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A Meta-Analytical Study Appraising the Effectiveness and Safety of Diclofenac Sodium for Senescent Knee Arthritis Treatment

2024· article· en· W4391227319 on OpenAlexaboutno aff
Rui Zhang, Yong Yu, Jay L. Xue, Lu Zhang, Jinlong Jiang

Bibliographic record

VenueIndian Journal of Pharmaceutical Sciences · 2024
Typearticle
Languageen
FieldMedicine
TopicOsteoarthritis Treatment and Mechanisms
Canadian institutionsnot available
Fundersnot available
KeywordsDiclofenac SodiumDiclofenacMedicineArthritisMeta-analysisPharmacologyInternal medicine

Abstract

fetched live from OpenAlex

The analysis yielded significant revelations regarding the effectiveness and safety of utilizing diclofenac sodium as a treatment choice for knee osteoarthritis in the elderly population. The keywords "diclofenac sodium" and "knee osteoarthritis" were used to search the Chinese National Knowledge Infrastructure and Wanfang databases, while the terms "diclofenac" and "knee osteoarthritis" were employed to search Web of Science, Embase, Cochrane Library and PubMed. Two assessors independently evaluated the quality of the included articles using the Cochrane scoring system. Extraction of data from the selected studies was performed, and the effect of diclofenac sodium was quantified through meta-analysis with RevMan 5.3. Following the process of literature search, selection, and quality assessment, a total of 8 studies were identified as suitable for incorporation in the meta-analysis. The meta-analysis results indicated that participants in the diclofenac sodium experimental group experienced significant enhancements in Western Ontario and McMaster universities osteoarthritis index pain, physical function, and stiffness scores, surpassing those of the control group. Furthermore, the experimental group displayed a superior treatment efficacy. According to the meta-analysis results, the diclofenac sodium experimental group demonstrated a higher occurrence of gastrointestinal adverse events than the control group. In opposition, no significant discrepancy was detected in the occurrence of skin and other adverse events between the two groups. This meta-analysis conclusively established that diclofenac sodium exerts statistically significant effects on pain, physical function, and stiffness improvement in elderly patients suffering from knee osteoarthritis. Taking into account the results of this meta-analysis and systematic review, diclofenac sodium can be recommended as a primary non-surgical treatment option for knee osteoarthritis in elderly individuals. Nonetheless, healthcare professionals should closely monitor and manage the occurrence of gastrointestinal adverse events.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.939
Threshold uncertainty score0.322

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.110
GPT teacher head0.405
Teacher spread0.295 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designOther design
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes1
Has abstractyes

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