Biopsychosocial Rehabilitation for Inflammatory Arthritis and Osteoarthritis Patients: A Systematic Review and Meta-Analysis of Randomized Trials.
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
revised:
13
10
2021
received:
20
02
2021
accepted:
04
11
2021
pubmed:
9
11
2021
medline:
14
2
2023
entrez:
8
11
2021
Statut:
ppublish
Résumé
To assess the benefits and harms associated with biopsychosocial rehabilitation in patients with inflammatory arthritis and osteoarthritis (OA). We performed a systematic review and meta-analysis. Data were collected through electronic searches of Cochrane CENTRAL, MEDLINE, Embase, PsycInfo, and CINAHL databases up to March 2019. Trials examining the effect of biopsychosocial rehabilitation in adults with inflammatory arthritis and/or OA were considered eligible, excluding rehabilitation adjunct to surgery. The primary outcome for benefit was pain and total withdrawals for harm. Of the 27 trials meeting the eligibility criteria, 22 trials (3,750 participants) reported sufficient data to be included in the quantitative synthesis. For patient-reported outcome measures, biopsychosocial rehabilitation was slightly superior to control for pain relief (standardized mean difference [SMD] -0.19 [95% confidence interval (95% CI) -0.31, -0.07]), had a small effect on patient global assessment score (SMD -0.13 [95% CI -0.26, -0.00]), with no apparent effect on health-related quality of life, fatigue, self-reported disability/physical function, mental well-being, and reduction in pain intensity ≥30%. Clinician-measured outcomes displayed a small effect on observed disability/physical function (SMD -0.34 [95% CI -0.57, -0.10]), a large effect on physician global assessment score (SMD -0.72 [95% CI -1.18, -0.26]), and no effect on inflammation. No difference in harms existed in terms of the number of withdrawals, adverse events, or serious adverse events. Biopsychosocial rehabilitation produces a significant but clinically small beneficial effect on patient-reported pain among patients with inflammatory arthritis and OA, with no difference in harm. Methodologic weaknesses were observed in the included trials, suggesting low-to-moderate confidence in the estimates of effect.
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
423-436Informations de copyright
© 2021 American College of Rheumatology.
Références
Hunter D, Bierna-Zeinstra S. Osteoarthritis. Lancet 2019;393:1745-59.
Smolen J, Aletaha D, McInnes I. Rheumatoid arthritis. Lancet 2016;388:2023-38.
Aletaha D, Smolen J. Diagnosis and management of rheumatoid arthritis: a review. JAMA 2018;320:1360-72.
Ledingham J, Snowden N, Ide Z. Diagnosis and early management of inflammatory arthritis. BMJ 2017;358:j3248.
Woolf A, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003;81:646-56.
Hiligsmann M, Cooper C, Arden N, et al. Health economics in the field of osteoarthritis: an expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Semin Arthritis Rheum 2013;43:303-13.
Cross M, Smith E, Hoy D, et al. The global burden of rheumatoid arthritis: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73:1316-22.
Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010. Ann Rheum Dis 2014;73:1323-30.
Geenen R, Overman C, Christensen R, et al. EULAR recommendations for the health professional's approach to pain management in inflammatory arthritis and osteoarthritis. Ann Rheum Dis 2018:797-807.
Meyer T, Gutenbrunner C, Bickenbach J, et al. Towards a conceptual description of rehabilitation as a health strategy. J Rehabil Med 2011;43:765-9.
National Institute for Health and Care Excellence. Rheumatoid arthritis in adults: management (NICE guideline NG100). 2018. URL: https://www.nice.org.uk/guidance/ng100.
National Institute for Health and Care Excellence. Osteoarthritis: care and management (Clinical guideline CG177). 2014. URL: https://www.nice.org.uk/guidance/cg177.
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip and knee. Arthritis Care Res (Hoboken) 2012;64:465-74.
Fernandes L, Hagen KB, Bijksma JW, et al. Recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013;72:1125-35.
Zhang W, Moskowitz RW, Nuki G. OARSI recommendation for the management of hip and knee osteoarthritis, part II: OARSI evidence based expert consensus guidelines. Osteoarthritis Cartilage 2008;16:137-62.
Engel G. The clinical application of the biopsychosocial model. Am J Psychiatry 1980;137:535-44.
Kogan AC, Wilber K, Mosqueda L. Person-centered care for older adults with chronic conditions and functional impairment: a systematic literature review. J Am Geriatr Soc 2016;64:e1-7.
Higgins J, Green S. Cochrane handbook for systematic reviews of interventions, version 5.1.0: The Cochrane Collaboration; 2011. URL: www.handbook.cochrane.org.
Liberati A, Altman D, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. BMJ 2009;339:b2700.
Guyatt G, Oxman A, Santesso N, et al. GRADE guidelines: 12. Preparing summary of findings tables-binary outcomes. J Clin Epidemiol 2013;66:158-72.
Guyatt G, Thorlund K, Oxman A, et al. GRADE guidelines: 13. Preparing summary of findings tables and evidence profiles-continuous outcomes. J Clin Epidemiol 2013;66:173-83.
Ghogomu E, Maxwell L, Buchbinder R, et al. Updated method guidelines for Cochrane Musculoskeletal Group systematic reviews and metaanalyses. J Rheumatol 2014;41:194-205.
Dworkin R, Turk D, Whywich K, et al. Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain 2008;9:105-21.
Higgins J, Altman D, Gøtzsche P, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928.
Hedges L. Distribution theory for Glass's estimator of effect size and related estimators. J Educ Stat 1981;6:107-28.
Murad M, Wang Z, Chu H, et al. When continuous outcomes are measured using different scales: guide for meta-analysis and interpretation. BMJ 2019;364:k4817.
Sweeting M, Sutton A, Lambert P. What to add to nothing? Use and avoidance of continuity corrections in meta-analysis of sparse data. Stat Med 2004;23:1351-75.
Thompson S, Higgins J. How should meta-regression analyses be undertaken and interpreted? Stat Med 2002;21:1559-73.
Riley R, Higgins J, Deeks J. Interpretation of random effects meta-analyses. BMJ 2011;342:d549.
Higgins J, Thompson S. Quantifying heterogeneity in a meta-analysis. Stat Med 2002;21:1539-58.
Higgins J, Thompson S, Deeks J, et al. Measuring inconsistency in meta-analyses. BMJ 2003;327:557-60.
Jüni P, Altman D, Egger M. Systematic reviews in health care: assessing the quality of controlled clinical trials. BMJ 2001;323:42-6.
Tubach F, Ravaud P, Martin-Mola E, et al. Minimum clinically important improvement and patient acceptable symptom state in pain and function in rheumatoid arthritis, ankylosing spondylitis, chronic back pain, hand osteoarthritis, and hip and knee osteoarthritis: results from a prospective multinational study. Arthritis Care Res (Hoboken) 2012;64:1699-707.
Hultcrantz M, Rind D, Akl E, et al. The GRADE Working Group clarifies the construct of certainty of evidence. J Clin Epidemiol 2017;87:4-13.
Guyatt G, Oxman A, Vist G, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336:924-6.
Rezende MU, Brito NL, Hissadomi MI, et al. Two-year results of a two-day educational program about OA parqve II (project arthritis recovering quality of life by education) improves function, strength and quality of life in respect to usual care. Osteoporos Int 2018;29 Suppl 1:S222-3.
Lahiri M, Cheung PP, Dhanasekaran P, et al. Does care by a multidisciplinary team improve outcomes in rheumatoid arthritis? a randomized controlled study. Arthritis Rheumatol 2018;70 Suppl 9:310-1.
Rezende MU. P.A.R.Q.V.E III: comparison of the educational program with and without multidisciplinary care. 2016. URL: https://clinicaltrials.gov/show/nct02917655.
Karpouzas GA. Multidisciplinary approach for treat to target in rheumatoid arthritis. 2016. URL: https://clinicaltrials.gov/show/nct02720874.
National University Hospital Singapore. Multidisciplinary team care in rheumatoid arthritis. 2017. URL: https://clinicaltrials.gov/show/nct03099668.
Taal E, Riemsma RP, Brus HL, et al. Group education for patients with rheumatoid arthritis. Patient Educ Couns 1993;20:177-87.
Ahlmen M, Sullivan M, Bjelle A. Team versus non-team outpatient care in rheumatoid arthritis: a comprehensive outcome evaluation including an overall health measure. Arthritis Rheum 1988;31:471-9.
Kjeken I, Bo I, Ronningen A, et al. A three-week multidisciplinary in-patient rehabilitation programme had positive long-term effects in patients with ankylosing spondylitis: randomized controlled trial. J Rehabil Med 2013;45:260-7.
Liang L, Pan Y, Wu D, et al. Effects of multidisplinary team based nurse-led transitional care on clinical outcomes and quality of life in patients with ankylosing spondylitis. Asian Nurs Res (Korean Soc Nurs Sci) 2019;13:107-13.
Schned ES, Doyle MA, Glickstein SL, et al. Team managed outpatient care for early onset chronic inflammatory arthritis. J Rheumatol 1995;22:1141-8.
Tijhuis GJ, Zwinderman AH, Hazes JM, et al. A randomized comparison of care provided by a clinical nurse specialist, an inpatient team, and a day patient team in rheumatoid arthritis. Arthritis Rheum 2002;47:525-31.
Bennell KL, Campbell PK, Egerton T, et al. Telephone coaching to enhance a home-based physical activity program for knee osteoarthritis: a randomized clinical trial. Arthritis Care Res (Hoboken) 2017;69:84-94.
Moe RH, Grotle M, Kjeken I, et al. Effectiveness of an integrated multidisciplinary osteoarthritis outpatient program versus outpatient clinic as usual: a randomized controlled trial. J Rheumatol 2016;43:411-8.
Riemsma RP, Taal E, Brus HL, et al. Coordinated individual education with an arthritis passport for patients with rheumatoid arthritis. Arthritis Care Res (Hoboken) 1997;10:238-49.
Bearne LM, Byrne AM, Segrave H, et al. Multidisciplinary team care for people with rheumatoid arthritis: a systematic review and meta-analysis. Rheumatol Int 2016;36:311-24.
Finney A, Healey E, Jordan JL, et al. Multidisciplinary approaches to managing osteoarthritis in multiple joint sites: a systematic review. BMC Musculoskelet Disord 2016;17:266.
Kamper S, Apeldoorn AT, Chiarotto A, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ 2015;350:h444.
Christensen R, Berthelsen D. Controversy and debate on meta-epidemiology. Paper 3: causal inference from meta-epidemiology: a reasonable goal, or wishful thinking? J Clin Epidemiol 2020;123:131-2.
Scholten C, Brodowicz T, Graninger W, et al. Persistent functional and social benefit 5 years after a multidisciplinary arthritis training program. Arch Phys Med Rehabil 1999;80:1282-7.
Breedland I, van Scheppingen C, Leijsma M, et al. Effects of a group-based exercise and educational program on physical performance and disease self-management in rheumatoid arthritis: a randomized controlled study. Phys Ther 2011;91:879-93.
Coleman S, Briffa NK, Carroll G, et al. A randomised controlled trial of a self-management education program for osteoarthritis of the knee delivered by health professionals. Arthritis Res Ther 2012;14:R21.
Giraudet-Le Quintrec J, Mayoux-Benhamou A, Ravaud P, et al. Effect of a collective educational program for patients with rheumatoid arthritis: a prospective 12-month randomized controlled trial. J Rheumatol 2007;34:1684-91.
Helminen EE, Sinikallio SH, Valjakka AL, et al. Effectiveness of a cognitive-behavioural group intervention for knee osteoarthritis pain: a randomized controlled trial. Clin Rehabil 2015;29:868-81.
Keefe FJ, Blumenthal J, Baucom D, et al. Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study. Pain 2004;110:539-49.
Lindroth Y, Brattström M, Bellman I, et al. A problem-based education program for patients with rheumatoid arthritis: evaluation after three and twelve months. Arthritis Care Res (Hoboken) 1997;10:325-32.
Rezende MU, Hissadomi MI, de Campos GC, et al. One-year results of an educational program on osteoarthritis: a prospective randomized controlled trial in Brazil. Geriatr Orthop Surg Rehabil 2016;7:86-94.
Rodríguez-Lozano C, Juanola X, Cruz-Martínez J, et al. Outcome of an education and home-based exercise programme for patients with ankylosing spondylitis: a nationwide randomized study. Clin Exp Rheumatol 2013;31:739-48.
Stoffer-Marx MA, Klinger M, Luschin S, et al. Functional consultation and exercises improve grip strength in osteoarthritis of the hand: a randomised controlled trial. Arthritis Res Ther 2018;20:253.
Stukstette MJ, Dekker J, den Broeder AA, et al. No evidence for the effectiveness of a multidisciplinary group based treatment program in patients with osteoarthritis of hands on the short term: results of a randomized controlled trial. Osteoarthritis Cartilage 2013;21:901-10.
Tonga E, Düger T, Karataş M. Effectiveness of client-centered occupational therapy in patients with rheumatoid arthritis: exploratory randomized controlled trial. Arch Rheumatol 2016;31:6-13.
Vliet Vlieland TP, Breedveld FC, Hazes JM. The two-year follow-up of a randomized comparison of in-patient multidisciplinary team care and routine out-patient care for active rheumatoid arthritis. Br J Rheumatol 1997;36:82-5.