Evidence map›Paper›PMID 36817089›Full record

ReviewOsteoarthritis and cartilage open2023

Effect of exercise therapy in patients with hip osteoarthritis: A systematic review and cumulative meta-analysis.

Carolien H Teirlinck, Arianne P Verhagen, Leontien M van Ravesteyn, Elja A E Reijneveld-van de Vendel, Jos Runhaar, Marienke van Middelkoop, Manuela L Ferreira, Sita Ma Bierma-Zeinstra

Erratum issuedAbstract readReview
In one paragraph

Review in Osteoarthritis and cartilage open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Carolien H TeirlinckDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.
Arianne P VerhagenDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.
Leontien M van RavesteynDiscipline of Physiotherapy, Graduate School of Health, University of Technology Sydney, Australia.
Elja A E Reijneveld-van de VendelDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.
Jos RunhaarDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.
Marienke van MiddelkoopDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.
Manuela L FerreiraSydney Musculoskeletal Health, The Kolling Institute, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Australia.
Sita Ma Bierma-ZeinstraDept. General Practice, Erasmus MC University Medical Center Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the existing evidence on the effect of exercise therapy in patients with hip osteoarthritis (OA) compared to no treatment and explore whether a further trial will change the current evidence. Design: Systematic review and cumulative meta-analysis using randomized controlled trials (RCT) to determine the effect on pain and function post-treatment, and at 6-9 months after treatment. Standardized mean difference (SMD) ​≤ ​-0.37 was considered clinically worthwhile. Extended funnel plots were used to simulate the impact of a new trial on the pooled effect size of pain and function. Results: 18 RCTs were included. Post-treatment we found a beneficial effect of exercise therapy on pain (SMD -0.38, 95% Confidence Interval (CI): 0.55 to -0.22) and function (SMD -0.31, 95% CI -0.49 to -0.11). A beneficial effect of exercise therapy on pain (SMD -0.23, 95% CI: 0.41 to -0.05) and function (SMD -0.29, 95% CI: 0.45 to -0.12) was found 6-9 months after treatment. Most effect estimates were small, and it is unclear whether these are clinically meaningful. Extended funnel plots and a simulation of a new trial showed that only a new trial with a larger effect than the current pooled effect or a trial including 74,843 participants would change the pooled effect estimate from an unclear to a clearly clinically worthwhile effect. Conclusions: We found a beneficial effect of exercise therapy on pain and function in hip OA. It is unlikely a new trial added to current evidence will change the conclusion.

Indexed as

Clinical relevanceCumulative meta-analysisExercise therapyOsteoarthritis of the hip

Identifiers

PMID36817089
PMCPMC9932106

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Registered trials

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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.