Evidence map›Paper›PMID 33650303›Full record

ArticleArthritis care & research2022

Association Between Baseline Meniscal Symptoms and Outcomes of Operative and Nonoperative Treatment of Meniscal Tear in Patients With Osteoarthritis.

Lindsey A MacFarlane, Heidi Yang, Jamie E Collins, Robert H Brophy, Brian J Cole, Kurt P Spindler, Ali Guermazi, Morgan H Jones, Lisa A Mandl, Scott Martin and 8 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Mechanical symptoms and meniscal tear: a reappraisal.Osteoarthritis and cartilage · 2022
    Review
  4. 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

18 authors at 9 institutions in 1 country.

Lindsey A MacFarlaneBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8398-3804
Heidi YangBrigham and Women's Hospital, Boston, Massachusetts.
Jamie E CollinsBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8413-007X
Robert H BrophyWashington University School of Medicine, Saint Louis, Missouri.
Brian J ColeRush University, Chicago, Illinois.
Kurt P SpindlerCleveland Clinic, Cleveland, Ohio.
Ali GuermaziVA Boston Healthcare System, Boston University School of Medicine, Boston, Massachusetts.
Morgan H JonesCleveland Clinic, Cleveland, Ohio.
Lisa A MandlHospital for Special Surgery, Weill Cornell Medicine, New York, New York.ORCID 0000-0001-6085-8664
Scott MartinMassachusetts General Hospital, Boston, Massachusetts.
Robert G MarxHospital for Special Surgery, Weill Cornell Medicine, New York, New York.
Bruce A LevyMayo Clinic, Rochester, Minnesota.
Michael StuartMayo Clinic, Rochester, Minnesota.
Clare Safran-NortonBrigham and Women's Hospital, Boston, Massachusetts.
John WrightJohnson & Johnson, Raynham, Massachusetts.
Rick W WrightWashington University School of Medicine, Saint Louis, Missouri.
Elena LosinaBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-3424-0892
Jeffrey N KatzBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Brigham and Women's Hospital · USCleveland Clinic · USHospital for Special Surgery · USMayo Clinic · USWashington University in St. Louis · USBoston University · USJohnson & Johnson (United States) · USMassachusetts General Hospital · USRush University · US

Funding

PARTIAL MENISCECTOMY VS. NONOPERATIVE MGMT. IN MENISCAL TEAR WITH OA: AN RCTR01AR055557 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL · 2007 to 2023
$11.2M
VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
Training in Orthopaedic and Musculoskeletal Clinical ResearchT32AR055885 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL, LOSINA, ELENA · 2008 to 2023
$4.0M
Patient Oriented Research and Mentoring Program in OrthopedicsK24AR057827 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2010 to 2019
$1.7M
NIAMS NIH HHS K24 AR057827NIAMS NIH HHS P30 AR072577NIAMS NIH HHS R01 AR055557NIAMS NIH HHS T32 AR055885
6 · The paper itself

Abstract

objectivePatients with meniscal tears reporting meniscal symptoms such as catching or locking have traditionally undergone arthroscopy. The present study was undertaken to investigate whether patients with meniscal tears who report meniscal symptoms have greater improvement with arthroscopic partial meniscectomy (APM) than physical therapy (PT).

methodsWe used data from the Meniscal Tear in Osteoarthritis Research (MeTeOR) trial, which randomized participants with knee osteoarthritis (OA) and meniscal tear to APM or PT. The frequency of each meniscal symptom (clicking, catching, popping, intermittent locking, giving way, swelling) was measured at baseline and 6 months. We used linear regression models to determine whether the difference in improvement in Knee Injury and Osteoarthritis Outcome Score (KOOS) pain score at 6 months between patients treated with APM versus PT was modified by the presence of each meniscal symptom. We also determined the percentage of participants with resolution of meniscal symptoms by treatment group.

resultsWe included 287 participants. The presence (versus absence) of any of the meniscal symptoms did not modify the improvement in KOOS pain score between APM versus PT by >0.5 SD (all P interaction >0.05). APM led to greater resolution of intermittent locking and clicking than PT (locking 70% versus 46%, clicking 41% versus 25%). No difference in resolution of the other meniscal symptoms was observed.

conclusionMeniscal symptoms were not associated with improved pain relief. Although symptoms of clicking and intermittent locking had a greater reduction in the APM group, the presence of meniscal symptoms in isolation should not inform clinical decisions surrounding APM versus PT in patients with meniscal tear and knee OA.

Indexed as

Knee InjuriesOsteoarthritis, KneeTibial Meniscus InjuriesArthroscopyHumansMeniscectomyMenisci, TibialPainRandomized Controlled Trials as Topic

Identifiers

PMID33650303
PMCPMC8408275
OpenAlexW3134959045

What OpenQuestion holds

Textmetadata
LicenceTDM
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.