Evidence map›Paper›PMID 30397549›Full record

ArticlePeerJ2018

Effectiveness of telephone-based interventions for managing osteoarthritis and spinal pain: a systematic review and meta-analysis.

Kate M O'Brien, Rebecca K Hodder, John Wiggers, Amanda Williams, Elizabeth Campbell, Luke Wolfenden, Sze Lin Yoong, Flora Tzelepis, Steven J Kamper, Christopher M Williams

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Telerehabilitation for neck pain.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Guideline
  3. Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
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  6. Trial
  7. Perceptions and Experiences of a Multimodal Rehabilitation Program for People With Post-Acute COVID-19: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Trial
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  9. Trial
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  13. Article
  14. Article
  15. Analyzing Physical Activity Patterns, Barriers, and Facilitators Among Medical Students in Kashmir: An Analytical Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Virtual Tools to Enable Management of Knee Osteoarthritis.Current treatment options in rheumatology · 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

10 authors at 2 institutions in 1 country.

Kate M O'BrienHunter New England Population Health, Wallsend, NSW, Australia.ORCID 0000-0003-4657-0175
Rebecca K HodderHunter New England Population Health, Wallsend, NSW, Australia.
John WiggersHunter New England Population Health, Wallsend, NSW, Australia.
Amanda WilliamsHunter New England Population Health, Wallsend, NSW, Australia.ORCID 0000-0002-9213-9178
Elizabeth CampbellHunter New England Population Health, Wallsend, NSW, Australia.
Luke WolfendenHunter New England Population Health, Wallsend, NSW, Australia.
Sze Lin YoongHunter New England Population Health, Wallsend, NSW, Australia.
Flora TzelepisHunter New England Population Health, Wallsend, NSW, Australia.
Steven J KamperCentre for Pain, Health and Lifestyle, Ourimbah, NSW, Australia.ORCID 0000-0003-3012-5499
Christopher M WilliamsHunter New England Population Health, Wallsend, NSW, Australia.ORCID 0000-0001-8896-0978
Hunter Medical Research Institute · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis and spinal pain are common and burdensome conditions; however, the majority of patients with these conditions do not receive care that is consistent with clinical practice guidelines. Telehealth models of care have the potential to improve care for osteoarthritis and spinal pain patients. The aim of this review was to assess the effectiveness of verbal real-time telehealth interventions, including telephone-based and videoconferencing interventions to reduce pain intensity and disability in patients with osteoarthritis of the knee or hip and spinal pain (back or neck pain).

methodsWe searched seven electronic databases from inception to May 2018. Randomised controlled trials (RCTs), cluster-RCTs, and non-randomised controlled trials were included. Two review authors independently extracted data for each included study. Primary outcomes were pain intensity and disability. We conducted primary meta-analyses combining all conditions with similar interventions and comparators. Standardised mean difference (SMD) and 95% confidence intervals (CIs) were calculated using random effects models. We used the Cochrane Risk of Bias tool to assess risk of bias, and GRADE to evaluate the quality of evidence.

resultsWe included 23 studies with 56 trial arms and 4,994 participants. All studies utilised telephone-based interventions. Only two studies used a telephone only approach and the remainder included educational materials and/or face-to-face components. We found no studies utilising videoconferencing. Meta-analysis showed telephone-based interventions (with educational materials) for osteoarthritis and spinal pain improved pain intensity ( DISCUSSION: We are moderately confident that telephone-based interventions reduce pain intensity and disability in patients with osteoarthritis and spinal pain compared to usual care, but telephone plus face-to-face interventions are no more effective than usual care or face-to-face interventions alone.

Indexed as

DisabilityInterventionMeta-analysisOsteoarthritisPainSpinal painSystematic reviewTelephone

Identifiers

PMID30397549
PMCPMC6214231
OpenAlexW2899000771

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.