Cochrane · systematic review · CD010538

Topical herbal therapies for treating osteoarthritis

Cameron, M, Chrubasik, S · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
19
current version
GRADE rated
11
No studies
8
Included studies
NR
No studies 8 · 42.1%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 11 · 57.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Arnica versus ibuprofen for osteoarthritis of the hand

Population: patients with osteoarthritis of the hand
6 questions
OutcomeEffectEvidenceStatus / GRADE
Pain VAS 0 to 100 (higher scores means worse)
Arnica vs ibuprofen
no estimate extracted1 study · 174 participantsModerate
Downgraded: imprecision
Function Hand algofunctional index (higher scores means worse)
Arnica vs ibuprofen
no estimate extracted1 study · 174 participantsModerate
Downgraded: imprecision
Adverse events Participants (n) reported events
Arnica vs ibuprofen
RR 1.65 [0.72, 3.76]1 study · 204 participantsModerate
Downgraded: imprecision
Adverse events Participants (n) withdrew due to adverse effects
Arnica vs ibuprofen
no estimate extractedNRNo studies
Adverse events Participants (n) reported serious adverse events
Arnica vs ibuprofen
no estimate extractedNRNo studies
Quality of life
Arnica vs ibuprofen
no estimate extractedNRNo studies

Capsicum for osteoarthritis of the knee

Population: patients with osteoarthritis of the knee
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain VAS 0‐100 (higher means worse)
no estimate extracted1 study · 99 participantsModerate
Downgraded: imprecision
Function WOMAC 0‐4 (Function; higher means worse)
no estimate extracted1 study · 99 participantsModerate
Downgraded: imprecision
Function WOMAC 0‐4 (Overall; higher means worse)
no estimate extracted1 study · 99 participantsModerate
Downgraded: imprecision
Adverse events Event episodes (n) reported
Rate Ratio 4.12 [3.3, 5.17]1 study · 676 participantsModerate
Downgraded: imprecision
Adverse events Participants (n) withdrew due to adverse effects
no estimate extractedNRNo studies
Adverse events Participants (n) reported serious adverse events
no estimate extractedNRNo studies
Quality of Life
no estimate extractedNRNo studies

Comfrey for osteoarthritis of the knee

Population: patients with osteoarthritis of the knee
6 questions
OutcomeEffectEvidenceStatus / GRADE
Pain VAS 0‐100 (higher means worse)
no estimate extracted1 study · 220 participantsModerate
Function: change from baseline WOMAC VAS (Function; higher means worse)
no estimate extracted1 study · 220 participantsModerate
Adverse events Participants (n) reported adverse events
RR 0.47 [0.2, 1.1]1 study · 220 participantsModerate
Adverse events Participants (n) withdrew due to adverse effects
no estimate extractedNRNo studies
Adverse events Participants (n) reported serious adverse events
no estimate extractedNRNo studies
Quality of life SF‐36 4
no estimate extracted1 study · 220 participantsModerate