Evidence map›Paper›PMID 37237355›Full record

SynthesisBMC musculoskeletal disorders2023

The conservative management for improving Visual Analog Scale (VAS) pain scoring in greater trochanteric pain syndrome: a Bayesian analysis.

Yuping He, Yao Lin, Xiaolan He, Chunrong Li, Qingxiu Lu, Junbing He

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2023. 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
4.1field-weighted citation impact, top 6% 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, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

6 authors at 3 institutions in 1 country.

Yuping He *Department of Trauma Sports Orthopedics, Guigang City People's Hospital, Zhongshan Middle Road 1, Gangbei district, Guigang, Guangxi, 537100, PR China. 262668382@qq.com.
Yao Lin *Jieyang Medical Research Center, Jieyang People's Hospital, Tianfu Road 107, Rongcheng district, Jieyang City, Guangdong, 522000, PR China.
Xiaolan HeDepartment of Orthopedics, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, PR China.
Chunrong LiDepartment of Trauma Sports Orthopedics, Guigang City People's Hospital, Zhongshan Middle Road 1, Gangbei district, Guigang, Guangxi, 537100, PR China.
Qingxiu LuDepartment of Trauma Sports Orthopedics, Guigang City People's Hospital, Zhongshan Middle Road 1, Gangbei district, Guigang, Guangxi, 537100, PR China.
Junbing HeJieyang Medical Research Center, Jieyang People's Hospital, Tianfu Road 107, Rongcheng district, Jieyang City, Guangdong, 522000, PR China. junbingg@gdmu.edu.cn.
Guigang City People's Hospital · CNPeople 's Hospital of Jilin Province · CNThe People's Hospital of Guangxi Zhuang Autonomous Region · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGreater trochanteric pain syndrome (GTPS) possesses a harmful influence on quality of life. Numerous conservative management modalities with varying success have been proposed for patients with GTPS. However, it is not clear which treatment is more effective for reducing pain. The purpose of this Bayesian analysis was to assess the current evidence for the effectiveness of conservative treatments on improving Visual Analog Scale (VAS) pain scoring of GTPS and to determine the most effective treatment protocol.

methodsA comprehensive study search was performed from inception until July 18, 2022, via the electronic databases PubMed, the Cochrane Library, and Web of Science for potential research. The risk of bias assessment for the included studies was independently performed based on the Cochrane Collaboration Risk of Bias Tool. Bayesian analysis was conducted by using ADDIS software (v1.16.5). The DerSimonian-Laird random effects model was used to perform the traditional pairwise meta-analysis.

resultsEight full-text articles with a total of 596 patients with GTPS were included in the analysis. In comparing ultrasound-guided platelet-rich plasma application (PRP-U) to ultrasound-guided corticosteroid injection (CSI-U), patients who received PRP therapy experienced reduced pain as the VAS decreased significantly (MD, -5.21; 95% CI, -6.24 to -3.64). VAS score in group of extracorporeal shockwave treatment (ESWT) was significant improved than that in exercise (EX) group (MD, -3.17; 95% CI, -4.13 to -2.15). There were no statistically significantly different VAS scores between the CSI-U group and the CSI under landmark (CSI-B) group. The treatment efficacy rankings of the different treatments on improving VAS scores showed that the most likely efficacious treatment was PRP-U (99%) followed by ESWT (81%), CIS-U (58%), usual care (48%), CIS-B (54%), and EX (84%).

conclusionBayesian analysis revealed that PRP injection and ESWT are relatively safe and effective in the treatment of GTPS. More multicenter high-quality randomized clinical trials with large sample sizes are still needed in the future to provide further evidence.

Indexed as

Conservative TreatmentPlatelet-Rich PlasmaAdrenal Cortex HormonesBayes TheoremHumansMulticenter Studies as TopicPainQuality of LifeTreatment OutcomeVisual Analog ScaleAdrenal Cortex HormonesConservative managementGreater trochanteric pain syndromeVisual analogue pain score

Identifiers

PMID37237355
PMCPMC10214555
OpenAlexW4378468883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.