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Clinical Trials/NL-OMON48857
NL-OMON48857CompletedPhase 4

Effectiveness in knee osteoarthritis of an intramuscular gluteal corticosteroid injection versus an intra-articular corticosteroid injection in general practice: a multicenter pragmatic randomized trial - Knee Osteoarthritis Injection Trial

Huisartsgeneeskunde0 sites140 target enrollmentStarted: TBDLast updated:
Conditions

Trial Snapshot

Phase
Phase 4
Status
Completed
Sponsor
Enrollment
140

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional

Eligibility Criteria

Ages
18 to 99 (—)

Inclusion Criteria

  • 1) contacted their general practitioner (consultation and/or repeat pain
  • medication prescription) due to knee osteoarthritis (ICPC L90 or L15 with
  • unequivocal diagnosis of osteoarthritis) during the past five years;
  • 2) aged 45 years and over;
  • 3) symptomatic knee osteoarthritis for at least 3 months prior to enrolment;
  • 4) a minimum score of 3 on the numerical rating scale asking about the severity
  • of knee pain averaged over the last week (0-10; 0<=no knee pain);
  • 5) corticosteroid injection is indicated in this patient;
  • 6) signed informed consent form., If a patient has bilateral knee
  • osteoarthritis, the most painful knee according to the patient will be selected
  • as the study knee.

Exclusion Criteria

  • 1) use of oral corticosteroids;
  • 2) intra-articular injection in a knee in the previous 6 months;
  • 3) allergy to corticosteroids;
  • 4) local or systemic infection, after recent vaccination with live attenuated
  • 5) diabetes mellitus type 1, diabetes mellitus type 2 on insulin therapy,
  • poorly controlled diabetes mellitus type 2;
  • 6) presence of inflammatory rheumatic diseases (such as rheumatoid arthritis,
  • psoriatic arthritis, spondylartropathies);
  • 7) coagulopathy, use of anticoagulants, use of dual antiplatelet therapy;
  • 8) a history of gastric/duodenal ulcer or a present gastric/duodenal ulcer;
  • 9) under the care of an orthopaedic surgeon for osteoarthritis of the hip
  • and/or knee;
  • 10) corticosteroid injection is not indicated in this patient;
  • 11) unable to complete questionnaires in Dutch;
  • 12) unable to give informed consent.

Investigators

Sponsor
Huisartsgeneeskunde

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