Evidence map›Paper›PMID 35246425›Full record

ArticleBMJ open2022

Effectiveness and cost-effectiveness of a combined lifestyle intervention compared with usual care for patients with early-stage knee osteoarthritis who are overweight (LITE): protocol for a randomised controlled trial.

Nuria E J Jansen, Dieuwke Schiphof, Edwin Oei, Judith Bosmans, Jolande van Teeffelen, Anita Feleus, Jos Runhaar, Joyce van Meurs, Sita M A Bierma-Zeinstra, Marienke van Middelkoop

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. 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
1.4field-weighted citation impact, top 20% 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, 9 citations in OpenAlex.

  1. Selection and reporting of usual care comparators when designing primary care trials of complex health interventions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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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

10 authors at 3 institutions in 1 country.

Nuria E J JansenDepartment of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands n.jansen@erasmusmc.nl.ORCID 0000-0001-8804-9025
Dieuwke SchiphofDepartment of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands.
Edwin OeiDepartment of Radiology & Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Judith BosmansDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Jolande van TeeffelenDietician Practice in Primary Care, Diëtistenpraktijk HRC, Rotterdam, The Netherlands.
Anita FeleusResearch Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Jos RunhaarDepartment of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands.
Joyce van MeursDepartment of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Sita M A Bierma-ZeinstraDepartment of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands.
Marienke van MiddelkoopDepartment of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands.
Erasmus MC · NLRotterdam University of Applied Sciences · NLVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is the most important modifiable risk factor for knee osteoarthritis (KOA). Especially in an early stage of the disease, weight loss is important to prevent further clinical and structural progression. Since 2019, general practitioners (GPs) in the Netherlands can refer eligible patients to a combined lifestyle intervention (GLI) to promote physical activity, healthy nutrition and behavioural change. However, GPs scarcely refer patients with KOA to the GLI potentially due to a lack of evidence about the (cost-)effectiveness. The aim of this study is to determine the (cost-)effectiveness of the GLI for patients with early-stage KOA in primary care. METHODS AND ANALYSIS: For this pragmatic, multi-centre randomised controlled trial, 234 participants (aged 45-70 years) with National Institute for Health and Care Excellence (NICE) guideline diagnosis of clinical KOA and a body mass index above 25 kg/m ETHICS AND DISSEMINATION: Ethical approval was obtained through the Medical Ethical Committee of the Erasmus MC University Medical Center Rotterdam, The Netherlands (MEC-2020-0943). All participants will provide written informed consent. The results will be disseminated through publications in peer-reviewed journals, presentations at international conferences and among study participants and healthcare professionals. TRIAL REGISTRATION NUMBER: Netherlands Trial Registry (NL9355).

Indexed as

Osteoarthritis, KneeOverweightAgedCost-Benefit AnalysisHumansLife StyleMiddle AgedMulticenter Studies as TopicPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicWeight Lossclinical trialskneemusculoskeletal disordersprimary care

Identifiers

PMID35246425
PMCPMC8900023
OpenAlexW4214943086

What OpenQuestion holds

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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.