Meta AnalysisID 5616

关节腔内注射曲安奈德缓释剂对比标准曲安奈德晶状体混悬液治疗骨关节炎的作用、有效性及安全性

CRD42022370447

In patients with osteoarthritis does intra-articular triamcinolone extended release (ER) control pain and improve function for a longer duration than standard triamcinolone? Is triamcinolone ER safer alternative to stand

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Meta Analysis Id
5616
Evidence Id
14174
Core Evidence Id
14174
Source Meta Analysis Id
5598
Herb2 Meta Analysis Id
HBMA005598
Crd Id
CRD42022370447
Title
Role, Effectiveness, and Safety of Intra-articular Triamcinolone Acetonide Extended Release (TA-ER) Compared to Standard Triamcinolone Acetonide Crystalline Suspension (TAcs) for Treatment of Osteoarthritis
Review Question
In patients with osteoarthritis does intra-articular triamcinolone extended release (ER) control pain and improve function for a longer duration than standard triamcinolone? Is triamcinolone ER safer alternative to standard triamcinolone for use in patient's with typical contraindications (ex, DM, uncontrolled HTN)? Does Triamcinolone ER decrease the common side effect risk of hyperglycemia in patients with DM compared to standard Triamcinolone? Does Triamcinolone ER decrease the potential side effect of cartilage damage in comparison to standard triamcinolone?
Study Type Included
We will include randomized trials to assess the role, efficacy, and safety of intra-articular Triamcinolone Acetonide Extended Release (TA-ER) and will supplement these with observational studies (including cohort studies).
Condition Being Studied
Osteoarthritis (OA) is a degenerative joint disease associated with pain, disability, and loss of function that represents a significant and increasing public health burden. Osteoarthritis can affect any joint with knee the most common joint affected followed by hip, and hand respectively.
Participant
- Adults age 30-75 males and females with Osteoarthritis defined by the American College of Rheumatology clinical classification criteria for OA - Adults with osteoarthritis plus T2DM and/or HTN
Animal
Human Disease Modelled
Intervention
Intervention: Extended Release Triamcinolone (TA-ER) Inclusion Criteria: - Adults age 35-75 males and females with Osteoarthritis defined by the American College of Rheumatology clinical classification criteria for OA - Adults with Osteoarthritis, T2DM and/or HTN Exclusion Criteria: - History of chronic inflammatory disease - Pregnant or breastfeeding women - Patients with intra-articular injection within the last 3 months
Comparator Control
Control: Triamcinolone Acetonide Crystalline Suspension (TAcs), Placebo (intra-articular saline)
Main Outcome
Differences in pain, stiffness, and physical function measured using WOMAC scores. Differences in osteoarthritis Outcome Score-assessed Quality of Life (KOOS-QOL) scores. Differences in blood glucose levels using glucose monitor values and/or serum testing. Safety/Adverse events with TA-ER compared to TAcs. Measures of effect We will measure outcome using relative risks, number needed to treat, and odds ratios.
Outcome Measure
Additional Outcome
Not applicable Measures of effect Not applicable
Study Method
Systematic review
Keyword
Humans
Contact
Adam Lustig [email protected]
Organisational Affiliation
University of Miami
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
United States of America
Review Stage
Review Ongoing
First Submission Date
2022-10-26
Registration Date
2022-11-06
Anticipated Start Date
2022-10-19
Anticipated Completion Date
2023-04-01
Title Cn
关节腔内注射曲安奈德缓释剂对比标准曲安奈德晶状体混悬液治疗骨关节炎的作用、有效性及安全性
Title En
Role, Effectiveness, and Safety of Intra-articular Triamcinolone Acetonide Extended Release (TA-ER) Compared to Standard Triamcinolone Acetonide Crystalline Suspension (TAcs) for Treatment of Osteoarthritis
Bilingual Status
complete