Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis

Background Pain is the most troubling issue to patients with osteoarthritis (OA), yet current pharmacological treatments offer only small-to-moderate pain reduction. Current guidelines therefore emphasise the need to identify predictors of treatment response. In line with these recommendations, a...

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Main Authors: Persson, Monica S.M., Fu, Yu, Bhattacharya, Archan, Goh, Siew-Li, Middelkoop, Marienke van, Bierma-Zeinstra, Sita M.A., Walsh, David A., Doherty, Michael, Zhang, Weiya
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Published: BioMed Central 2016
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Online Access:https://eprints.nottingham.ac.uk/39851/
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author Persson, Monica S.M.
Fu, Yu
Bhattacharya, Archan
Goh, Siew-Li
Middelkoop, Marienke van
Bierma-Zeinstra, Sita M.A.
Walsh, David A.
Doherty, Michael
Zhang, Weiya
author_facet Persson, Monica S.M.
Fu, Yu
Bhattacharya, Archan
Goh, Siew-Li
Middelkoop, Marienke van
Bierma-Zeinstra, Sita M.A.
Walsh, David A.
Doherty, Michael
Zhang, Weiya
author_sort Persson, Monica S.M.
building Nottingham Research Data Repository
collection Online Access
description Background Pain is the most troubling issue to patients with osteoarthritis (OA), yet current pharmacological treatments offer only small-to-moderate pain reduction. Current guidelines therefore emphasise the need to identify predictors of treatment response. In line with these recommendations, an individual patient data (IPD) meta-analysis will be conducted. The study aims to investigate the relative treatment effects of topical non-steroidal anti-inflammatory drugs (NSAIDs) and topical capsaicin in OA and to identify patient-level predictors of treatment response. Methods IPD will be collected from randomised controlled trials (RCTs) of topical NSAIDs and capsaicin in OA. Multilevel regression modelling will be conducted to determine predictors for the specific and the overall treatment effect. Discussion Through the identification of treatment responders, this IPD meta-analysis may improve the current understanding of the pain mechanisms in OA and guide clinical decision-making. Identifying and prescribing the treatment most likely to be beneficial for an individual with OA will improve the efficiency of patient management.
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spelling nottingham-398512020-05-04T18:09:14Z https://eprints.nottingham.ac.uk/39851/ Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis Persson, Monica S.M. Fu, Yu Bhattacharya, Archan Goh, Siew-Li Middelkoop, Marienke van Bierma-Zeinstra, Sita M.A. Walsh, David A. Doherty, Michael Zhang, Weiya Background Pain is the most troubling issue to patients with osteoarthritis (OA), yet current pharmacological treatments offer only small-to-moderate pain reduction. Current guidelines therefore emphasise the need to identify predictors of treatment response. In line with these recommendations, an individual patient data (IPD) meta-analysis will be conducted. The study aims to investigate the relative treatment effects of topical non-steroidal anti-inflammatory drugs (NSAIDs) and topical capsaicin in OA and to identify patient-level predictors of treatment response. Methods IPD will be collected from randomised controlled trials (RCTs) of topical NSAIDs and capsaicin in OA. Multilevel regression modelling will be conducted to determine predictors for the specific and the overall treatment effect. Discussion Through the identification of treatment responders, this IPD meta-analysis may improve the current understanding of the pain mechanisms in OA and guide clinical decision-making. Identifying and prescribing the treatment most likely to be beneficial for an individual with OA will improve the efficiency of patient management. BioMed Central 2016-09-29 Article PeerReviewed Persson, Monica S.M., Fu, Yu, Bhattacharya, Archan, Goh, Siew-Li, Middelkoop, Marienke van, Bierma-Zeinstra, Sita M.A., Walsh, David A., Doherty, Michael and Zhang, Weiya (2016) Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis. Systematic Reviews, 5 (1). 165/1-165/8. ISSN 2046-4053 Osteoarthritis Topical NSAIDs Capsaicin Individual patient data meta-analysis http://dx.doi.org/10.1186/s13643-016-0348-8 doi:10.1186/s13643-016-0348-8 doi:10.1186/s13643-016-0348-8
spellingShingle Osteoarthritis
Topical
NSAIDs
Capsaicin
Individual patient data meta-analysis
Persson, Monica S.M.
Fu, Yu
Bhattacharya, Archan
Goh, Siew-Li
Middelkoop, Marienke van
Bierma-Zeinstra, Sita M.A.
Walsh, David A.
Doherty, Michael
Zhang, Weiya
Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title_full Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title_fullStr Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title_full_unstemmed Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title_short Relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
title_sort relative efficacy of topical non-steroidal anti-inflammatory drugs and topical capsaicin in osteoarthritis: protocol for an individual patient data meta-analysis
topic Osteoarthritis
Topical
NSAIDs
Capsaicin
Individual patient data meta-analysis
url https://eprints.nottingham.ac.uk/39851/
https://eprints.nottingham.ac.uk/39851/
https://eprints.nottingham.ac.uk/39851/