Osteoarthritis

Predictors of Placebo Response to Local (Intra‐Articular) Therapy In Osteoarthritis: An Individual Participant Data Meta‐Analysis

Arthritis Care Res (Hoboken)Published Individual participant data meta-analysis of randomised placebo-controlled trials

Authors' conclusion

The administration of local anesthetics or ultrasound guidance may reduce IA placebo response at short-term follow-up. At midterm follow-up, participants with worse baseline function scores may be less likely to respond to IA placebo, and mid- to long-term trial duration may enhance the placebo response.

Study context

Population
Placebo participants in randomized placebo-controlled trials of intra-articular (IA) GC or hyaluronic acid for knee/hip osteoarthritis (OA), published to September 2018
Participants
621 participants10 studies
Outcome
Placebo response, defined as at least a 20% reduction in baseline pain
Methodological detailsrandom effects model, logistic regression, generalized mixed-effect models
  • Random effects model
  • Logistic regression
  • Generalized mixed-effect models

Pooled result

As reported in the abstract

Predictors of placebo response
  • Short-term follow-up: local anesthetic use associated with reduced odds of placebo response
  • Short-term follow-up: US guidance associated with reduced odds of placebo response
  • Midterm follow-up: mid- to long-term trial duration associated with increased odds of placebo response
  • Midterm follow-up: worse baseline function scores associated with reduced odds of placebo response

Original publication

Predictors of Placebo Response to Local (Intra‐Articular) Therapy In Osteoarthritis: An Individual Participant Data Meta‐Analysis. Arthritis Care Res (Hoboken). Published 25 October 2023. doi:10.1002/acr.25212

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

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