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Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials

BACKGROUND: Knee osteoarthritis (KOA) is a common chronic disease with worldwide prevalence of 10% to 79%, with costs ranging from $560 to $635 billion for year in United States of America. The main guidelines recommend interventions with undesirable adverse events (AE) or highly dependent on the pa...

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Autores principales: Ferreira de, Andrade Carlos Augusto, Genov, Isabel Ruguê, Pereira, Sara Regina Neto, Barreto, Joao Mauricio, Ramos, Max Rogério Freitas, da Silva, Eduardo Costa Freitas, de Oliveira, Liszt Palmeira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489737/
https://www.ncbi.nlm.nih.gov/pubmed/32925717
http://dx.doi.org/10.1097/MD.0000000000021813
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author Ferreira de, Andrade Carlos Augusto
Genov, Isabel Ruguê
Pereira, Sara Regina Neto
Barreto, Joao Mauricio
Ramos, Max Rogério Freitas
da Silva, Eduardo Costa Freitas
de Oliveira, Liszt Palmeira
author_facet Ferreira de, Andrade Carlos Augusto
Genov, Isabel Ruguê
Pereira, Sara Regina Neto
Barreto, Joao Mauricio
Ramos, Max Rogério Freitas
da Silva, Eduardo Costa Freitas
de Oliveira, Liszt Palmeira
author_sort Ferreira de, Andrade Carlos Augusto
collection PubMed
description BACKGROUND: Knee osteoarthritis (KOA) is a common chronic disease with worldwide prevalence of 10% to 79%, with costs ranging from $560 to $635 billion for year in United States of America. The main guidelines recommend interventions with undesirable adverse events (AE) or highly dependent on the patient's persistence. Thus, intra-articular (IA) therapies appear to be attractive in patients with KOA, as well as a valid therapy by maximizing effects locally in the joint and limiting systemic AE. Presently, the main available IA therapies are corticosteroids and hyaluronic acid. As several meta-analyses about the efficacy of intra-articular hyaluronic acid (IAHA) for treatment of KOA with discordant results were published, we decided to conduct an umbrella review to summarize this efficacy METHODS: We will search MEDLINE/PubMed, EMBASE, Cochrane Library, and Virtual Health Library (BVS) from inception to February 2020 for systematic reviews with meta-analyses of randomized clinical trials that investigate IAHA for therapy of KOA. Grey literature will be searched in Opengray platform, Research Gate, and Google Scholar. The reference lists of eligible studies will be screened. The search will be performed without language restriction. We will include any type of IAHA as experimental intervention and different types of oral or intra-articular placebo or medications as controls. The primary outcome will be measures of efficacy as the Western Ontario and McMaster Universities Osteoarthritis Index. A synthesis of the evidence will be conducted and data will be presented in tables. Two reviewers will independently appraise the quality of included meta-analyses using the Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) tool and will classify the included systematic reviews into high, moderate, low, or critically low levels of confidence. RESULTS: The results of this study will be published in a peer-reviewed journal. ETHICS AND DISSEMINATION: No ethical approval is required since this study data is based on published literature. PROTOCOL REGISTRATION NUMBER: PROSPERO CRD42019120269 (https://www.crd.york.ac.uk/PROSPERO/#joinuppage).
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spelling pubmed-74897372020-09-24 Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials Ferreira de, Andrade Carlos Augusto Genov, Isabel Ruguê Pereira, Sara Regina Neto Barreto, Joao Mauricio Ramos, Max Rogério Freitas da Silva, Eduardo Costa Freitas de Oliveira, Liszt Palmeira Medicine (Baltimore) 6900 BACKGROUND: Knee osteoarthritis (KOA) is a common chronic disease with worldwide prevalence of 10% to 79%, with costs ranging from $560 to $635 billion for year in United States of America. The main guidelines recommend interventions with undesirable adverse events (AE) or highly dependent on the patient's persistence. Thus, intra-articular (IA) therapies appear to be attractive in patients with KOA, as well as a valid therapy by maximizing effects locally in the joint and limiting systemic AE. Presently, the main available IA therapies are corticosteroids and hyaluronic acid. As several meta-analyses about the efficacy of intra-articular hyaluronic acid (IAHA) for treatment of KOA with discordant results were published, we decided to conduct an umbrella review to summarize this efficacy METHODS: We will search MEDLINE/PubMed, EMBASE, Cochrane Library, and Virtual Health Library (BVS) from inception to February 2020 for systematic reviews with meta-analyses of randomized clinical trials that investigate IAHA for therapy of KOA. Grey literature will be searched in Opengray platform, Research Gate, and Google Scholar. The reference lists of eligible studies will be screened. The search will be performed without language restriction. We will include any type of IAHA as experimental intervention and different types of oral or intra-articular placebo or medications as controls. The primary outcome will be measures of efficacy as the Western Ontario and McMaster Universities Osteoarthritis Index. A synthesis of the evidence will be conducted and data will be presented in tables. Two reviewers will independently appraise the quality of included meta-analyses using the Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) tool and will classify the included systematic reviews into high, moderate, low, or critically low levels of confidence. RESULTS: The results of this study will be published in a peer-reviewed journal. ETHICS AND DISSEMINATION: No ethical approval is required since this study data is based on published literature. PROTOCOL REGISTRATION NUMBER: PROSPERO CRD42019120269 (https://www.crd.york.ac.uk/PROSPERO/#joinuppage). Lippincott Williams & Wilkins 2020-09-11 /pmc/articles/PMC7489737/ /pubmed/32925717 http://dx.doi.org/10.1097/MD.0000000000021813 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 6900
Ferreira de, Andrade Carlos Augusto
Genov, Isabel Ruguê
Pereira, Sara Regina Neto
Barreto, Joao Mauricio
Ramos, Max Rogério Freitas
da Silva, Eduardo Costa Freitas
de Oliveira, Liszt Palmeira
Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title_full Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title_fullStr Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title_full_unstemmed Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title_short Viscossuplementation for the treatment of osteoarthritis of the knee: A protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
title_sort viscossuplementation for the treatment of osteoarthritis of the knee: a protocol for an umbrella review of systematic reviews with meta-analyses of randomized controlled trials
topic 6900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489737/
https://www.ncbi.nlm.nih.gov/pubmed/32925717
http://dx.doi.org/10.1097/MD.0000000000021813
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