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Intra-articular hya...
Intra-articular hyaluronan injections in the treatment of osteoarthritis of the knee : A randomised, double blind, placebo controlled multicentre trial
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- Lohmander, L. Stefan (författare)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Dalén, Nils (författare)
- Karolinska Institutet
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- Englund, Gunnar (författare)
- AstraZeneca, Sweden
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- Hämäläinen, Martti (författare)
- Heinola Rheumatology-Found. Hospital
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- Jensen, Erik Martin (författare)
- Bispebjerg Hospital
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- Karlsson, Kerstin (författare)
- AstraZeneca, Sweden
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- Odensten, Magnus (författare)
- Linköping University Hospital
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- Ryd, Leif (författare)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Sernbo, Ingemar (författare)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Suomalainen, Olavi (författare)
- Kuopio University Hospital
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- Tegnander, Agnar (författare)
- St. Olav’s University Hospital
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(creator_code:org_t)
- BMJ, 1996
- 1996
- Engelska 8 s.
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Ingår i: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967. ; 55:7, s. 424-431
- Relaterad länk:
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https://ard.bmj.com/...
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https://lup.lub.lu.s...
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http://kipublication...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective - To assess the effects of intraarticular injections of hyaluronan on symptoms of knee osteoarthritis (OA). Methods - Two hundred and forty patients with symptomatic, radiological knee OA were randomly assigned to treatment with weekly injections for five weeks with either 25 mg of high molecular weight hyaluronan or vehicle. Results were evaluated at weeks 1, 2, 3, 4, 5, 13, and 20 by visual analogue scales (pain, function, motion, activity), algofunctional index, and global evaluation by patient and investigator. Analysis was by 'intention to treat', 'per protocol), and area under the curve principles on unstratified patient groups and for patients stratified into four groups of equal size by age and baseline algofunctional index. Results - No serious side effects were reported. At 20 weeks both treatment groups were improved compared with baseline, with no difference between unstratified groups treated with placebo or hyaluronan. Comparison of treatment-groups stratified by age and baseline algofunctional index revealed a significant-difference in favour of hyaluronan over placebo (pain, activity, algofunctional index, global evaluations by patient-and investigator) for patients older than 60 years and with a baseline algofunctional index greater than 10. There was no clinically relevant difference between the two treatments for the other three stratified subgroups of younger age or fewer symptoms. Similar results were obtained by area under the curve, intention to treat, and per protocol analysis. Conclusions-Patients older than 60 years with knee osteoarthritis and with significant symptoms corresponding to an index of severity of knee disease of 10 or more, comprise the group most likely to benefit from treatment with intra-articular hyaluronan injections.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
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- art (ämneskategori)
- ref (ämneskategori)
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- Av författaren/redakt...
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Lohmander, L. St ...
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Dalén, Nils
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Englund, Gunnar
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Hämäläinen, Mart ...
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Jensen, Erik Mar ...
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Karlsson, Kersti ...
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visa fler...
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Odensten, Magnus
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Ryd, Leif
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Sernbo, Ingemar
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Suomalainen, Ola ...
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Tegnander, Agnar
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Reumatologi och ...
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Annals of the Rh ...
- Av lärosätet
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Lunds universitet
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Karolinska Institutet