Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials

Background: “Exercise” is universally recommended as a core treatment for knee and hip osteoarthritis (OA). However, there are very few head-to-head comparative trials to determine the relative efficacy between different types of exercise. The aim of this study is to benchmark different types of exe...

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Main Authors: Goh, Siew-Li, Persson, Monica, Bhattacharya, Archan, Hall, Michelle C., Doherty, Michael, Zhang, Weiya
Format: Article
Published: BioMed Central 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/34192/
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author Goh, Siew-Li
Persson, Monica
Bhattacharya, Archan
Hall, Michelle C.
Doherty, Michael
Zhang, Weiya
author_facet Goh, Siew-Li
Persson, Monica
Bhattacharya, Archan
Hall, Michelle C.
Doherty, Michael
Zhang, Weiya
author_sort Goh, Siew-Li
building Nottingham Research Data Repository
collection Online Access
description Background: “Exercise” is universally recommended as a core treatment for knee and hip osteoarthritis (OA). However, there are very few head-to-head comparative trials to determine the relative efficacy between different types of exercise. The aim of this study is to benchmark different types of exercises against each other through the use of a common comparator in a network meta-analysis of randomised controlled trials (RCTs). Methods: This study will include only RCTs published in peer-reviewed journals. A systematic search will be conducted in several electronic databases and other relevant online resources. No limitations are imposed on language or publication date. Participants must be explicitly identified by authors as having OA. Interventions that involved exercise or comparators in any form will be included. Pain is the primary outcome of interest; secondary outcomes will include function and quality of life measures. Quality assessment of studies will be based on the modified Cochrane’s risk of bias assessment tool. At least two investigators will be involved throughout all stages of screening and data acquisition. Conflicts will be resolved through discussion. Conventional meta-analysis will be performed based on random effects model and network meta-analysis on a Bayesian model. Subgroup analysis will also be conducted based on study, patient and disease characteristics. Discussion: This study will provide for the first time comprehensive research evidence for the relative efficacy of different exercise regimens for treatment of OA. We will use network meta-analysis of existing RCT data to answer this question.
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spelling nottingham-341922020-05-04T18:13:51Z https://eprints.nottingham.ac.uk/34192/ Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials Goh, Siew-Li Persson, Monica Bhattacharya, Archan Hall, Michelle C. Doherty, Michael Zhang, Weiya Background: “Exercise” is universally recommended as a core treatment for knee and hip osteoarthritis (OA). However, there are very few head-to-head comparative trials to determine the relative efficacy between different types of exercise. The aim of this study is to benchmark different types of exercises against each other through the use of a common comparator in a network meta-analysis of randomised controlled trials (RCTs). Methods: This study will include only RCTs published in peer-reviewed journals. A systematic search will be conducted in several electronic databases and other relevant online resources. No limitations are imposed on language or publication date. Participants must be explicitly identified by authors as having OA. Interventions that involved exercise or comparators in any form will be included. Pain is the primary outcome of interest; secondary outcomes will include function and quality of life measures. Quality assessment of studies will be based on the modified Cochrane’s risk of bias assessment tool. At least two investigators will be involved throughout all stages of screening and data acquisition. Conflicts will be resolved through discussion. Conventional meta-analysis will be performed based on random effects model and network meta-analysis on a Bayesian model. Subgroup analysis will also be conducted based on study, patient and disease characteristics. Discussion: This study will provide for the first time comprehensive research evidence for the relative efficacy of different exercise regimens for treatment of OA. We will use network meta-analysis of existing RCT data to answer this question. BioMed Central 2016-09-02 Article PeerReviewed Goh, Siew-Li, Persson, Monica, Bhattacharya, Archan, Hall, Michelle C., Doherty, Michael and Zhang, Weiya (2016) Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials. Systematic Reviews, 5 (147). pp. 1-9. ISSN 2046-4053 Osteoarthritis; Lower limb; Exercise; Network meta-analysis; RCT; Hip; Knee; Pain https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0321-6 doi:10.1186/s13643-016-0321-6 doi:10.1186/s13643-016-0321-6
spellingShingle Osteoarthritis; Lower limb; Exercise; Network meta-analysis; RCT; Hip; Knee; Pain
Goh, Siew-Li
Persson, Monica
Bhattacharya, Archan
Hall, Michelle C.
Doherty, Michael
Zhang, Weiya
Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title_full Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title_fullStr Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title_full_unstemmed Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title_short Relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: Protocol for network meta-analysis of randomised controlled trials
title_sort relative efficacy of different types of exercise for treatment of knee and hip osteoarthritis: protocol for network meta-analysis of randomised controlled trials
topic Osteoarthritis; Lower limb; Exercise; Network meta-analysis; RCT; Hip; Knee; Pain
url https://eprints.nottingham.ac.uk/34192/
https://eprints.nottingham.ac.uk/34192/
https://eprints.nottingham.ac.uk/34192/