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We read with interest the milestone work in the Annals of the Rheumatic Diseases by Mahler and colleagues1 on the effectiveness of low-dose radiation therapy (LDRT) on symptoms in patients with knee osteoarthritis (OA). The authors have conducted a series of studies to investigate the effects of LDRT on OA, which compensate the lack of high-level evidence in the medical literature, and inevitably forcing us to re-examine the true effectiveness of LDRT on OA in real-world clinical practice.1–3 The group should be applauded for their accomplishments. In this well-designed and well-conducted randomised, double-blinded, sham-controlled trial, they found no substantial beneficial effect on symptoms and …
Footnotes
Handling editor Josef Smolen
Contributors X-DW contributed substantially to conception and design; drafted the article; gave final approval of the version to be published; agreed to act as guarantor of the work. K-JH contributed substantially to drafting the article; gave final approval of the version to be published; agreed to act as guarantor of the work. B-YX contributed substantially to drafting the article; gave final approval of the version to be published; agreed to act as guarantor of the work. WH contributed substantially to conception and design; revised it critically for important intellectual content; gave final approval of the version to be published; agreed to act as guarantor of the work.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.