Evidence map›Paper›PMID 31452625›Full record

ReviewActa ortopedica brasileira

BRAZILIAN CONSENSUS STATEMENT ON VISCOSUPPLEMENTATION OF THE KNEE (COBRAVI).

Gustavo Constantino de Campos, Eduardo Branco de Sousa, Paulo César Hamdan, Cyro Scala de Almeida, Antonio Martins Tieppo, Marcia Uchôa de Rezende, Adrieni Antunes do Amaral Alchaar, Carlos Bruno Pinheiro, Eduardo de Melo Carvalho Rocha, Fabiano Gonçalves Cunha and 4 more

Abstract readReview
In one paragraph

Review in Acta ortopedica brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

14 authors.

Gustavo Constantino de CamposUniversidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.ORCID 0000-0001-7811-7354
Eduardo Branco de SousaInstituto de Nacional da Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.ORCID 0000-0001-8577-6403
Paulo César HamdanUniversidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-3931-9321
Cyro Scala de AlmeidaSanta Casa de São Paulo, Faculty of Medicine, São Paulo, SP, Brazil.ORCID 0000-0002-9935-9632
Antonio Martins TieppoSanta Casa de São Paulo, Faculty of Medicine, São Paulo, SP, Brazil.ORCID 0000-0001-5573-1773
Marcia Uchôa de RezendeUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Department of Orthopedics and Traumatology (DOT/FMUSP), São Paulo, Brazil.ORCID 0000-0002-2020-9501
Adrieni Antunes do Amaral AlchaarHospital Municipal Miguel Couto, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-6418-8538
Carlos Bruno PinheiroHospital Evangélico do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-7694-4273
Eduardo de Melo Carvalho RochaSanta Casa de São Paulo, Faculty of Medicine, São Paulo, SP, Brazil.ORCID 0000-0003-2078-5450
Fabiano Gonçalves CunhaHospital Santa Paula, São Paulo, SP, Brazil.ORCID 0000-0002-6692-5335
Ivan PachecoHospital Moinhos de Vento, Porto Alegre, RS, Brazil.ORCID 0000-0002-3109-3866
Mário Sérgio Rossi VieiraSanta Casa de São Paulo, Faculty of Medicine, São Paulo, SP, Brazil.ORCID 0000-0002-6312-5164
Sílvio Figueira AntonioHospital Estadual do Servidor Público, São Paulo, SP, Brazil.ORCID 0000-0002-0412-8306
Zartur José Barcelos MenegassiUniversidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.ORCID 0000-0002-6902-0136

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this consensus statement on viscosupplementation is to serve as a reference document based on relevant literature and clinical experience in the treatment of knee osteoarthritis using an intra-articular injection of hyaluronic acid, covering key aspects such as clinical indications, effectiveness, and tolerability.

methodsA multidisciplinary panel including two sports medicine physicians, six orthopedists, four physiatrists, and two rheumatologists were selected based on their clinical and academic experience of viscosupplementation. Sixteen statements were prepared and discussed, after which a vote was held. Each member of the panel gave a score between 0 and 10 on a Likert scale, specifying their level of agreement with the statement.

resultsThe panel reached a consensus on several issues. Specifically, the panel agreed that the best indication is for mild to moderate knee arthrosis; prior or concomitant use of intraarticular triamcinolone hexacetonide may optimize the effect of hyaluronic acid; viscosupplementation should not be performed as an isolated procedure but in conjunction with other rehabilitative and pharmacological measures; viscosupplementation has analgesic, anti-inflammatory, and chondroprotective effects; and viscosupplementation is cost-effective.

conclusionThis consensus statement provides clear information and guidance for both individuals and payers.

Indexed as

KneeOsteoarthritisViscosupplementation

Identifiers

PMID31452625
PMCPMC6699386

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.