Evidence map›Paper›PMID 36517614›Full record

SynthesisSkeletal radiology2023

Outcomes of imaging-guided corticosteroid injections in hip and knee osteoarthritis patients: a systematic review.

Connie Y Chang, Sameer Mittu, Madalena Da Silva Cardoso, Tatiane Cantarelli Rodrigues, William E Palmer, Soterios Gyftopoulos

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Skeletal radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
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 3 institutions in 2 countries.

Connie Y ChangDivision of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey 6E, Boston, MA, USA. cychang@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-1304-1576
Sameer MittuDivision of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey 6E, Boston, MA, USA.
Madalena Da Silva CardosoDepartment of Radiology, NYU Langone Health, New York, NY, USA.
Tatiane Cantarelli RodriguesDepartment of Radiology, Hospital Do Coracao, Sao Paulo, Brazil.
William E PalmerDivision of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street Yawkey 6E, Boston, MA, USA.
Soterios GyftopoulosDepartment of Radiology, NYU Langone Health, New York, NY, USA.
Harvard University · USNYU Langone Health · USHospital do Coração · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this systematic review is to evaluate the current literature on the use of image-guided corticosteroid injections in the treatment of patients with knee and hip OA. EVIDENCE ACQUISITION: We conducted a comprehensive literature search through June 30, 2022. Publication type, study design, imaging guidance modality, osteoarthritis severity, number of injections, steroid type and dose, anesthetic type and dose, the total number of patients, follow-up intervals, and measured outcomes were extracted from the included studies. EVIDENCE SYNTHESIS: There were 23 included studies (10 hips, 12 knees, 1 both hip and knee). Hip injections were found to be effective in treating short- and long-term pain and more effective than hyaluronic acid, Mepivacaine, NSAIDs, and normal saline in terms of improvement in pain and/or function. There was less impact on QoL. Knee injections were found either to have little or no impact or were similar or inferior to comparison injections (intra-articular hyaluronic acid, PRP, NSAIDs, normal saline, adductor canal blocks). Study data could not be aggregated because the corticosteroid types and doses, methods of outcome assessment, and follow-up time points varied widely.

conclusionOur systematic review found generally positive outcomes for the hip, but overall negative outcomes for the knee, although hip injections may carry a risk of serious adverse outcomes. A larger trial with uniform methodology is warranted. Specific studies on the adverse effects of corticosteroid injections are also warranted.

Indexed as

Osteoarthritis, HipOsteoarthritis, KneeAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalHumansHyaluronic AcidInjections, Intra-ArticularPainQuality of LifeSaline SolutionTreatment OutcomeAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalHyaluronic AcidSaline SolutionCorticosteroid injectionHipKneeOutcomes

Identifiers

PMID36517614
OpenAlexW4311458907

What OpenQuestion holds

Textmetadata
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.