Evidence map›Paper›PMID 42657310›Full record

ReviewOsteoarthritis and cartilage open2026

Magnitude of the placebo response across non-surgical treatment modalities used for knee osteoarthritis: A meta-analysis with meta-regression.

Robin Holtedahl, Alexandra Christine Hott, Inger Johanne Widding Hansen, John Bjørneboe, Jens Ivar Brox

Abstract readReview
In one paragraph

Review in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

5 authors.

Robin HoltedahlOslo, Norway.
Alexandra Christine HottDepartment of Physical Medicine and Rehabilitation, Sørlandet Hospital Kristiansand, Kristiansand, Norway.
Inger Johanne Widding HansenDepartment of Physical Medicine and Rehabilitation, Sørlandet Hospital Kristiansand, Norway.
John BjørneboeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Jens Ivar BroxDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To quantify pain-related placebo responses across treatment modalities in placebo-controlled clinical trials of non-surgical osteoarthritis interventions. Design: A systematic review and meta-analysis of randomized controlled trials (RCTs) published since January 2008 was conducted in accordance with PRISMA guidelines. Searches of the PubMed and Embase databases were conducted through May 2025. Hedges' g was calculated as the effect size for pre-to-post change in pain outcomes using a random-effects model. Heterogeneity was assessed using the I Results: One hundred and seventy-nine RCTs were included. Four trials also included a no-treatment arm. A Hedges' g of 0.5 or greater for improvement from baseline was observed in the placebo arm of 109 (60%) trials, while 15 (8%) reported worsening. Substantial heterogeneity was present (I Conclusion: Most trials reported moderate to large effect sizes for improvement in the placebo group. Treatment modality did not significantly affect outcomes and most of the variance in the placebo response remained unexplained. Important limitations include substantial statistical heterogeneity, the lack of data on psychological variables and few trials with a no-treatment group.

Indexed as

Knee osteoarthritisMeta-analysisNon-surgical managementPain outcomesPlaceboShamSystematic review

Identifiers

PMID42657310
PMCPMC13508617

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.