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Effectiveness of Diclofenac versus Paracetamol in primary care patients with knee osteoarthritis.

Completed
Conditions
Knee osteoarthritis, pain, General Practitioner, NSAID, Paracetamol
Registration Number
NL-OMON21842
Lead Sponsor
Erasmus MC, Department of general practice
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
154
Inclusion Criteria

1. Patients consulting for a new episode with non-traumatic knee pain in the general practice.

2. Complying to the clinical American College of Rheumatology (ACR) criteria for osteoarthrosis of the knee.

Exclusion Criteria

1. Contra-indication for NSAID or Paracetamol use (these are: Gastrointestinal bleedings in history or active, blood dyscrasia, bone marrow depression, serious heart failure, serious liver or kidney disease (glomerular filtration < 30 ml/min), known alcoholism, Colitis Ulcerosa, Crown disease, sulphite hypersensitivity, appearance of asthma, urticaria, angioedema, nasal polyps or rhinitis after use of acetylsalicylic acid or other prostaglandin synthetase inhibitors, or use of anti-depressives (SSRIs).

2. An arthroplasty or osteotomy of the knee in contralateral or unilateral side.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pain and function measured with the Knee Injury and <br>Osteoarthritis Outcome Score (KOOS).<br><br><br>
Secondary Outcome Measures
NameTimeMethod
1.Patients’ perceived pain measured on a 11 point numerical rating scale (NRS) (0= no <br>pain; 10= unbearable pain).<br /><br>2.Patients’ quality of life using the EuroQol instrument EQ-5D.<br /><br>3.All direct medical and patient costs (TIC-P Questionnaire) and indirect costs (PRODISQ).<br /><br>4.Compliance to the therapy.<br /><br>5.Co-interventions (e.g. changes in doses of co-medication).<br /><br>6.Adverse reactions.<br>
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