Evidence map›Paper›PMID 38916012›Full record

ArticleCureus2024

The Efficacy of Intra-articular Platelet-Rich Plasma Injection Versus Corticosteroid Injection in the Treatment of Knee Osteoarthritis: A Prospective Comparative Analysis.

Sumbal Irshad, Usman Waleed, Muhammad Hassan Zafar, Muhammad Tayyab Ramzan, Muhammad Abdullah Tariq, Muhammad Hassan, Muhammad Ahmer Sohaib, Sana Liaquat, Sanwal Mehmood, Rana Shahzaib Ali and 1 more

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

11 authors.

Sumbal IrshadInternal Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Usman WaleedOrthopaedic Surgery, Benazir Bhutto Hospital, Rawalpindi, PAK.
Muhammad Hassan ZafarOrthopaedic Surgery, Benazir Bhutto Hospital, Rawalpindi, PAK.
Muhammad Tayyab RamzanInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Muhammad Abdullah TariqRheumatology, Allama Iqbal Medical College, Lahore, PAK.
Muhammad HassanInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Muhammad Ahmer SohaibInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Sana LiaquatOrthopaedic Surgery, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK.
Sanwal MehmoodInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.
Rana Shahzaib AliOrthopaedic Surgery, Sheikh Zayed Medical College and Hospital, Rahim Yar Khan, PAK.
Tayyab Mumtaz KhanOrthopaedic Surgery, Rawalpindi Medical University, Rawalpindi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Knee osteoarthritis (KOA) is the most typical cause of knee pain and impairment worldwide. It is typified by slow and progressive degeneration of the articular cartilage of the knee joint. Although KOA is being managed with a variety of therapies, the comparison of the effectiveness of different intra-articular injections in KOA treatment in Pakistan is still not thoroughly investigated. Therefore, the purpose of this current study is to compare the efficacy of intra-articular administration of platelet-rich plasma (PRP) and corticosteroids (CSs) in the treatment of KOA. Methods This prospective comparative study was performed among one hundred patients diagnosed with KOA in Benazir Bhutto Hospital, Rawalpindi, for one year from April 2022 to March 2023. Specified inclusion and exclusion criteria were employed for patient enrollment. Patients were divided into two equal groups through simple random sampling. Group A patients received an intra-articular injection of PRP solution whereas group B patients received an intra-articular injection of CSs. Informed consent and ethical approval were also acquired prior to data collection. A self-designed proforma based on interviews was used to collect data. The data analysis in Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 25.0, Armonk, NY) was carried out via descriptive statistics and an independent t-test. Results Women (N=71, 71%) had a higher prevalence of KOA than men (N=29, 29%). The means of study variables like age, Visual Analog Scale (VAS) score, and Western Ontario and McMaster Universities (WOMAC) score were 56.10 ± 8.70 years, 8.08 ± 1.6, and 70.08 ± 8.76 respectively. The frequency of KOA on the right side was 62% (N=62) while it was 38% (N=38) on the left side. In the study population, 69% (N=69) patients had grade II KOA, and 31% (N=31) patients had grade III KOA. At the first-month, second-month, and third-month follow-up visits, there were statistically significant differences in the mean scores of the WOMAC and VAS between the study groups. However, at the first-month follow-up visit, mean scores of VAS and WOMAC were lower in group B than in group A while these were lower in group A as compared to group B, at the second-month and third-month follow-up appointments. Conclusions Intra-articular infiltration of both PRP and CSs was efficacious in the treatment of KOA-related pain and functional limitations; however, overall improvement in the PRP group was higher than CS group.

Indexed as

analysiscomparativecorticosteroidsefficacyintra-articularknee osteoarthritisplatelet-rich plasmaprospectivetreatment

Identifiers

PMID38916012
PMCPMC11194758

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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.