Evidence map›Paper›PMID 40611078›Full record

Observational studyBMC musculoskeletal disorders2025

One shot of hyaluronic acid in advanced knee osteoarthritis: postmarketing clinical follow-up for real-world evidence in a pain unit.

Pilar Acín, Amparo Santamaría, Elena Gómez-Rubio, Pilar Coronel Granado

Abstract readObservational Study
In one paragraph

Observational study in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Pilar AcínPain Unit, Hospital Royo Villanova, Zaragoza, Spain.
Amparo SantamaríaRehabilitation Department, Hospital Provincial Nuestra Señora de Gracia, Zaragoza, Spain.
Elena Gómez-RubioScientific Department, Meiji Pharma Spain, Avda. de Madrid, 94, Alcalá de Henares, Madrid, 28802, Spain.
Pilar Coronel GranadoScientific Department, Meiji Pharma Spain, Avda. de Madrid, 94, Alcalá de Henares, Madrid, 28802, Spain. p.coronel@meiji.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundthis study aims to assess the real-world efficacy and safety of one shot of intraarticular (IA) hyaluronic acid (HA) in patients with advanced knee osteoarthritis (OA), in accordance with the requirement of the new EU Regulation on medical devices to monitor the safety and efficacy of throughout their life cycle.

methodsobservational, cross-sectional and retrospective study in a cohort of patients with advanced knee OA treated in a Pain Unit with a single injection of IA HA between January 2021 and December 2022. Efficacy was assessed at 6 months using the Visual Analogue Scale (VAS) for pain, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for pain, stiffness and function. The Research Ethics Committee of the Autonomous Community of Aragon (CEICA) approved the study. Patient's data were pseudonymized.

resultsthe study included a cohort of 30 patients (mean age 73.1, 63.3% female, 66.7% retired). At 6 months, patients showed 51.3% and 52.2% reduction in pain (VAS and WOMAC, respectively), 44.9% improvement in function and 60% improvement in stiffness. In addition, 83.3% of patients showed improvement ≥ 20% according to VAS and 80% of patients according to total WOMAC. No adverse events were informed.

conclusionthe results support the use of IA HA as an effective and safe treatment for advanced knee OA, providing significant improvements in pain, stiffness, and function over six months. Future research should include larger populations.

Indexed as

ArthralgiaHyaluronic AcidOsteoarthritis, KneeViscosupplementsAgedAged, 80 and overCross-Sectional StudiesFemaleFollow-Up StudiesHumansInjections, Intra-ArticularMaleMiddle AgedPain MeasurementProduct Surveillance, PostmarketingRetrospective StudiesHyaluronic AcidViscosupplementsPainReal clinical practiceRehabilitationRheumatologyTraumatology

Identifiers

PMID40611078
PMCPMC12225483

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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.