Pain medicine

Radiofrequency ablation versus intra-articular mesenchymal stem cell injection for knee osteoarthritis: a systematic review and network meta-analysis

Reg Anesth Pain MedPublished Systematic review and network meta-analysis of randomised trials

Authors' conclusion

This analysis suggests that RFA and MSC are resilient treatment options in knee OA. Despite some study heterogeneity, these treatments consistently outperformed conventional treatments, particularly in the short to mid-term, although with varying levels of certainty in their efficacy.

Study context

Population
Patients with knee osteoarthritis
Participants
2,371 patients · 34 randomized controlled trials (RCTs)
Comparison
Radiofrequency ablation (RFA) vs IA MSC vs conventional treatments
Outcome
Pain score and WOMAC
Methodological detailsfrequentist approach, SUCRA ranking
  • Frequentist approach
  • SUCRA ranking

Pooled result

As reported in the abstract

Pain and WOMAC · 3 and 6 months
  • RFA and IA MSC significantly more effective than conventional treatments for pain at 3 and 6 months (moderate certainty)
  • RFA had the highest SUCRA values for pain
  • WOMAC: both RFA and MSC significantly improved at 3 months
  • WOMAC at 6 months: RFA maintained its lead; MSC not significantly superior
  • Moderate certainty

Original publication

Radiofrequency ablation versus intra-articular mesenchymal stem cell injection for knee osteoarthritis: a systematic review and network meta-analysis. Reg Anesth Pain Med. Published 14 June 2024. doi:10.1136/rapm-2024-105526

Composed by AI from the published abstract and checked against it. How Briefs are made →

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