Evidence map›Paper›PMID 41196514›Full record

SynthesisAging clinical and experimental research2025

Low dose NSAIDs and sysadoas in the management of knee osteoarthritis.

Alberto Migliore, Orazio De Lucia, Alessandro de Sire, Andrea Šajbidor, Ladislav Šenolt, Sándor Szántó, Joan Calvet Fontova, Johannes Flechtenmacher, Ali Mobasheri, Jordi Monfort Faure and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Aging clinical and experimental research, 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. Evolving Strategies for Knee Osteoarthritis: A Narrative Review of Integrated Rehabilitation, Pharmacologic, and Joint-Preserving Interventions.Medical science monitor : international medical journal of experimental and clinical research · 2026
    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

12 authors.

Alberto MiglioreRheumatology Unit, San Pietro Fatebenefratelli Hospital, Rome, Italy.ORCID http://orcid.org/0000-0002-3397-6478
Orazio De LuciaDepartment of Rheumatology and Medical Sciences, Clinical Rheumatology Unit, ASST Gaetano Pini-CTO, Milan, Italy. orazio.delucia@asst-pini-cto.it.ORCID http://orcid.org/0000-0003-2304-6661
Alessandro de SirePhysical and Rehabilitative Medicine, Department of Medical and Surgical Sciences, University of Catanzaro "Magna Graecia", Catanzaro, 88100, Italy.ORCID http://orcid.org/0000-0002-5541-8346
Andrea ŠajbidorŠpecializovaná Nemocnica Pre Ortopedickú Protetiku, Záhradnícka 42, Bratislava, 821 08, Slovakia.ORCID http://orcid.org/0009-0004-7426-0478
Ladislav ŠenoltInstitute of Rheumatology, Na Slupi 4, Prague, 128 00, Czech Republic.
Sándor SzántóFaculty of Medicine, Department of Sports Medicine, University of Debrecen, Debrecen, Hungary.ORCID http://orcid.org/0000-0001-5030-6292
Joan Calvet FontovaDepartment of Rheumatology, Medicine Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA), Universitat Autònoma de Barcelona, Sabadell, Spain.ORCID http://orcid.org/0000-0002-0888-5152
Johannes FlechtenmacherOrtho-Zentrum Karlsruhe, Waldstrasse 67, 76133, Karlsruhe, Germany.ORCID http://orcid.org/0000-0003-3392-1124
Ali MobasheriResearch Unit of Health Sciences and Technology, Physics and Technology, University of Oulu, Oulu, Finland.ORCID http://orcid.org/0000-0001-6261-1286
Jordi Monfort FaureDepartment of Rheumatology, Institut Hospital del Mar d'Investigacions Mèdiques, Passeig Marítim de la Barceloneta, 25, 29, 08003, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9103-661X
Jean-Yves ReginsterProtein Research Chair, Biochemistry Department, College of Science, King Saud University, Riyadh, Kingdom of Saudi Arabia.ORCID http://orcid.org/0000-0001-6290-752X
Nicola VeroneseSaint Camillus International University of Health Sciences, Rome, Italy.ORCID http://orcid.org/0000-0002-9328-289X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOsteoarthritis (OA) is a chronic, progressive joint disease characterized by the degradation of articular cartilage, subchondral bone remodeling, synovial inflammation, and osteophyte formation. Despite being a leading cause of disability in older people, effective long-term management of OA remains a significant challenge. Current treatment strategies primarily focus on symptom control, with both non-pharmacological and pharmacological interventions. MATERIALS AND

methodsA systematic literature review followed by a structured Delphi survey was conducted, involving an international Technical Expert Panel (TEP) of OA specialists. The panel evaluated the efficacy, safety, and clinical utility of combining low dose diclofenac and chondroitin sulfate in OA management.

resultsThe analysis of expert consensus indicated that the combination of low dose diclofenac and chondroitin sulfate may be effective in reducing pain and improving joint function in patients with knee OA. Additionally, this combination could reduce the need for higher doses of NSAIDs, thereby minimizing systemic adverse effects.

conclusionThe combination of low dose diclofenac and chondroitin sulfate represents a promising therapeutic strategy for managing knee OA. Further studies are needed to confirm these findings and optimize therapeutic strategies to improve patient outcomes.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalChondroitin SulfatesDiclofenacOsteoarthritis, KneeDelphi TechniqueDrug Therapy, CombinationHumansAnti-Inflammatory Agents, Non-SteroidalChondroitin SulfatesDiclofenacChondroitin sulfateDiclofenacKnee osteoarthritisLow dose diclofenacNSAIDsOsteoarthritis

Identifiers

PMID41196514
PMCPMC12592241

What OpenQuestion holds

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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.