Evidence map›Paper›PMID 40485946›Full record

ArticleReumatologia2025

Clinical expert statement on osteoarthritis: diagnosis and therapeutic choices.

Piotr Leszczyński, Przemysław Lisiński, Brygida Kwiatkowska, Tomasz Blicharski, Jarosław Drobnik, Katarzyna Pawlak-Buś

Abstract read
In one paragraph

Article in Reumatologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. [Image classification of osteoarthritis based on improved shifted windows transformer and graph convolutional networks].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Piotr LeszczyńskiDepartment of Internal Medicine and Metabolic Disorders, Poznan University of Medical Sciences, Poland.ORCID https://orcid.org/0000-0003-2174-8811
Przemysław LisińskiDepartment of Rehabilitation and Physiotherapy, Clinic of Rehabilitation at the Faculty of Health Sciences, Poznan University of Medical Sciences, Poland.ORCID https://orcid.org/0000-0002-3551-7347
Brygida KwiatkowskaEarly Arthritis Clinic, National Institute of Geriatrics, Rheumatology, and Rehabilitation, Warsaw, Poland.ORCID https://orcid.org/0000-0002-9622-1830
Tomasz BlicharskiClinic of Rehabilitation and Orthopedics, Department of Rehabilitation and Physiotherapy, Medical University of Lublin, Poland.ORCID https://orcid.org/0000-0001-9747-8817
Jarosław DrobnikDepartment of Family Medicine, Faculty of Medicine, Wroclaw Medical University, Poland.ORCID https://orcid.org/0000-0001-5472-1485
Katarzyna Pawlak-BuśDepartment of Internal Medicine and Metabolic Disorders, Poznan University of Medical Sciences, Poland.ORCID https://orcid.org/0000-0002-1982-5980

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoarthritis (OA) is a chronic, progressive disease that affects bones and joint structures. Osteoarthritis is associated with joint pain, cartilage degradation, synovial inflammation, subchondral bone remodeling and osteophyte formation. It mainly impacts the knees, hips, hands, and lumbar spine. Despite its high prevalence, no current treatments can modify the course of OA, with most therapies focused on symptomatic relief. Non-pharmacological approaches such as weight management, exercise, and self-management programs are strongly recommended. Nonsteroidal anti-inflammatory drugs (NSAIDs), both topical and oral, are commonly used but pose risks with long-term use. In contrast, symptomatic slow-acting drugs for OA, such as glucosamine, chondroitin, and avocado-soybean unsaponifiables (ASU), offer a safer alternative, but their effects remain controversial. Newer therapies, including intra-articular glucocorticosteroids, hyaluronic acid, and centrally acting agents such as duloxetine, offer targeted relief. Emerging evidence suggests that ASU may help reduce pain and improve joint function, potentially lowering the need for NSAIDs, with minimal side effects.

Indexed as

avocado-soybean unsaponifiablesosteoarthritissymptomatic slow-acting drugs

Identifiers

PMID40485946
PMCPMC12138995

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.