Effects of recurrent intra-articular corticosteroid injections for osteoarthritis at 3 months and beyond: a systematic review and meta-analysis in comparison to other injectables

被引:20
|
作者
Donovan, R. L. [1 ,2 ]
Edwards, T. A. [2 ]
Judge, A. [1 ,3 ,4 ]
Blom, A. W. [1 ,2 ,3 ,4 ]
Kunutsor, S. K. [1 ,3 ,4 ]
Whitehouse, M. R. [1 ,2 ,3 ,4 ]
机构
[1] Univ Bristol, Southmead Hosp, Musculoskeletal Res Unit, Level 1 Learning & Res Bldg, Bristol BS10 5NB, Avon, England
[2] North Bristol NHS Trust, Southmead Rd, Bristol BS10 5NB, Avon, England
[3] Univ Hosp Bristol & Weston NHS Fdn Trust, Natl Inst Hlth Res, Bristol Biomed Res Ctr, Bristol, Avon, England
[4] Univ Bristol, Bristol, Avon, England
基金
美国国家卫生研究院;
关键词
Osteoarthritis; Injections; Intra-articular; Steroids; Patient reported outcome measures; Systematic review; Meta-analysis; KNEE OSTEOARTHRITIS; HYALURONIC-ACID; SEVERE PAIN; EFFICACY; SALINE; ACETATE; SAFETY; BLIND; RISK;
D O I
10.1016/j.joca.2022.07.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: Intra-articular corticosteroid injections (IACIs) provide temporary symptom relief in osteoarthritis (OA). This meta-analysis investigated the effects of recurrent IACIs at 3 months and beyond. Design: We searched Medline, Embase and Cochrane from inception to January 2021 for randomised controlled trials (RCTs) of patients with OA who received recurrent IACIs compared with other injectables, placebo or no treatment (primary outcomes: pain, function). Mean differences (MDs) with 95% confidence intervals were reported. Results: Ten RCTs were included (eight knee OA (n = 763), two trapeziometacarpal OA (n = 121)). Patients received between 2 and 8 injections, varying by trial. Trials compared recurrent IACIs with hyaluronic acid (HA), platelet-rich plasma (PRP), saline or orgotein (follow-up 3-24 months). Greater improvements in pain, function and QoL at 3-24 months were noted for the comparators than with IACIs, with comparators demonstrating an equal or superior effect, or the intervention effect attenuated during follow-up. Recurrent IACIs demonstrated no benefits in pain or function over placebo at 12-24 months. No serious adverse events were recorded. No studies reported on time-to-future interventions, risk of future prosthetic joint infection or other adverse events associated with subsequent joint replacement. Conclusions: Recurrent IACIs often provide inferior (or non-superior) symptom relief compared with other injectables (including placebo) at 3 months and beyond. Other injectables (HA, PRP) often yielded greater improvements in pain and function up to 24 months post-injection. Existing RCTs on recurrent IACIs lack sufficient follow-up data to assess disease progression and time-to-future interventions. (c) 2022 The Author(s). Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International. This is an open access article under the CC BY license (http://creativecommons.org/ licenses/by/4.0/).
引用
收藏
页码:1658 / 1669
页数:12
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