ArticleBMJ open sport & exercise medicine2021
Impact of chronic Achilles tendinopathy on health-related quality of life, work performance, healthcare utilisation and costs.
Article in BMJ open sport & exercise medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 6 of them syntheses that pooled 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.
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.
The Value of a High-Volume Image-Guided Injection in Chronic Midportion Achilles Tendinopathy: a Double-blind, Randomized, Placebo-controlled Clinical Trial
Comparison of Alfredson Eccentric and Silbernagel Concentric-eccentric Therapeutical Protocol in Competitive Athletes With Chronic Achilles Tendinopathy
Who cites it
38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 85 citations in OpenAlex.
- The efficacy of eccentric exercise in the treatment of Achilles tendinopathy: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Pooled it
- Exploring the Beliefs, Perceptions, and Experiences of Individuals With Tendinopathy: A Systematic Review and Meta-Ethnography of Qualitative Studies.Physical therapy · 2025Pooled it
- Effectiveness of Exercise Treatments with or without Adjuncts for Common Lower Limb Tendinopathies: A Living Systematic Review and Network Meta-analysis.Sports medicine - open · 2023Pooled it
- Psychosocial and individual factors affecting Quality of Life (QoL) in patients suffering from Achilles tendinopathy: a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- The impact of nutrition on tendon health and tendinopathy: a systematic review.Journal of the International Society of Sports Nutrition · 2022Pooled it
- Randomised control trial on the sustained carry-over effects of pulsed electromagnetic field therapy for the treatment of Achilles tendinopathy.Scientific reports · 2026Trial
- Trial
- Cross cultural adaptation of the TENDINopathy severity assessment - Achilles (TENDINS-A) for Spanish speaking populations.Musculoskeletal science & practice · 2026Article
- Achilles Tendinopathy: Comorbidity Profile and Incidence From the TriNetX Network.Medical research archives · 2026Article
- No short-term changes in tendon structure following temporary replacement of running with low-impact exercises in service members with midportion Achilles tendinopathy: a prospective cohort study.BMJ military health · 2026Article
- Exploring the digital landscape: A scoping review of Achilles tendinopathy education on public websites and in randomised controlled trials.Clinical rehabilitation · 2026Article
- Ankle-angle-dependent shear wave velocity of the Achilles tendon and triceps surae during passive dorsiflexion in runners with Achilles tendinopathy.Frontiers in sports and active living · 2026Article
- Tendinopathy: The Interplay between Mechanical Stress, Inflammation, and Vascularity.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Review
- Relationship Between Structure and Age in Healthy Achilles Tendons.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- Achilles tendinopathy.Nature reviews. Disease primers · 2025Review
- Neural Markers Predict Tendon Healing Outcomes in an Ovine Achilles Tendon Injury Model: Spontaneous Repair Versus Amniotic Epithelial Cell-Induced Regeneration.International journal of molecular sciences · 2025Article
- Assessing the Test-Retest Reliability of MyotonPRO for Measuring Achilles Tendon Stiffness.Journal of functional morphology and kinesiology · 2025Article
- Subject-specific biomechanics influences tendon strains in patients with Achilles tendinopathy.Scientific reports · 2025Article
- Symptom Duration is not Related to Central Sensitization Inventory in Midportion Achilles Tendinopathy.International journal of sports physical therapy · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate the impact of Achilles tendinopathy (AT) on quality of life (QoL), work performance, healthcare utilisation and costs in adults with conservatively treated chronic midportion AT.
methodsThis cross-sectional survey-based study included 80 patients and took place in a sports medicine department of a large regional hospital in the Netherlands. Data were collected before any intervention was given. Primary outcome was the EuroQol questionnaire (EQ-5D). The EQ-5D expresses the percentage of moderate/major problems on the domains self-care, anxiety/depression, mobility, usual activities and pain/discomfort. Secondary outcomes were the number of previous healthcare visits, work performance during the period of symptoms and estimated annual direct medical and indirect costs per patient as a result of AT.
resultsAll 80 patients completed the questionnaires. The EQ-5D scores were low for the domains self-care (1%) and anxiety/depression (20%), and high for the domains mobility (66%), usual activities (50%) and pain/discomfort (89%). Patients with AT mainly reported an impact on work productivity (38%). Work absenteeism due to AT was present in 9%. The total median (IQR) number of annual healthcare visits was 9 (3-11). The total mean (SD) estimated annual costs were €840 (1420) per patient with AT (mean (SD) US$991 (1675)).
conclusionsThis study shows the large impact of AT on QoL and work productivity. This study also provides new information about the socioeconomic impact of AT, which emphasises that this common and longstanding disease causes substantial costs. These findings stress the need for optimised treatment and improved preventive interventions for AT. TRIAL REGISTRATION NUMBER: NCT02996409.
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Registered trials
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.