Evidence map›Paper›PMID 31421668›Full record

Trial reportBMC musculoskeletal disorders2019

Predictors for outcome in acute lateral epicondylitis.

Øystein Holmedal, Morten Olaussen, Ibrahimu Mdala, Bård Natvig, Morten Lindbæk

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IVRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00826462 (Physiotherapy Alone, in Combination With Corticosteroid Injection or Wait-and-see for Acute Lateral Epicondylitis in General Practice), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 27% 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.

NCT00826462 phase4completednot on this map

Physiotherapy Alone, in Combination With Corticosteroid Injection or Wait-and-see for Acute Lateral Epicondylitis in General Practice: a Randomised, Placebo-controlled Study With 12 Months Follow-up

TypeinterventionalSponsorUniversity of OsloRan2009 to 2013Enrolled177ConditionsTennis Elbow, Epicondylitis, Lateral HumeralArmstriamcinolone, Placebo, Lidocaine, Physiotherapy, Naproxen
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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 1 institution in 1 country.

Øystein HolmedalResearcher, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway. oystein.holmedal@getmail.no.ORCID http://orcid.org/0000-0003-0963-2728
Morten OlaussenResearcher, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Ibrahimu MdalaResearcher, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Bård NatvigResearcher, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Morten LindbækResearcher, Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
University of Oslo · NO

Funding

Norske Legeforening N/A
6 · The paper itself

Abstract

backgroundLateral epicondylitis or tennis elbow is a frequent condition with long-lasting symptoms. In order to identify predictors for treatment success and pain in lateral epicondylitis, we used data from a randomized controlled trial. This trial investigated the efficacy of physiotherapy alone or combined with corticosteroid injection for acute lateral epicondylitis in general practice.

methodsThe outcomes treatment success and pain score on VAS were assessed at 6, 12, 26 and 52 weeks. We ran a univariate binary logistic regression with generalized estimating equations (GEE) and subsequently an adjusted multilevel logistic regression to analyze the association between potential prognostic indicators and the outcome success/ no success. To assess the changes in pain score we used a two-level multilevel linear regression (MLR) followed by an adjusted MLR model with random effects.

resultsThe most consistent predictor for reduced treatment success at all time points was a high Pain Free Function Index score signifying more pain on everyday activities. Being on paid sick-leave and having a recurring complaint increased short term treatment success but gave decreased long-term treatment success. The patients reporting symptoms after engaging in probable overuse in an unusual activity, tended towards increased treatment success at all time-points, but significant only at 12 weeks. The most consistent predictor of increased pain at all time points was a higher overall complaints score at baseline.

conclusionsOur results suggest that in treating acute lateral epicondylitis, a consideration of baseline pain, a registration of the patient's overall complaint on a VAS scale and an assessment of the patient's perceived performance in everyday activities with the Pain Free Function Index can be useful in identifying patients that will have a more protracted and serious condition.

trial registrationClinicalTrials.gov Identifier: NCT00826462 . Date of registration January 22, 2009. The Trial was prospectively registrated.

Indexed as

AdultCombined Modality TherapyFemaleFollow-Up StudiesGlucocorticoidsHumansInjections, IntralesionalMaleMiddle AgedMusculoskeletal PainPain ManagementPain MeasurementPhysical Therapy ModalitiesPrognosisTennis ElbowTreatment OutcomeGlucocorticoidsTriamcinoloneGeneral practiceLateral epicondylitisPredictorsTreatment

Identifiers

PMID31421668
PMCPMC6698329
OpenAlexW2967346356

What OpenQuestion holds

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LicenceCC BY
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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.