Evidence map›Paper›PMID 31340715›Full record

SynthesisSports health

Comparative Effectiveness of Alternative Dosing Regimens of Hyaluronic Acid Injections for Knee Osteoarthritis: A Systematic Review.

Kathryn McElheny, Brett Toresdahl, Daphne Ling, Keith Mages, Irfan Asif

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07016672 (Efficacy of Therapy With Intra-articular Injections of PRP Compared With Therapy With Intra-articular Injections of HA, in Patients With Grade III or IV GONArthrosis), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT07016672 narecruitingnot on this map

Efficacy of Therapy With Intra-articular Injections of PRP Compared With Therapy With Intra-articular Injections of HA, in Patients With Grade III or IV GONArthrosis: a Prospective Randomized Open-label Study

TypeinterventionalSponsorCentre Hospitalier Intercommunal de Toulon La Seyne sur MerRan2025 to 2028Enrolled150ConditionsKnee OsteoarthritisArmsintra-articular injection of HA, intra-articular injection of PRP
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Should intra-articular hyaluronic acid be used routinely for knee osteoarthritis pain?PM & R : the journal of injury, function, and rehabilitation · 2022
    Article
  5. Review
  6. Article
  7. 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

5 authors at 3 institutions in 1 country.

Kathryn McElhenyHospital for Special Surgery, New York, New York.
Brett ToresdahlHospital for Special Surgery, New York, New York.
Daphne LingHospital for Special Surgery, New York, New York.
Keith MagesWeill Cornell Medical College, New York, New York.
Irfan AsifUniversity of South Carolina School of Medicine Greenville, Greenville, South Carolina.
Hospital for Special Surgery · USCornell University · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextViscosupplementation is widely used for management of knee osteoarthritis. Many formulations of hyaluronic acid (HA) are available, ranging from a single injection to a series of up to 5 injections per treatment.

objectiveTo compare efficacy between single and multiple HA injection formulations. DATA SOURCES: MEDLINE, EMBASE, Cochrane, Web of Science, Scopus databases were all searched. STUDY SELECTION: Full-text prospective randomized and nonrandomized controlled human trials, cohort studies, and cost-effectiveness evaluations in the English language comparing different injection regimens of viscosupplementation were included. STUDY

designSystematic review. LEVEL OF EVIDENCE: Level 1. DATA EXTRACTION: Data were collected using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Four databases were searched by a librarian and the principal investigator, identifying 6196 articles for screening.

resultsEleven studies met the inclusion criteria. Of the studies comparing single- with multiple-injection formulations of HA for treatment of knee osteoarthritis, there was no consistent difference in patient-reported outcomes. Furthermore, 5-injection formulations do not appear to be superior to 3-injection formulations.

conclusionThere are limited head-to-head trials comparing viscosupplementation formulations that differ based on number of injections, and in particular, there is a paucity of trials evaluating single-injection formulations. Based on the currently available data, there appears to be similar efficacy with the possibility for greater cost-effectiveness and less patient inconvenience with single-injection formulations.

Indexed as

ViscosupplementationHumansHyaluronic AcidInjections, Intra-ArticularOsteoarthritis, KneePatient Reported Outcome MeasuresRandomized Controlled Trials as TopicHyaluronic Acidhyaluronic acidknee osteoarthritisviscosupplementation

Identifiers

PMID31340715
PMCPMC6745818
OpenAlexW2963947816

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.