THE ANALYSIS STUDY OF ASSOCIATION OF PHARMACOLOGICAL TREATMENTS WITH LONG-TERM PAIN CONTROL IN PATIENTS WITH KNEE OSTEOARTHRITIS : A COMPREHENSIVE SYSTEMATIC REVIEW

Authors

  • Yosie Yulanda Putra Mayjen H.A. Thalib Regional General Hospital, Jambi, Indonesia
  • Deby Tri Lestari Faculty of Medicine, University of Jambi, Indonesia
  • Zikri Saputra Pertamedika Baiturrahim General Hospital, Jambi, Indonesia
  • Bella Merisa Liona Mayjen H.A. Thalib Regional General Hospital, Jambi, Indonesia

DOI:

https://doi.org/10.61841/jsg5sb93

Keywords:

KOA, knee, joint, CHM, PRP

Abstract

Background: Knee osteoarthritis (KOA) is a degenerative joint disease affecting 10 of males and 13 of women aged 60 or older. It causes joint discomfort, weakened muscles, and physical limitations. Treatment consists of surgical and non-surgical approaches, with knee arthroplasty being the most successful. Non-regenerative therapies like ozone, corticosteroids, and prolotherapy are popular but short-lived. Chinese herbal medicine (CHM) is widely used to treat KOA, targeting specific biological processes associated with the disease.

Methods: Following PRISMA 2020 guidelines, this systematic review concentrated on full-text English literature published between 2014 and 2024. Editorials and review articles that appeared in the same journal as the submission were not accepted without a DOI. A number of websites, including ScienceDirect, PubMed, and SagePub, were utilized to gather the literature.

Result: The study looked at more than 200 publications using reputable sources including Science Direct, SagePub, and PubMed. After it was decided that eight publications needed greater investigation, a more extensive review of the entire literature was carried out.

Conclusion: Knee osteoarthritis is a common disease affecting middle-aged and elderly individuals. Platelet-rich plasma (PRP) injections, combined with hyaluronic acid, can alleviate knee pain and improve function. However, the efficacy varies depending on the formulation. Traditional Chinese herbal medicine has shown potential in treating KOA, but its effectiveness and safety remain debatable due to limited clinical trials and methodological rigor

References

Crowley, J. L., & Soti, V. (2023). Platelet-Rich Plasma Therapy: An Effective Approach for Managing Knee Osteoarthritis. Cureus, 15(12), e50774. https://doi.org/10.7759/cureus.50774

Hamood, R., Tirosh, M., Fallach, N., Chodick, G., Eisenberg, E., & Lubovsky, O. (2021). Prevalence and Incidence of Osteoarthritis: A Population-Based Retrospective Cohort Study. Journal of clinical medicine, 10(18), 4282. https://doi.org/10.3390/jcm10184282

Sen R, Hurley JA. Osteoarthritis. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482326/

Wu, Z., Zhou, R., Zhu, Y., Zeng, Z., Ye, Z., Wang, Z., Liu, W., & Xu, X. (2022). Self-Management for Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Pain research & management, 2022, 2681240. https://doi.org/10.1155/2022/2681240

Arslan, I. G., Damen, J., de Wilde, M., van den Driest, J. J., Bindels, P. J. E., van der Lei, J., Schiphof, D., & Bierma-Zeinstra, S. M. A. (2022). Incidence and Prevalence of Knee Osteoarthritis Using Codified and Narrative Data From Electronic Health Records: A Population-Based Study. Arthritis care & research, 74(6), 937–944. https://doi.org/10.1002/acr.24861

Cram, P., Lu, X., Kates, S. L., Singh, J. A., Li, Y., & Wolf, B. R. (2012). Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA, 308(12), 1227–1236. https://doi.org/10.1001/2012.jama.11153

Pradelli, L., Sinigaglia, T., Migliore, A., Checchia, G. A., Franceschi, F., Frediani, B., Iannone, F., & Romanini, E. (2021). Non-Surgical Treatment of Knee Osteoarthritis: Multidisciplinary Italian Consensus on Best Practice. Therapeutics and clinical risk management, 17, 507–530. https://doi.org/10.2147/TCRM.S288196

Wee, T. C., Neo, E. J. R., & Tan, Y. L. (2021). Dextrose prolotherapy in knee osteoarthritis: A systematic review and meta-analysis. Journal of clinical orthopaedics and trauma, 19, 108–117. https://doi.org/10.1016/j.jcot.2021.05.015

Lin, Z., Zheng, J., Chen, M., Chen, J., & Lin, J. (2022). The Efficacy and Safety of Chinese Herbal Medicine in the Treatment of Knee Osteoarthritis: An Updated Systematic Review and Meta-Analysis of 56 Randomized Controlled Trials. Oxidative medicine and cellular longevity, 2022, 6887988. https://doi.org/10.1155/2022/6887988

Lao, L., Hochberg, M., Lee, D. Y. W., Gilpin, A. M. K., Fong, H. H. S., Langenberg, P., Chen, K., Li, E. K., Tam, L. S., & Berman, B. (2015). Huo-Luo-Xiao-Ling (HLXL)-Dan, a Traditional Chinese Medicine, for patients with osteoarthritis of the knee: a multi-site, randomized, double-blind, placebo-controlled phase II clinical trial. Osteoarthritis and cartilage, 23(12), 2102–2108. https://doi.org/10.1016/j.joca.2015.06.007

Maroon, J. C., Bost, J. W., & Maroon, A. (2010). Natural anti-inflammatory agents for pain relief. Surgical neurology international, 1, 80. https://doi.org/10.4103/2152-7806.73804

Pan, L., Zhou, J., Zhu, H., Wang, W., Zhang, M., Tian, X., Lu, J., & Zeng, M. (2014). Study on integrated pharmacokinetics of gardenia acid and geniposide: time-antioxidant efficacy after oral administration of Huanglian-Zhizi couplet medicine from Huang-Lian-Jie-Du-Tang in MCAO rats. The American journal of Chinese medicine, 42(2), 393–407. https://doi.org/10.1142/S0192415X14500268

Zhao, J., Huang, H., Liang, G., Zeng, L. F., Yang, W., & Liu, J. (2020). Effects and safety of the combination of platelet-rich plasma (PRP) and hyaluronic acid (HA) in the treatment of knee osteoarthritis: a systematic review and meta-analysis. BMC musculoskeletal disorders, 21(1), 224. https://doi.org/10.1186/s12891-020-03262-w

Huang, Z., Mao, X., Chen, J., He, J., Shi, S., Gui, M., Gao, H., & Hong, Z. (2022). The Efficacy and Safety of Zhengqing Fengtongning for Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Evidence-based complementary and alternative medicine : eCAM, 2022, 2768444. https://doi.org/10.1155/2022/2768444

Zhao, J., Yang, W., Liang, G., Luo, M., Pan, J., Liu, J., & Zeng, L. (2022). The efficacy and safety of Jinwu Gutong capsule in the treatment of knee osteoarthritis: A meta-analysis of randomized controlled trials. Journal of ethnopharmacology, 293, 115247. https://doi.org/10.1016/j.jep.2022.115247

Campbell, C. M., Mun, C. J., Hamilton, K. R., Bergeria, C. L., Huhn, A. S., Speed, T. J., Vandrey, R., & Dunn, K. E. (2023). Within-subject, double-blind, randomized, placebo-controlled evaluation of combining the cannabinoid dronabinol and the opioid hydromorphone in adults with chronic pain. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 48(11), 1630–1638. https://doi.org/10.1038/s41386-023-01597-1

Mintarjo, J. A., Poerwanto, E., & Tedyanto, E. H. (2023). Current Non-surgical Management of Knee Osteoarthritis. Cureus, 15(6), e40966. https://doi.org/10.7759/cureus.40966

Zeng, F., Wang, K., Duan, H., Xu, X. T., Kuang, G. Y., & Lu, M. (2023). Diacerein versus non-steroidal anti-inflammatory drugs in the treatment of knee osteoarthritis: a meta-analysis. Journal of orthopaedic surgery and research, 18(1), 308. https://doi.org/10.1186/s13018-023-03786-6

Cowan, K. J., Kleinschmidt-Dörr, K., Gigout, A., Moreau, F., Kraines, J., Townsend, R., Dolgos, H., & DeMartino, J. (2020). Translational strategies in drug development for knee osteoarthritis. Drug discovery today, 25(6), 1054–1064. https://doi.org/10.1016/j.drudis.2020.03.015

Cao, P., Li, Y., Tang, Y., Ding, C., & Hunter, D. J. (2020). Pharmacotherapy for knee osteoarthritis: current and emerging therapies. Expert Opinion on Pharmacotherapy, 21(7), 797–809. https://doi.org/10.1080/14656566.2020.1732924

Gupta, S., Paliczak, A., & Delgado, D. (2021). Evidence-based indications of platelet-rich plasma therapy. Expert review of hematology, 14(1), 97–108. https://doi.org/10.1080/17474086.2021.1860002

Babalonis, S., Lofwall, M. R., Sloan, P. A., Nuzzo, P. A., Fanucchi, L. C., & Walsh, S. L. (2019). Cannabinoid modulation of opioid analgesia and subjective drug effects in healthy humans. Psychopharmacology, 236(11), 3341–3352. https://doi.org/10.1007/s00213-019-05293-1

Nielsen, S., Picco, L., Murnion, B., Winters, B., Matheson, J., Graham, M., Campbell, G., Parvaresh, L., Khor, K. E., Betz-Stablein, B., Farrell, M., Lintzeris, N., & Le Foll, B. (2022). Opioid-sparing effect of cannabinoids for analgesia: an updated systematic review and meta-analysis of preclinical and clinical studies. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 47(7), 1315–1330. https://doi.org/10.1038/s41386-022-01322-4

Dobson, F., Hinman, R. S., Hall, M., Terwee, C. B., Roos, E. M., & Bennell, K. L. (2012). Measurement properties of performance-based measures to assess physical function in hip and knee osteoarthritis: a systematic review. Osteoarthritis and cartilage, 20(12), 1548–1562. https://doi.org/10.1016/j.joca.2012.08.015

Martel-Pelletier, J., & Pelletier, J. P. (2010). Effects of diacerein at the molecular level in the osteoarthritis disease process. Therapeutic advances in musculoskeletal disease, 2(2), 95–104. https://doi.org/10.1177/1759720X09359104

Moldovan, F., Pelletier, J. P., Jolicoeur, F. C., Cloutier, J. M., & Martel-Pelletier, J. (2000). Diacerhein and rhein reduce the ICE-induced IL-1beta and IL-18 activation in human osteoarthritic cartilage. Osteoarthritis and cartilage, 8(3), 186–196. https://doi.org/10.1053/joca.1999.0289

Domagala, F., Martin, G., Bogdanowicz, P., Ficheux, H., & Pujol, J. P. (2006). Inhibition of interleukin-1beta-induced activation of MEK/ERK pathway and DNA binding of NF-kappaB and AP-1: potential mechanism for Diacerein effects in osteoarthritis. Biorheology, 43(3,4), 577–587.

Chen, B., Zhan, H., Marszalek, J., Chung, M., Lin, X., Zhang, M., Pang, J., & Wang, C. (2016). Traditional Chinese Medications for Knee Osteoarthritis Pain: A Meta-Analysis of Randomized Controlled Trials. The American journal of Chinese medicine, 44(4), 677–703. https://doi.org/10.1142/S0192415X16500373

Zhang, Y. S., Han, J. Y., Iqbal, O., & Liang, A. H. (2018). Research Advances and Prospects on Mechanism of Sinomenin on Histamine Release and the Binding to Histamine Receptors. International journal of molecular sciences, 20(1), 70. https://doi.org/10.3390/ijms20010070

Zhang, W., Wang, S., Zhang, R., Zhang, Y., Li, X., Lin, Y., & Wei, X. (2016). Evidence of Chinese herbal medicine Duhuo Jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials. BMJ open, 6(1), e008973. https://doi.org/10.1136/bmjopen-2015-008973

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Published

2024-06-12

How to Cite

Yulanda Putra, Y., Tri Lestari, D. ., Saputra, Z., & Merisa Liona, B. . (2024). THE ANALYSIS STUDY OF ASSOCIATION OF PHARMACOLOGICAL TREATMENTS WITH LONG-TERM PAIN CONTROL IN PATIENTS WITH KNEE OSTEOARTHRITIS : A COMPREHENSIVE SYSTEMATIC REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 10(6), 72-80. https://doi.org/10.61841/jsg5sb93