Evidence map›Paper›PMID 33377491›Full record

ArticlePain medicine (Malden, Mass.)2021

Long-Term Pain Management and Health Care Resource Use Among an Employed Population in Japan with Knee Osteoarthritis Combined with Low Back Pain.

Kaname Ueda, Tomoyuki Takura, Shinji Fujikoshi, Juliana Meyers, Saurabh P Nagar, Hiroyuki Enomoto

Open access · bronzeAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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

6 authors at 3 institutions in 2 countries.

Kaname UedaMedicines Development Unit Japan, Eli Lilly Japan K.K., Kobe, Japan.
Tomoyuki TakuraDepartment of Healthcare Economics and Health Policy, University of Tokyo, Tokyo, Japan.
Shinji FujikoshiMedicines Development Unit Japan, Eli Lilly Japan K.K., Kobe, Japan.
Juliana MeyersRTI Health Solutions, Research Triangle Park, North Carolina, USA.
Saurabh P NagarRTI Health Solutions, Research Triangle Park, North Carolina, USA.
Hiroyuki EnomotoMedicines Development Unit Japan, Eli Lilly Japan K.K., Kobe, Japan.
Eli Lilly (Japan) · JPRTI Health Solutions · USThe University of Tokyo · JP

Funding

Eli Lilly Japan
6 · The paper itself

Abstract

objectiveAssess long-term comorbidity burden and pain management patterns among working-age patients with knee osteoarthritis (KOA) only without low back pain (LBP) (KOA-noLBP) and patients with KOA plus LBP (KOA+LBP) in Japan.

methodsRetrospective claims data analyses were conducted on data from the Japan Medical Data Center (JMDC) database. Adult patients (≥40 years) with a diagnosis of knee osteoarthritis (KOA) (January 1, 2011-December 31, 2012) and 5 years of follow-up were evaluated. The first claim with a KOA diagnosis defined the index date. Longitudinal pain management patterns were assessed in both cohorts.

resultsOverall, 1,828 patients met study criteria (717 with KOA-noLBP; 1,111 with KOA+LBP). The mean age of patients with KOA-noLBP was 52.1 years, and that of patients with KOA+LBP was 53.1 years, with more females in the KOA+LBP cohort (49.4% vs. 55.0%). Regardless of cohort, >90% of patients received pharmacological intervention during the 5-year follow-up period. The most common regimen first received was either topical or oral nonsteroidal anti-inflammatory drugs. A higher mean number of pharmaceutical treatments were received by patients in the KOA+LBP cohort (3.6) than by patients in the KOA-noLBP cohort (2.7) during the follow-up period. Regardless of cohort, most of the direct medical cost was derived from medication.

conclusionThis study demonstrates that a greater proportion of the JMDC population of working individuals with KOA were comorbid with LBP and received pain-related treatment in the long-term perspective relative to patients with KOA without LBP. Appropriate pain management for both KOA and LBP would be key for effective resource utilization in an aging society facing socioeconomic burdens.

Indexed as

Low Back PainOsteoarthritis, KneeAdultDelivery of Health CareFemaleHumansJapanMiddle AgedPain ManagementRetrospective StudiesHCRUJapanknee osteoarthritislow back painpain managementreal worldworking-aged

Identifiers

PMID33377491
PMCPMC8666001
OpenAlexW3117016689

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.