Evidence map›Paper›PMID 36475075›Full record

Trial reportOsteoarthritis and cartilage open2021

Improved function and strength in patients with knee osteoarthritis as a result of adding a two-day educational program to usual care. Prospective randomized trial.

M U Rezende, Nlr Brito, Fes Farias, Cac Silva, Cha Cernigoy, J M Rodrigues da Silva, M M Moreira, Ofn Santana, M I Hissadomi, R Frucchi and 5 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Osteoarthritis and cartilage open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Observational
  7. 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

15 authors at 3 institutions in 1 country.

M U RezendeOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Nlr BritoOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Fes FariasOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Cac SilvaOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Cha CernigoyOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
J M Rodrigues da SilvaSao Paulo State University (UNESP), Bauru, SP, Brazil.
M M MoreiraOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Ofn SantanaOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
M I HissadomiOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
R FrucchiOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
T PasqualinOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
G C CamposState University of Campinas (UNICAMP), Campinas, SP, Brazil.
A F PailoOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
G P OcamposOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
O P CamargoOrthopedic and Traumatology Department, Faculty of Medicine of the University of São Paulo (FMUSP), São Paulo, SP, Brazil.
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The primary aim was to quantify the improvements on function and pain of patients with knee osteoarthritis (KOA), short education and low income by a two-day self-management program. Secondary aims were verifying if the program improves clinically relevant measures of weight and strength. Design: A prospective randomized clinical trial was conducted in a tertiary hospital in Brazil with 191 patients with Kellgren & Lawrence grades II and III KOA who were allocated to two groups: control (usual care- CG) and intervention (usual care and two days of an OA self-management program with a multiprofessional team - IG). Western Ontario and McMaster Universities Index (WOMAC), weight, body mass index (BMI), Timed up and go (TUG) and five Times Sit to Stand Test (FTSST) were assessed at baseline, six, 12 and 24 months. Results: Groups were similar at baseline (p ​> ​0.05). Both groups exhibited improved WOMAC total and subsets scores throughout the study (p ​< ​0.001). However, only IG improved WOMAC total and subsets in all follow-ups above 20% (minimally clinically important difference), with differences in WOMAC pain, function and total scores (p ​= ​0.001, p ​< ​0.001, and p ​< ​0.001, respectively) and best effect sizes at 1 year (0.355, 0.651 and 0.770, respectively). IG group lost weight (p ​< ​0.001) and BMI (p ​< ​0.01). Both groups exhibited improvements in TUG and FTSST (p ​< ​0.001) that remained in all evaluations. FTSST results favored the IG, p ​= ​0.032. Conclusions: An educational program to patients with KOA, short schooling and low income improves clinically important measures of pain and function.

Indexed as

Clinical trialDifferential thresholdEducationKnee osteoarthritisMinimal clinically important difference

Identifiers

PMID36475075
PMCPMC9718166
OpenAlexW3124363690

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.