Effectiveness of nonpharmacological and nonsurgical interventions for hip osteoarthritis: an umbrella review of high-quality systematic reviews.
An increasing number of systematic reviews are available regarding nonpharmacological and nonsurgical interventions for hip osteoarthritis (OA). The objectives of this article are to identify high-quality systematic reviews on the effect of nonpharmacological and nonsurgical interventions for hip OA and to summarize available high-quality evidence for these treatment approaches. The authors identified and screened 204 reviews. Two independent reviewers using a previously pilot-tested quality assessment form assessed the full text of 58 reviews. Six reviews were of sufficient high quality and could be included for further analyses. There was moderate-quality evidence that acupuncture and diacerein have no effect on pain and function. There was low-quality evidence that strengthening exercises and avocado/soybean unsaponifiables reduce pain and that diacerein decreases radiographic OA progression. There was insufficient high-quality evidence regarding nonpharmacological and nonsurgical interventions for hip OA, and further primary studies and reviews are needed.
Moe
Rikke H
RH
National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, PO Box 23 Vindern, 0319 Oslo, Norway. rikke.moe@nrrk.no
Haavardsholm
Espen A
EA
Christie
Anne
A
Jamtvedt
Gro
G
Dahm
Kristin Thuve
KT
Hagen
Kåre Birger
KB
D015670:Acupuncture Therapy; D000880:Anthraquinones / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018450:Disease Progression; D006801:Humans; D015207:Osteoarthritis, Hip / Q000503:physiopathology / Q000628:therapy*; D010147:Pain Measurement; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D000078202:Systematic Reviews as Topic
D000880:Anthraquinones; D000893:Anti-Inflammatory Agents; C025292:diacerein