Evidence map›Paper›PMID 40852552›Full record

ReviewIndian journal of orthopaedics2025

Navigating the Efficacy and Safety Landscape of Duloxetine in Osteoarthritis Management: A Meta-Analysis of Randomized Controlled Trials.

Baibhav Bhandari, Kanchan Bisht, Gaurav Purohit, Shiwam Gupta, Girish Kumar Singh, Sonal Goyal, Pradeep Atter, Ajit Kumar, Praveen Talawar

Abstract readReview
In one paragraph

Review in Indian journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Baibhav BhandariDivision of Pain Medicine, Department of Anaesthesiology, SRMS IMS, Bareilly, India.ORCID 0000-0001-5172-3848
Kanchan BishtDepartment of Anatomy, SRMS IMS, Bareilly, India.ORCID 0000-0002-4615-1352
Gaurav PurohitArmy Hospital (R&R), New Delhi, India.ORCID 0000-0001-6822-085X
Shiwam GuptaDepartment of Pain Medicine, Rajagiri Hospitals, Kochi, India.ORCID 0000-0003-0884-9976
Girish Kumar SinghDepartment of Anaesthesiology, Division of Pain Medicine, All India Institute of Medical Sciences, 6 th Floor, Rishikesh, India.ORCID 0000-0003-1088-6987
Sonal GoyalMGM Medical College Navi Mumbai, Mumbai, India.ORCID 0000-0003-1727-0763
Pradeep AtterDepartment of Anaesthesiology, Division of Pain Medicine, All India Institute of Medical Sciences, 6 th Floor, Rishikesh, India.ORCID 0000-0003-0749-2696
Ajit KumarDepartment of Anaesthesiology, Division of Pain Medicine, All India Institute of Medical Sciences, 6 th Floor, Rishikesh, India.ORCID 0000-0003-3548-1257
Praveen TalawarDepartment of Anaesthesiology, Division of Pain Medicine, All India Institute of Medical Sciences, 6 th Floor, Rishikesh, India.ORCID 0000-0002-9931-2316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the efficacy and safety of duloxetine in treatment of osteoarthritis compared with placebo. Method: We conducted a comprehensive search for pertinent randomized controlled trials (RCTs) across multiple databases, including PubMed, Embase, Scopus, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov and Google scholar. These selected RCTs aimed to assess the effectiveness and safety of duloxetine versus a placebo in the management of osteoarthritis (OA). We computed the mean difference (MD) for continuous outcome measures and calculated the risk ratio (RR) for dichotomous outcome measures. Results: Data from 10 RCT including 2294 participants comparing duloxetine and placebo were pooled. Duloxetine showed improvement in BPI-S (Brief Pain Inventory-Severity)MD =  - 0.66; 95% CI, [- 0.75, - 0.57], BPI-I (Brief Pain Inventory-Interference)MD =  - 0.59; 95% CI [- 0.66, - 0.52], WOMAC (Western Ontario and McMaster Universities Arthritis Index) pain sub scale scores SMD =  - 2.56; 95% CI, [- 4.24, - 0.89] Conclusion: Duloxetine demonstrates effectiveness in addressing chronic pain and mitigating the decline in physical function associated with knee osteoarthritis (OA), while maintaining a reasonable level of tolerable adverse events. However, it does not offer a distinct advantage in alleviating joint stiffness. Supplementary Information: The online version contains supplementary material available at 10.1007/s43465-025-01372-y.

Indexed as

Chronic painDuloxetineOsteoarthritis

Identifiers

PMID40852552
PMCPMC12367579

What OpenQuestion holds

Textmetadata
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.