Meta AnalysisID 2550

确定氨基葡萄糖和软骨素联合用药对膝骨关节炎患者的影响:一项系统评价和Meta分析

CRD42020202093

Is the treatment of the combination of glucosamine and chondroitin effective for patients with knee osteoarthritis (OA), in terms of pain relief and function recovery? Is the combination of glucosamine and chondroitin a

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Record Fields

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Meta Analysis Id
2550
Evidence Id
11108
Core Evidence Id
11108
Source Meta Analysis Id
2498
Herb2 Meta Analysis Id
HBMA002498
Crd Id
CRD42020202093
Title
Identify the effects of the combination of glucosamine and chondroitin in patients with knee osteoarthritis: a systematic review and meta-analysis
Review Question
Is the treatment of the combination of glucosamine and chondroitin effective for patients with knee osteoarthritis (OA), in terms of pain relief and function recovery? Is the combination of glucosamine and chondroitin a better choice, comparing to NSAIDs?
Study Type Included
Only randomized clinical trials (RCTs) will be included.
Condition Being Studied
Patients with knee osteoarthritis. Pain relief and function recovery of knee.
Participant
Inclusion: Adults with knee osteoarthritis who meet the diagnostic criteria of American College of Rheumatology (ACR) or Chinese Rheumatology Association (CRA). No restrictions for gender, age and severity of knee osteoarthritis. Exclusion: Patients with mental disease or other chronic diseases, or injuries or diseases of knee.
Animal
Human Disease Modelled
Intervention
Inclusion: Studies that investigated the effects of oral administration of the combination of glucosamine and chondroitin among patients with OA, diagnosed through the diagnostic criteria of ACR or CRA. Exclusion: Studies using diagnostic tool other than ACR/CRA diagnostic criteria; Studies in which patients were receiving other interventions like physiotherapy, anti-inflammatory drugs and so on.
Comparator Control
Inclusion: Studies that include using one drug alone or Nonsteroidal Antiinflammatory Drugs (NSAIDs), or placebos which are totally same with glucosamine or chondroitin in shape, smell and package. Exclusion: Studies with no control group.
Main Outcome
Overall improvement and pain improvement. Measures of effect The overall improvement will be measured by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain will be measured by the Visual Analogue Scale (VAS). The effect sizes will be expressed as Mean Differences (MDs).
Outcome Measure
Additional Outcome
Detail improvement in function, pain and stiffness. The progression of knee degeneration. And the adverse effect. Measures of effect Improvement in function, pain and stiffness will be measured by three subscales of WOMAC, WOMAC function, WOMAC pain and WOMAC stiffness respectively. The progression of knee degeneration will be measured by the radiology manifestation as Joint Space Narrowing (JSN). The effect sizes of all above will be expressed as Mean Differences (MDs). The adverse effect (AE) will be measured by the rate of adverse events. The effect sizes of AE will be expressed as Relative Risks (RR).
Study Method
Intervention, Meta-analysis, Systematic review
Keyword
Chondroitin; Glucosamine; Humans; Osteoarthritis, Knee
Contact
Zhengyuan Meng [email protected]
Organisational Affiliation
Medical College of Zhengzhou University http://www7.zzu.edu.cn/smzzu/index.htm
Funding Source
No funding
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
Chinese-Simplified, English
Country
China
Review Stage
Review Ongoing
First Submission Date
2020-10-27
Registration Date
2020-11-27
Anticipated Start Date
2020-10-20
Anticipated Completion Date
2020-11-30
Title Cn
确定氨基葡萄糖和软骨素联合用药对膝骨关节炎患者的影响:一项系统评价和Meta分析
Title En
Identify the effects of the combination of glucosamine and chondroitin in patients with knee osteoarthritis: a systematic review and meta-analysis
Bilingual Status
complete