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Evidence found and GRADE certainty

21 questions · 23 findings · 1 reviews · Musculoskeletal

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No studies found 11 · 47.8%GRADE not reported 0 · 0%Very low 8 · 34.8%Low 2 · 8.7%Moderate 2 · 8.7%High 0 · 0%

Balneotherapy vs drug treatment

Improvement Global improvement on 5‐point scale (very good/good/fair/poor/very poor) · patients with rheumatoid arthritis

It is very uncertain whether balneotherapy changes improvement Global improvement on 5‐point scale (very… compared with drug treatment (very low certainty).

1 finding from 1 review

Balneotherapy vs placebo

Improvement Yes/no based on 5 outcome measures (> 30% reduction in number of swollen joints, > 30% reduction in number of tender joints, > 20% improvement in patient VAS for severity of pain and > 20% improvement in physician VAS) · patients with rheumatoid arthritis

It is very uncertain whether balneotherapy changes improvement Yes/no based on 5 outcome measures (> 30% reduction in… compared with placebo (very low certainty).

1 finding from 1 review

Additional radon in carbon dioxide baths vs carbon dioxide baths only

Improvement More than 1 category change in pain intensity on 4‐point scale (no pain/sporadic/daily/continuous) · patients with rheumatoid arthritis

Additional radon in carbon dioxide baths showed no clear difference in improvement More than 1 category change in pain intensity on 4‐point… compared with carbon dioxide baths only (low certainty).

2 findings from 1 review