Evidence map›Paper›PMID 32332006›Full record

ArticleBMJ open2020

Effect of vitamin D supplementation on pain and physical function in patients with knee osteoarthritis (OA): an OA Trial Bank protocol for a systematic review and individual patient data (IPD) meta-analysis.

Xingzhong Jin, Benny Antony, Xia Wang, Monica Sm Persson, Timothy McAlindon, Nigel K Arden, Sudeepti Srivastava, Rajeshwar Srivastava, Marienke Van Middelkoop, Sita Ma Bierma-Zeinstra and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Emerging pharmaceutical therapies for osteoarthritis.Nature reviews. Rheumatology · 2020
    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

13 authors at 8 institutions in 6 countries.

Xingzhong JinZhujiang Hospital, Southern Medical University, Guangzhou, China xingzhong.jin@unsw.edu.au Changhai.Ding@utas.edu.au.ORCID 0000-0003-4293-8665
Benny AntonyMenzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
Xia WangInstitute of Bone and Joint Research, The University of Sydney, Sydney, New South Wales, Australia.
Monica Sm PerssonCentre of Evidence Based Dermatology, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0002-8532-3006
Timothy McAlindonTufts Medical Center, Boston, Massachusetts, USA.
Nigel K ArdenNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Sudeepti SrivastavaDepartment of Orthopaedic Surgery, King George's Medical University, Lucknow, India.
Rajeshwar SrivastavaDepartment of Orthopaedic Surgery, King George's Medical University, Lucknow, India.
Marienke Van MiddelkoopDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Sita Ma Bierma-ZeinstraDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Weiya ZhangArthritis Research UK Pain Centre, University of Nottingham, Nottingham, United Kingdom.
Flavia CicuttiniDepartment of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Changhai DingZhujiang Hospital, Southern Medical University, Guangzhou, China xingzhong.jin@unsw.edu.au Changhai.Ding@utas.edu.au.
Erasmus MC · NLKing George's Medical University · INThe University of Sydney · AUUniversity of Nottingham · GBUniversity of Tasmania · AUMonash University · AUSouthampton General Hospital · GBTufts Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObservational data suggest that vitamin D deficiency is associated with the onset and progression of knee osteoarthritis (OA). However, randomised controlled trials (RCTs) to date investigating the efficacy of vitamin D supplementation in knee OA have reported conflicting results. Further research is needed to clarify the effects of vitamin D on patient-reported outcomes and determine whether there are patient subgroups who may benefit from the supplementation. The aim of this individual patient data (IPD) meta-analysis is to identify patient-level predictors of treatment response to vitamin D supplementation on pain and physical function. METHODS AND ANALYSIS: A systematic literature search will be conducted for RCTs of vitamin D supplementation on knee OA. Authors of original RCTs will be contacted to obtain the IPD. The primary outcomes will include long-term (≥12 months) pain and physical function. Secondary outcomes will include medium-term (≥6 months and <12 months) and short-term (<6 months) pain and physical function, as well as patient global assessment, quality of life and adverse events. Potential treatment effect modifiers to be examined in the subgroup analyses include age, gender, body mass index, baseline knee pain severity and physical function, baseline vitamin D level, radiographic stage, presence of bone marrow lesions on MRI, presence of clinical signs of local inflammation and concomitant depressive symptoms. Both one-step and two-step modelling methods will be used to determine the possible modifiable effect of each subgroup of interest. ETHICS AND DISSEMINATION: Research ethical or governance approval is exempt for this study as no new data are being collected. This study will be the first IPD meta-analysis to clarify the effect of vitamin D supplementation on clinical symptoms in different subgroups of patients with knee OA. The findings will be disseminated through peer-review publications and conference presentations. PROSPERO REGISTRATION NUMBER: CRD42018107740.

Indexed as

Meta-Analysis as TopicSystematic Reviews as TopicArthralgiaHumansOsteoarthritis, KneePatient Reported Outcome MeasuresVitamin DVitamin D DeficiencyVitaminsVitamin DVitaminsgeneral medicine (see internal medicine)preventive medicinerheumatology

Identifiers

PMID32332006
PMCPMC7204938
OpenAlexW3020104086

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.