Evidence map›Paper›PMID 38450873›Full record

ArticleArthritis care & research2024

Cost-Effectiveness of Community-Based Diet and Exercise for Patients with Knee Osteoarthritis and Obesity or Overweight.

Paul T Kopp, Catherine Yang, Heidi Yang, Jeffrey N Katz, A David Paltiel, David J Hunter, Leigh F Callahan, Shannon L Mihalko, Jovita J Newman, Paul DeVita and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Arthritis care & research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

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

14 authors at 6 institutions in 2 countries.

Paul T KoppBrigham and Women's Hospital, Boston, Massachusetts.
Catherine YangBrigham and Women's Hospital, Boston, Massachusetts.
Heidi YangBrigham and Women's Hospital, Boston, Massachusetts.
Jeffrey N KatzBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2104-4670
A David PaltielYale School of Public Health, New Haven, Connecticut.
David J HunterUniversity of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-3197-752X
Leigh F CallahanUniversity of North Carolina, Chapel Hill.
Shannon L MihalkoWake Forest University, Winston-Salem, North Carolina.
Jovita J NewmanWake Forest University, Winston-Salem, North Carolina.
Paul DeVitaEast Carolina University, Greenville, North Carolina.
Richard F LoeserUniversity of North Carolina, Chapel Hill.ORCID 0000-0003-2832-6144
Gary D MillerWake Forest University, Winston-Salem, North Carolina.
Stephen P MessierWake Forest University, Winston-Salem, North Carolina.ORCID 0000-0002-7033-8459
Elena LosinaBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-3424-0892
Brigham and Women's Hospital · USWake Forest University · USUniversity of North Carolina at Chapel Hill · USEast Carolina University · USThe University of Sydney · AUYale New Haven Health System · US

Funding

VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
UNC Core Center for Clinical ResearchP30AR072580 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEIGH Fleming CALLAHAN, Amanda E Nelson · 2019 to 2026
$6.1M
Optimizing the value of pain management in knee OA patients with comorbiditiesR01AR074290 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Elena Losina · 2018 to 2026
$5.9M
Weight Loss and Exercise for Communities with Arthritis in North Carolina (WE-CAN)U01AR068658 · NIAMS · WAKE FOREST UNIVERSITY · PI CALLAHAN, LEIGH FLEMING, MESSIER, STEPHEN P · 2015 to 2017
$3.6M
CDC HHS NU58DP006262National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH P30-AR-072577National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH P30-AR-072580National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH R01-AR-074290National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH U01-AR-068658NIAMS NIH HHS P30 AR072577NIAMS NIH HHS R01 AR074290NIAMS NIH HHS U01 AR068658
6 · The paper itself

Abstract

objectiveObesity exacerbates pain and functional limitation in persons with knee osteoarthritis (OA). In the Weight Loss and Exercise for Communities with Arthritis in North Carolina (WE-CAN) study, a community-based diet and exercise (D + E) intervention led to an additional 6 kg weight loss and 20% greater pain relief in persons with knee OA and body mass index (BMI) >27 kg/m

methodsWe used the Osteoarthritis Policy Model to project long-term clinical and economic benefits of the WE-CAN interventions. We considered three strategies: UC, UC + HE, and UC + (D + E). We derived cohort characteristics, weight, and pain reduction from the WE-CAN trial. Our outcomes included quality-adjusted life years (QALYs), cost, and incremental cost-effectiveness ratios (ICERs).

resultsIn a cohort with mean age 65 years, BMI 37 kg/m

conclusionThe community-based D + E program for persons with knee OA and BMI >27kg/m

Indexed as

Cost-Benefit AnalysisExercise TherapyObesityOsteoarthritis, KneeAgedCommunity Health ServicesDiet, HealthyDiet, ReducingFemaleHealth Care CostsHumansMaleMiddle AgedNorth CarolinaOverweightQuality-Adjusted Life Years

Identifiers

PMID38450873
PMCPMC13343991
OpenAlexW4392560845

What OpenQuestion holds

Textmetadata
LicenceTDM
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.