Evidence map›Paper›PMID 34780107›Full record

Trial reportPhysiotherapy research international : the journal for researchers and clinicians in physical therapy2022

Effectiveness and cost-effectiveness of longstanding exercise therapy versus usual care in patients with axial spondyloarthritis or rheumatoid arthritis and severe limitations: The protocols of two parallel randomized controlled trials.

Maria A T van Wissen, Max M H Teuwen, Cornelia H M van den Ende, Thea P M Vliet Vlieland, Alfons A den Broeder, Wilbert B van den Hout, Wilfred F Peter, Dirkjan van Schaardenburg, Astrid M van Tubergen, Maaike G J Gademan and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-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

12 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 4 institutions in 2 countries.

Maria A T van WissenDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-2998-4256
Max M H TeuwenDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-3235-7800
Cornelia H M van den EndeDepartment of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-4352-2824
Thea P M Vliet VlielandDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-6322-3859
Alfons A den BroederDepartment of Rheumatology, Sint Maartenskliniek, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-9012-4079
Wilbert B van den HoutDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-6425-0135
Wilfred F PeterDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0003-1456-2429
Dirkjan van SchaardenburgCenter for Rehabilitation and Rheumatology, Reade, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0003-4006-3762
Astrid M van TubergenDepartment of Rheumatology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0001-8477-0683
Maaike G J GademanDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-6106-3385
Salima F E van WeelyDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-8560-4687
Leiden University Medical Center · NLRadboud University Nijmegen · NLMaastricht University Medical Centre · NLReade · NL

Funding

Dutch Arthritis SocietyMinistry of Health, Welfare and Sport :L-EXTRA : L-EXSPA ZonMW 852004018Ministry of Health, Welfare and Sport :L-EXTRA : L-EXSPA ZonMW 852004019Ministry of Health, Welfare and Sport :L-EXTRA : L-EXSPA ZonMW L-EXSPAMinistry of Health, Welfare and Sport :L-EXTRA : L-EXSPA ZonMW L-EXTRARoyal Dutch Society for Physical Therapy
6 · The paper itself

Abstract

objectivesResearch on effectiveness and cost-effectiveness of longstanding exercise therapy in patients with axial SpondyloArthritis (axSpA) or Rheumatoid Arthritis (RA) is scarce, and mainly concerned patients with a relatively favorable health status. We aim to evaluate the effectiveness and cost-effectiveness of longstanding exercise therapy compared to usual care in the subgroup of patients with axSpA or RA and severe limitations in functioning.

methodsIn two separate, parallel randomized controlled trials the effectiveness and cost-effectiveness of longstanding, active exercise therapy (52 weeks) compared with usual care (1:1) will be evaluated. The longstanding, active exercise therapy will focus on improving individual limitations in daily activities and participation and will be given by a trained physical therapist in the vicinity of the participant. For each diagnosis, 215 patients with severe limitations in activities and participation will be included. Assessments are performed at baseline, 12, 26, and 52 weeks. The primary outcome measure of effectiveness is the individual level of functioning (activities and participation), as measured with the Patient-Specific Complaints instrument at 52 weeks. For cost-effectiveness analyses, the EuroQol (EQ-5D-5L) and questionnaires on healthcare use and productivity will be administered. The economic evaluation will be a cost-utility analysis from a societal perspective. After 52 weeks, the patients in the usual care group are offered longstanding, active exercise therapy as well. Follow-up assessments are done at 104, 156, and 208 weeks.

conclusionThe results of these studies will provide insights in the effectiveness and cost-effectiveness of longstanding exercise therapy in the subgroup of axSpA and RA patients with severe functional limitations.

Indexed as

Arthritis, RheumatoidAxial SpondyloarthritisCost-Benefit AnalysisExercise TherapyHumansQuality of Lifeaxial spondyloarthritisexercise therapyphysical therapyrandomized controlled trialrheumatoid arthritis

Identifiers

PMID34780107
PMCPMC9285698
OpenAlexW3213793014

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.