Evidence map›Paper›PMID 31784803›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2020

Radiotherapy for osteoarthritis of the ankle and tarsal joints-analysis of 66 joints.

Matthias G Hautmann, Matthias Hipp, Ulrich Neumaier, Felix Steger, Silke Brockmann, Marius Treutwein, Antonio Ernstberger, Tobias Ettl, Oliver Kölbl, Christoph Süß

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Low-dose Radiation Therapy (LDRT) in Managing Osteoarthritis: A Comprehensive Review.Current therapeutic research, clinical and experimental · 2025
    Review
  9. Low-dose radiotherapy for painful osteoarthritis of the elderly: A multicenter analysis of 970 patients with 1185 treated sites.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021
    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

10 authors at 3 institutions in 1 country.

Matthias G HautmannDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany. matthias.hautmann@ukr.de.ORCID http://orcid.org/0000-0002-1039-0677
Matthias HippDepartment of Radiotherapy, Klinikum St. Marien Amberg, Amberg, Germany.
Ulrich NeumaierMVZ Dr. Neumaier & Kollegen, Regensburg, Germany.
Felix StegerDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany.
Silke BrockmannDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany.
Marius TreutweinDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany.
Antonio ErnstbergerDepartment of Trauma Surgery, Klinikum Osnabrück, Osnabrück, Germany.
Tobias EttlDepartment of Cranio- and Maxillofacial Surgery, University of Regensburg, Regensburg, Germany.
Oliver KölblDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany.
Christoph SüßDepartment of Radiotherapy, University of Regensburg, 94042, Regensburg, Germany.
University of Regensburg · DEKlinikum Osnabrück · DEKlinikum St. Marien Amberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoarthritis of the ankle and tarsal joints is less common than osteoarthritis of the knee or hip, but the associated disability is at least as severe as that of the other major joints of the lower limb. The results for total arthroplasty are still not satisfactory. For this reason, arthrodesis is still the gold standard of non-joint-conserving surgery. For the reason of functionality, joint-conserving therapies play a major role in treatment of ankle and tarsal osteoarthritis. Low-dose radiotherapy has a long history of treatment of osteoarthritis. The aim of this survey was to examine the results of low-dose radiotherapy for osteoarthritis of the ankle and tarsal joints. MATERIALS AND

methodsThe analysis was performed on patients of three German radiotherapy institutions and included 66 irradiated joints. Pain was documented with the numeric rating scale (NRS). Evaluation of the NRS was done before and directly after each radiation therapy course as well as for the follow-up of 24 months. The median age of the patients was 68 years, with 24.5% male and 75.5% female patients. The upper ankle was treated in 37.9%, the lower ankle in 27.3% and the tarsal joints in 34.8%.

resultsWe could find a significant response to radiotherapy. For the whole sample, the median pain was 7 on the NRS before radiotherapy, 5 after 6 and 12 weeks, and 4 after 12 months. The percentage of patients with 0 or 1 on the NRS was 19.6% 12 months after radiotherapy. An improvement of joint mobility could be detected in 56.7% of the cases. All investigated subgroups had a significant reduction in pain.

conclusionRadiotherapy of ankle and tarsal osteoarthritis is an effective treatment without showing side effects. All analysed subgroups show a good response to radiotherapy for at least 24 months.

Indexed as

AgedAnkle JointFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritisPain MeasurementRecovery of FunctionRetrospective StudiesTarsal JointsTreatment OutcomeAnkleAnkle jointLow-dose radiationRadiotherapyTarsal joint

Identifiers

PMID31784803
OpenAlexW2990561511

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.