Osteoarthritis

Comparative effectiveness of different placebos and comparator groups for hand osteoarthritis exploring the impact of contextual factors: A systematic review and meta-analysis of randomised trials

Osteoarthritis CartilagePublished Systematic review and meta-analysis of randomised trials

Pooled result · Pain relief, SMD vs matched null-armResult — go to the resultEffect size −0.51 95% CI −0.61 to −0.42

Authors' conclusion

The placebo response on pain for people with hand osteoarthritis was increased by appropriate blinding and a lower risk of bias assessment. Placebos were superior to a null-arm, while untreated control groups were not.

Study context

Population
RCTs of people with hand OA with a placebo or an untreated control group
Participants
7,262 participants84 trials
Comparison
Placebos and untreated control groups vs imputed null-arms
Outcome
Pain relief (SMD vs null-arm)
Methodological detailsrandom effects meta-analysis, meta-regression, stratified models, Searched PubMed, EMBASE and CENTRAL from inception to December 26, 2021, Risk of bias assessed with Cochrane Risk-of-Bias tool version 2
  • Random effects meta-analysis
  • Meta-regression
  • Stratified models
  • Searched PubMed, EMBASE and CENTRAL from inception to December 26, 2021
  • Risk of bias assessed with Cochrane Risk-of-Bias tool version 2

Pooled result

Pain relief, SMD vs matched null-arm

Effect size

−0.51

95% CI −0.61 to −0.42

As reported in the abstract

Further pooled results

Contextual factors and pain relief (all comparators; 76 trials, 6462 participants in stratified analyses)

Blinded trial designs associated with higher pain relief vs open-label design
Low risk of bias associated with higher pain relief vs some concern or high risk of bias

Original publication

Comparative effectiveness of different placebos and comparator groups for hand osteoarthritis exploring the impact of contextual factors: A systematic review and meta-analysis of randomised trials. Osteoarthritis Cartilage. Published 26 April 2024. doi:10.1016/j.joca.2024.02.947

Composed by AI from the published abstract and checked against it. How Briefs are made →

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