Osteoarthritis

People with short symptom duration of knee osteoarthritis benefit more from exercise therapy than people with longer symptom duration: An individual participant data meta-analysis from the osteoarthritis (OA) trial bank

Osteoarthritis CartilagePublished Individual participant data meta-analysis of randomised controlled trials

Authors' conclusion

This IPD meta-analysis demonstrated that people with a relatively short symptom duration benefit more from therapeutic exercise than those with a longer symptom duration.

Study context

Population
People with knee OA in randomised controlled trials (RCTs) stored within the OA Trial Bank
Participants
1,767 people10 RCTs
Comparison
Exercise therapy vs non-exercise control interventions, by symptom duration (≤1 vs >1 year; ≤2 vs >2 years)
Outcome
Interaction of treatment x symptom duration (dichotomised) on self-reported pain or physical function (standardised 0-100 scale)
Methodological detailsone-stage multilevel regression model, OA Trial Bank
  • One-stage multilevel regression model
  • OA Trial Bank

Pooled result

As reported in the abstract

MD (95% CI)
≤1 yearvs >1 yearInteraction, short-term (∼3 months) pain
−3.57(−6.76 to −0.38)
≤2 yearsvs >2 yearsInteraction, short-term (∼3 months) pain
−4.12(−6.58 to −1.66)
≤1 yearvs >1 yearInteraction, long-term (∼12 months) pain
−8.33(−12.51 to −4.15)
≤2 yearsvs >2 yearsInteraction, long-term (∼12 months) pain
−8.00(−11.21 to −4.80)
≤1 yearvs >1 yearInteraction, long-term (∼12 months) function
−5.46(−9.22 to −1.70)
≤2 yearsvs >2 yearsInteraction, long-term (∼12 months) function
−4.56(−7.33 to-1.80)

Original publication

People with short symptom duration of knee osteoarthritis benefit more from exercise therapy than people with longer symptom duration: An individual participant data meta-analysis from the OA trial bank. Osteoarthritis Cartilage. Published 18 July 2024. doi:10.1016/j.joca.2024.07.007

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