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. 2006 Apr 19;2006(2):CD005321. doi: 10.1002/14651858.CD005321.pub2

Comparison 24. Hylan G‐F 20 versus triamcinolone hexacetonide.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 WOMAC pain walking on a flat surface (Question 1: 0‐4 Likert) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.1 5 to 13 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐0.65, ‐0.15]
1.2 14 to 26 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐0.40 [‐0.68, ‐0.12]
2 WOMAC physical function subscale (0‐68 Likert) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 5 to 13 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐5.0 [‐8.86, ‐1.14]
2.2 14 to 26 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐5.20 [‐9.10, ‐1.30]
3 WOMAC total score (0‐96 Likert) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 5 to 13 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐7.40 [‐12.74, ‐2.06]
3.2 14 to 26 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐7.30 [‐12.76, ‐1.84]
4 Patient global overall assessment (0‐100 mm VAS) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 5 to 13 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐13.40 [‐20.03, ‐6.77]
4.2 14 to 26 weeks post‐injection 1 215 Mean Difference (IV, Fixed, 95% CI) ‐15.10 [‐22.17, ‐8.03]
5 Number of responders (greater than or equal to one category on WOMAC pain Q1) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
5.1 1 to 4 weeks post‐injection 1 215 Risk Ratio (M‐H, Fixed, 95% CI) 1.21 [0.96, 1.53]
5.2 5 to 13 weeks post‐injection 1 215 Risk Ratio (M‐H, Fixed, 95% CI) 1.44 [1.09, 1.90]
5.3 14 to 26 weeks post‐injection 1 215 Risk Ratio (M‐H, Fixed, 95% CI) 1.44 [1.00, 2.09]
6 Analgesic usage 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 From week 0 to prior to week 12 1 215 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.97, 1.06]
6.2 From week 12 prior to week 26 1 153 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.64, 1.11]
7 Safety: total withdrawals overall 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8 Safety: withdrawals due to adverse event 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9 Safety: withdrawals due to lack of efficacy 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only