Evidence map›Paper›PMID 41629997›Full record

Trial reportTrials2026

Risk Assessment and Management Program (RAMP) on knee osteoarthritis in primary care-a one-year pragmatic randomized controlled trial.

Regina Wing-Shan Sit, Benjamin Hon-Kei Yip, Shirley Yue-Kwan Choi, Martin Chi-Sang Wong, Sheung-Wai Law, Chor Yin Lam, David Hunter, Samuel Yeung-Shan Wong

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06283147 (Risk Assessment and Management Program), which is not on this map. Not yet cited in PubMed.

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

NCT06283147 naactive not recruitingnot on this map

Risk Assessment and Management Program (RAMP) on Knee Osteoarthritis in Primary Care- a One-year Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorChinese University of Hong KongRan2024 to 2026Enrolled228ConditionsKnee OsteoarthritisArmsRisk assessment and Management Programme - Knee Osteoarthritis
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Regina Wing-Shan SitThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong. reginasit@cuhk.edu.hk.ORCID http://orcid.org/0000-0002-4717-7773
Benjamin Hon-Kei YipThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong.
Shirley Yue-Kwan ChoiThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong.
Martin Chi-Sang WongThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong.
Sheung-Wai LawDepartment of Orthopaedics & Traumatology, The Chinese University of Hong Kong, Sha Tin, Hong Kong.
Chor Yin LamDepartment of Orthopaedics and Traumatology, School of Clinical Medicine, The University of Hong Kong, Sha Tin, Hong Kong.
David HunterSydney Musculoskeletal Health, Kolling Institute, University of Sydney, Sydney, NSW, Australia.
Samuel Yeung-Shan WongThe Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong.

Funding

Health and Medical Research Fund, the Health Bureau of Hong Kong Government 21220281
6 · The paper itself

Abstract

backgroundKnee osteoarthritis (OA) is the most common chronic arthritis and is a leading cause of pain and disability. Chronic care model (CCM) has been proved successful in Hong Kong primary care setting. This study aims to assess the clinical effectiveness of a CCM, named Assessment and Management Program on Knee Osteoarthritis (RAMP-Knee OA), compared to usual care in adults with knee OA.

methodsThe study is a 52-week, two-arm, parallel, open-label randomized clinical trial, evaluating the clinical efficacy of RAMP-Knee OA (N = 114) versus usual care (N = 114) on self-reported knee pain and other secondary outcomes. Measurement instruments will be tested at baseline, 16, 32, and 52 weeks. The primary outcome will be the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC; 5-point Likert) pain at 52 weeks. Secondary outcomes include a set of biopsychosocial parameters: Physical function will be measured subjectively by WOMAC function subscale and objectively by the 30-second chair and stand performance test. Lower limb muscle mass will be measured by bioimpedance analysis. Physical activity level will be measured by the Chinese International Physical Activity Questionnaire (Short form). Self-management efficacy will be measured by Pain-Self Efficacy questionnaire. Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) will be used to measure anxiety and depression, respectively. Insomnia will be measured by the 7-item Insomnia Severity Index (ISI), and loneliness will be measured by the 6-item De Jong Gierveld Loneliness Scale. EuroQuol-5D questionnaire will be used to measure health-related quality of life. Both primary and secondary outcomes at different points will be conducted using analysis of covariance, adjusting for baseline values. Secondary analyses include adjustments for potential confounders and exploration of interaction effects of treatment and the potential moderators. DISCUSSION: The findings will address the evidence-to-practice gap for the implementation of a CCM that incorporates a comprehensive risk assessment, care protocol, self-management support, and scheduled health assessments in Hong Kong.

trial registrationClinicalTrials.gov, 1 NCT06283147. Registered on 22 February 2024.

Indexed as

ArthralgiaKnee JointOsteoarthritis, KneePrimary Health CareChronic Care ModelHong KongHumansPain MeasurementQuality of LifeRecovery of FunctionRisk AssessmentSurveys and QuestionnairesTime FactorsTreatment OutcomeKnee osteoarthritisPrimary careRisk Assessment and Management Program (RAMP)

Identifiers

PMID41629997
PMCPMC12958584

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.