Evidence map›Paper›PMID 37301799›Full record

SynthesisRheumatology international2023

Balneotherapy for osteoarthritis: a systematic review.

Carmela Protano, Mario Fontana, Andrea De Giorgi, Daniela Marotta, Nicholas Cocomello, Serena Crucianelli, Angela Del Cimmuto, Matteo Vitali

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Rheumatology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
8.9field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  17. Recent advances in injectable hydrogels for osteoarthritis treatments.Frontiers in bioengineering and biotechnology · 2025
    Review
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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

8 authors at 1 institution in 1 country.

Carmela ProtanoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy. carmela.protano@uniroma1.it.ORCID http://orcid.org/0000-0001-7668-5809
Mario FontanaDepartment of Biochemical Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-7524-3395
Andrea De GiorgiDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0009-0004-2400-0408
Daniela MarottaDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0009-0000-2807-2549
Nicholas CocomelloDepartment of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-4922-4318
Serena CrucianelliDepartment of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0001-5012-7139
Angela Del CimmutoDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-1754-8449
Matteo VitaliDepartment of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-1001-6343
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review is aimed to evaluate the effects of balneotherapy with thermal mineral water for managing the symptoms and signs of osteoarthritis located at any anatomical site. The systematic review was conducted according to the PRISMA Statement. The following databases were consulted: PubMed, Scopus, Web of Science, Cochrane Library, DOAJ and PEDro. We included clinical trials evaluating the effects of balneotherapy as a treatment for patients with osteoarthritis, published in English and Italian language, led on human subjects. The protocol was registered in PROSPERO. Overall, 17 studies have been included in the review. All of these studies were performed on adults or elderly patients suffering from osteoarthritis localized to knees, hips, hands or lumbar spine. The treatment assessed was always the balneotherapy with thermal mineral water. The outcomes evaluated were pain, palpation/pressure sensibility, articular tenderness, functional ability, quality of life, mobility, deambulation, ability to climb stairs, medical objective and patients' subjective evaluation, superoxide dismutase enzyme activity, serum levels of interleukin-2 receptors. The results of all the included studies agree and demonstrated an improvement of all the symptoms and signs investigated. In particular, pain and quality of life were the main symptoms evaluated and both improved after the treatment with thermal water in all the studies included in the review. These effects can be attributed to physical and chemical-physical properties of thermal mineral water used. However, the quality of many studies resulted not so high due and, consequently, it is necessary to perform new clinical trial in this field using more correct methods for conducting the study and for processing statistical data.

Indexed as

BalneologyMineral WatersOsteoarthritisAgedHumansPainQuality of LifeMineral WatersBalneologyMineral waterOsteoarthritisSystematic review as topic

Identifiers

PMID37301799
PMCPMC10348981
OpenAlexW4380147716

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.