate the main results obtained in the individual studies and to elaborate these results in order to allow as much a unitary presentation as possible and hence an overall judgment.

resultsBecause the studies we reviewed differed markedly from one another in terms of the methods used, we were unable to conduct a quantitative analysis (meta-analysis) of pooled data from the 12 studies. For the purposes of the present review, we reevaluated the results of the different studies using the same statistical method, Student's

conclusionsThe mud-pack therapy, balneotherapy, mud-bath therapy, and spa therapy have proved to be effective in the treatment and in the secondary prevention of knee osteoarthritis, by reducing pain, nonsteroidal anti-inflammatory drug consumption, and functional limitation and improving quality of life of affected patients.

Indexed as

BalneologyMud TherapyHumansOsteoarthritis, KneeQuality of LifeTreatment Outcome

Identifiers

PMID30046586
PMCPMC6036842
OpenAlexW2810877586

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.