Table 2

Overall treatment effect size (ES) and proportion attributable to contextual effects (PCEs)

OutcomeTreatmentNo. of trialsNo. of patientsOverall treatment ES (95% CI)I2% of overall treatment ESPCE (95% CI)I2% of PCE
PainOral
Glucosamine1925121.06 (0.85 to 1.28)880.67 (0.53 to 0.84)63
Chondroitin1325621.29 (1.09 to 1.50)850.68 (0.55 to 0.84)67
Glucosamine + chondroitin47780.89 (0.27 to 1.51)920.76 (0.62 to 0.93)0
Paracetamol723770.65 (0.46 to 0.83)870.87 (0.73 to 1.03)12
NSAID6218 1451.11 (1.02 to 1.20)920.70 (0.65 to 0.75)51
Physical/topical
PEMF1810050.98 (0.75 to 1.20)780.80 (0.64 to 0.99)0
Topical NSAIDs2043991.37 (1.19 to 1.55)900.85 (0.77 to 0.93)35
Needle/injection
Acupuncture1727470.99 (0.81 to 1.18)850.85 (0.74 to 0.97)20
IACS95020.97 (0.67 to 1.28)750.47 (0.32 to 0.70)0
IAHA3547821.16 (1.01 to 1.31)870.82 (0.75 to 0.90)23
Surgical
Lavage44340.46 (0.24 to 0.68)540.91 (0.60 to 1.37)0
Overall20840 2431.09 (1.03 to 1.14)900.75 (0.72 to 0.79)42
FunctionOral
Glucosamine2028491.10 (0.88 to 1.31)900.64 (0.49 to 0.82)69
Chondroitin1219240.98 (0.80 to 1.17)810.63 (0.47 to 0.85)61
Glucosamine+chondroitin510580.71 (0.32 to 1.10)900.85 (0.71 to 1.02)0
Paracetamol413730.73 (0.49 to 0.97)830.92 (0.78 to 1.09)0
NSAIDs4414 6131.02 (0.94 to 1.10)880.64 (0.59 to 0.70)50
Physical/topical
PEMF179140.66 (0.47 to 0.84)690.63 (0.47 to 0.84)0
Topical NSAIDs1737171.34 (1.10 to 1.58)930.71 (0.58 to 0.87)81
Needle/injection
Acupuncture1224531.01 (0.78 to 1.23)890.85 (0.72 to 1.00)38
IACS64210.62 (0.29 to 0.95)800.68 (0.40 to 1.18)0
IAHA2533151.02 (0.87 to 1.18)840.84 (0.74 to 0.96)23
Surgical
Lavage44250.47 (0.15 to 0.78)770.93 (0.62 to 1.40)0
Overall16633 0620.98 (0.93 to 1.04)890.71 (0.67 to 0.75)56
StiffnessOral
Glucosamine915681.20 (0.77 to 1.63)950.82 (0.63 to 1.05)39
Chondroitin27930.48 (0.12 to 0.83)881.00 (0.77 to 1.30)0
Glucosamine+chondroitin27070.57 (−0.05 to 1.18)920.91 (0.72 to 1.15)0
Paracetamol36440.63 (0.31 to 0.95)830.95 (0.72 to 1.24)0
NSAIDs2987500.91 (0.84 to 0.99)780.73 (0.67 to 0.80)20
Physical/topical
PEMF63780.49 (0.22 to 0.76)660.71 (0.43 to 1.17)0
Topical NSAIDs1025781.01 (0.80 to 1.23)900.93 (0.84 to 1.03)0
Needle/injection
Acupuncture711810.93 (0.67 to 1.20)800.79 (0.66 to 0.94)0
IACS31680.65 (0.22 to 1.08)720.83 (0.34 to 2.04)0
IAHA324620.83 (0.67 to 1.00)820.88 (0.77 to 1.00)0
Surgical
Lavage22670.28 (0.04 to 0.53)441.00 (0.46 to 2.16)0
Overall9119 4900.83 (0.79 to 0.87)870.83 (0.79 to 0.87)1
  • IACS, intra-articular corticosteroid; IAHA, intra-articular hyaluronic acid; NSAIDs, non-steroidal anti-inflammatory drugs; PEMF, pulsed-electromagnetic field therapy.