Evidence map›Paper›PMID 40531843›Full record

ArticlePloS one2025

Clinical efficacy of different therapeutic options for knee osteoarthritis: A network meta-analysis based on randomized clinical trials.

Xiao Chen, Yuanhe Fan, Hongliang Tu, Yuan Luo

Abstract readNetwork Meta-Analysis
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
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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

4 authors.

Xiao ChenDepartment of Orthopedics, the First People's Hospital of Neijiang, Neijiang, China.
Yuanhe FanDepartment of Orthopedics, the First People's Hospital of Neijiang, Neijiang, China.
Hongliang TuDepartment of Orthopedics, the First People's Hospital of Neijiang, Neijiang, China.
Yuan LuoDepartment of Rehabilitation, the First People's Hospital of Neijiang, Neijiang, China.ORCID 0009-0009-6662-707X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess and compare the clinical efficacy of various therapeutic options in treating patients with knee osteoarthritis (KOA).

methodsWe performed a comprehensive search of PubMed, Embase, OVID, Cochrane Library and Web of Science databases from their inception to December 10th, 2023, identifying randomized controlled trials (RCTs) examining the effects of therapeutic options on KOA. Two researchers independently performed literature screening, data extraction, data collection and organization, and quality assessment. The data obtained were subjected to statistical analysis and graphical representation using Stata 17.0 software.

resultsA total of 139 RCTs encompassing 9644 KOA patients and involving 12 therapeutic options were included. These interventions were low level laser therapy (LLLT), high intensity laser therapy (HILT), transcutaneous electrical nerve stimulation (TENS), interferential current (IFC), short wave diathermy, ultrasound, lateral wedged insole, knee brace, exercise, hydrotherapy, kinesio taping (KT) and extracorporeal shock wave therapy (ESWT). Regarding the WOMAC pain score, knee brace was determined to be the most likely to yield the best results, followed by exercise and HILT, ultrasound was worst intervention. In terms of WOMAC function score, knee brace emerged as the technique with the highest likelihood of being optimal, followed in sequence by hydrotherapy and ESWT, ultrasound was worst intervention. Knee brace ranked highest in effectiveness concerning the WOMAC stiffness score, followed by exercise and hydrotherapy. For the total WOMAC score, hydrotherapy demonstrated the highest probability of being the best technique, followed by exercise and HILT, short wave diathermy was worst intervention. In addressing VAS-rest, hydrotherapy exhibited the greatest likelihood of being the optimum technique, followed by HILT and LLLT. In terms of VAS-activity, knee brace had the highest probability of being the best technique, followed by LLLT and exercise, ultrasound was worst intervention. Overall, based on the results obtained from the SUCRA for all outcomes, knee brace had the highest probability of being the best technique, followed by hydrotherapy and exercise.

conclusionThe findings suggest that knee brace may be the most recommended therapeutic option for the knee osteoarthritis, followed by hydrotherapy and exercise.

Indexed as

Osteoarthritis, KneeHumansLow-Level Light TherapyRandomized Controlled Trials as TopicTranscutaneous Electric Nerve StimulationTreatment Outcome

Identifiers

PMID40531843
PMCPMC12176148

What Socratic holds

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LicenceCC BY
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Registered trials

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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.