Osteoarthritis

Biopsychosocial Rehabilitation for Inflammatory Arthritis and Osteoarthritis Patients: A Systematic Review and Meta‐Analysis of Randomized Trials

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis of randomised trials

Pooled result · Pain reliefResult — go to the resultSMD −0.19 95% CI −0.31 to −0.07

Authors' conclusion

Biopsychosocial rehabilitation produces a significant but clinically small beneficial effect on patient-reported pain among patients with inflammatory arthritis and OA, with no difference in harm.

Study context

Population
Adults with inflammatory arthritis and/or osteoarthritis (OA), excluding rehabilitation adjunct to surgery; searches up to March 2019
Participants
3,750 adults22 trials
Comparison
Biopsychosocial rehabilitation vs control
Outcome
Pain (benefit); total withdrawals (harm)

Pooled result

Pain relief

SMD

−0.19

95% CI −0.31 to −0.07

Biopsychosocial rehabilitationvs Control
SMD −0.19 (95% CI −0.31 to −0.07)

As reported in the abstract

Further pooled results

OutcomeSMD (95% CI)
Patient global assessment scoreSmall effect−0.13 (−0.26 to −0.00)

Health-related quality of life, fatigue, self-reported disability/physical function, mental well-being, and pain intensity reduction ≥30%

No apparent effect

Clinician-measured observed disability/physical function

Small effect, SMD
−0.34 (95% CI −0.57, −0.10)

Clinician-measured physician global assessment score

Large effect, SMD
−0.72 (95% CI −1.18, −0.26)

Clinician-measured inflammation

No effect

Safety

Withdrawals, adverse events, serious adverse events

No difference in harms

Original publication

Biopsychosocial Rehabilitation for Inflammatory Arthritis and Osteoarthritis Patients: A Systematic Review and Meta‐Analysis of Randomized Trials. Arthritis Care Res (Hoboken). Published 13 September 2022. doi:10.1002/acr.24816

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