Evidence map›Paper›PMID 35905573›Full record

Trial reportClinics (Sao Paulo, Brazil)2022

Intra-articular triamcinolone hexacetonide injections in hands osteoarthritis ‒ A double-blinded randomized controlled trial with a one year follow-up.

Natalia de Oliva Spolidoro Paschoal, Jamil Natour, Flavia Soares Machado, Hilda Alcântara Veiga de Oliveira, Artur da Rocha Correa Fernandes, Rita Nely Vilar Furtado

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinics (Sao Paulo, Brazil), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% 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

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

  1. Pooled it
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 1 institution in 1 country.

Natalia de Oliva Spolidoro PaschoalUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Jamil NatourUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Flavia Soares MachadoUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Hilda Alcântara Veiga de OliveiraUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Artur da Rocha Correa FernandesUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Rita Nely Vilar FurtadoUniversidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address: rvfurtado@hotmail.com.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveto evaluate the effectiveness of triamcinolone Hexacetonide (TH) Intra-Articular Injection (IAI) in hand Interphalangeal Joints (IP) of Osteoarthritis (OA) patients to improve pain and joint swelling; improve function, goniometry, and grasping force, and assess IAI influence on radiographic evolution over 1-year.

methodsA randomized, double-blind study. 60 patients who underwent IAI at the most symptomatic IP joint were randomly assigned to receive TH+Lidocaine (LD) (TH/LD group) or just LD (LD group). Patients were assessed blindly for 1-year, at baseline and 1, 4, 8, 12, and 48 weeks. The following variables were assessed: articular pain and swelling, AUSCAN and COCHIN functional questionnaires, grip and pinch strength, goniometry, perception of improvement, acetaminophen consumption, and simple radiography. Repeated-measures ANOVA test was used to analyze the intervention response.

resultsSixty patients completed the follow-up. There were nine missed assessments. 97% were women; mean age of 61-years (SD = 8.2), and approximately 5-years of disease (SD = 3.6). Half of the patients present radiographic classification Kellgren and Lawrence (KL) grades I and II, and the other half grades III and IV. The two groups evolved similarly at 48-weeks. TH/LD group had a better evaluation in joint swelling and acetaminophen consumption (p = 0.04 and p < 0.001, respectively) at 48-weeks. Radiographically there was no statistical difference between groups (KL, p = 0.564; erosive OA, p = 0.999; worsening, p = 0.573).

conclusionThe IAI IP hands OA is effective for the improvement of joint swelling and decrease of analgesic consumption and does not influence the radiographic evolution of the injected joint.

Indexed as

OsteoarthritisOsteoarthritis, KneeAcetaminophenDouble-Blind MethodFemaleFollow-Up StudiesHumansInjections, Intra-ArticularMaleMiddle AgedPainTreatment OutcomeTriamcinolone AcetonideAcetaminophenTriamcinolone Acetonidetriamcinolone hexacetonideCorticosteroidHandsIntra-articular injectionOsteoarthritis

Identifiers

PMID35905573
PMCPMC9335385
OpenAlexW4288059525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.