Relative effectiveness of non-surgical interventions for pain management in knee osteoarthritis: a protocol for a component network meta-analysis of randomised controlled trials.


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
28 09 2021
Historique:
entrez: 30 9 2021
pubmed: 1 10 2021
medline: 3 11 2021
Statut: epublish

Résumé

Knee osteoarthritis is a chronic degenerative disease associated with significant chronic pain, disability and impaired quality of life and is the most common form of osteoarthritis. There is no cure for knee osteoarthritis, and the main therapeutic goals are pain management and improving quality of life. The objective of this study is to evaluate the relative efficacy and acceptability of available interventions using network meta-analysis (NMA) to provide a comprehensive evidence base to inform future treatment guidelines. A comprehensive literature search of major electronic databases (MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials) and clinical trial registries will identify randomised control trials (RCTs) of interventions listed in NICE guidelines for the treatment of knee osteoarthritis in adults. We will perform an NMA to estimate relative intervention effects across the whole treatment network. If any studies use multicomponent intervention packages, we will employ a component NMA model to estimate the contribution of individual components. The quality of evidence will be assessed using the Confidence in Network Meta-Analysis approach, which is based on the traditional GRADE framework adapted for NMA. Risk of bias (RoB) will be assessed using the revised Cochrane RoB 2.0 tool for RCTs. This study does not require ethical approval. Findings will be submitted to a peer-reviewed journal. CRD42020184192.

Identifiants

pubmed: 34588246
pii: bmjopen-2020-048298
doi: 10.1136/bmjopen-2020-048298
pmc: PMC8479979
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e048298

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Trevor Thompson (T)

Institute for Lifecourse Development, University of Greenwich, London, UK t.thompson@gre.ac.uk.

Bawan Ahmed (B)

Institute for Lifecourse Development, University of Greenwich, London, UK.

Sharon Marie Weldon (SM)

Institute for Lifecourse Development, University of Greenwich, London, UK.
Barts Health NHS Trust, The Royal Hospital, London, UK.

Orestis Efthimiou (O)

Department of Psychiatry, University of Bern, Bern, Switzerland.
Department of Psychiatry, University of Oxford, Oxford, UK.

Brendon Stubbs (B)

Department of Psychological Medicine, South London & Maudsley NHS Foundation Trust, London, UK.
Department of Psychological Medicine, King's College London, London, UK.

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