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      Comparative efficacy and safety of injection therapies for knee osteoarthritis : A protocol for systematic review and Bayesian network meta analysis

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          Abstract

          Introduction:

          There are many injection methods for the treatment of knee osteoarthritis, but there is no comprehensive comparison, based on the fixed effect model.

          Methods:

          According to the retrieval strategy, we searched randomized controlled trials (RCTs) randomly from PubMed, the Cochrane Library, Embase, the China National Knowledge Infrastructure (CNKI), Wanfang Database from their inceptions to August 2020, and 2 members of us selected literatures and extracted data independently. Methodological quality was assessed by using the Cochrane bias risk tool, and meta-analysis was performed by using the Stat.14.0.

          Results:

          This study will evaluate the effectiveness and safety of different injectable drugs for the treatment of knee osteoarthritis and rank the efficacies of drugs, then to determine the optimal treatment.

          Conclusion:

          This study will provide evidence for the choice of injection therapy for knee osteoarthritis.

          INPLASY registration number:

          INPLASY202080099.

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          Most cited references28

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          GRADE: an emerging consensus on rating quality of evidence and strength of recommendations.

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            AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both

            The number of published systematic reviews of studies of healthcare interventions has increased rapidly and these are used extensively for clinical and policy decisions. Systematic reviews are subject to a range of biases and increasingly include non-randomised studies of interventions. It is important that users can distinguish high quality reviews. Many instruments have been designed to evaluate different aspects of reviews, but there are few comprehensive critical appraisal instruments. AMSTAR was developed to evaluate systematic reviews of randomised trials. In this paper, we report on the updating of AMSTAR and its adaptation to enable more detailed assessment of systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. With moves to base more decisions on real world observational evidence we believe that AMSTAR 2 will assist decision makers in the identification of high quality systematic reviews, including those based on non-randomised studies of healthcare interventions.
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              Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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                Author and article information

                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MEDI
                Medicine
                Lippincott Williams & Wilkins (Hagerstown, MD )
                0025-7974
                1536-5964
                20 November 2020
                20 November 2020
                : 99
                : 47
                : e22943
                Affiliations
                [a ]Jiangxi University of Traditional Chinese Medicine
                [b ]Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, China.
                Author notes
                []Correspondence: RiXin Chen, Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, China (e-mail: 13870995605@ 123456163.com ).
                Author information
                http://orcid.org/0000-0002-2507-0609
                Article
                MD-D-20-08459 22943
                10.1097/MD.0000000000022943
                7676524
                33217798
                006f5d38-02e8-43eb-a9a8-ab5172fdbd6b
                Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

                History
                : 24 September 2020
                : 28 September 2020
                Funding
                Funded by: The National Natural Science Foundation of China
                Award ID: 81860877
                Award Recipient : Lin Jiao
                Funded by: The National Natural Science Foundation of China
                Award ID: 81660821
                Award Recipient : Lin Jiao
                Funded by: Jiangxi Provincial Science and Technology Department Major Project Innovation Fund Project
                Award ID: 20181BBG70047
                Award Recipient : ting yu
                Categories
                3800
                Research Article
                Study Protocol Systematic Review
                Custom metadata
                TRUE

                injection therapy,knee osteoarthritis,protocol,systematic review

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