Towards prevention of post-traumatic osteoarthritis: report from an international expert working group on considerations for the design and conduct of interventional studies following acute knee injury

Journal article


Publication Details

Author(s): Watt FE, Corp N, Kingsbury SR, Frobell R, Englund M, Felson DT, Levesque M, Majumdar S, Wilson C, Beard DJ, Lohmander LS, Kraus VB, Roemer F, Conaghan PG, Mason DJ
Journal: Osteoarthritis and Cartilage
Publication year: 2019
Volume: 27
Journal issue: 1
Pages range: 23-33
ISSN: 1063-4584


Abstract

OBJECTIVE: There are few guidelines for clinical trials of interventions for prevention of post-traumatic osteoarthritis (PTOA), reflecting challenges in this area. An international multi-disciplinary expert group including patients was convened to generate points to consider for the design and conduct of interventional studies following acute knee injury.
DESIGN: An evidence review on acute knee injury interventional studies to prevent PTOA was presented to the group, alongside overviews of challenges in this area, including potential targets, biomarkers and imaging. Working groups considered pre-identified key areas: eligibility criteria and outcomes, biomarkers, injury definition and intervention timing including multi-modality interventions. Consensus agreement within the group on points to consider was generated and is reported here after iterative review by all contributors.
RESULTS: The evidence review identified 37 studies. Study duration and outcomes varied widely and 70% examined surgical interventions. Considerations were grouped into three areas: justification of inclusion criteria including the classification of injury and participant age (as people over 35 may have pre-existing OA); careful consideration in the selection and timing of outcomes or biomarkers; definition of the intervention(s)/comparator(s) and the appropriate time-window for intervention (considerations may be particular to intervention type). Areas for further research included demonstrating the utility of patient-reported outcomes, biomarkers and imaging outcomes from ancillary/cohort studies in this area, and development of surrogate clinical trial endpoints that shorten the duration of clinical trials and are acceptable to regulatory agencies.
CONCLUSIONS: These considerations represent the first international consensus on the conduct of interventional studies following acute knee joint trauma.


FAU Authors / FAU Editors

Roemer, Frank Prof. Dr.
Radiologisches Institut


External institutions with authors

AbbVie Inc.
Boston University
Cardiff and Vale University Health Board
Cardiff University
Duke University
Lund University / Lunds universitet
University of California San Francisco (UCSF)
University of Keele
University of Leeds
University of Oxford


How to cite

APA:
Watt, F.E., Corp, N., Kingsbury, S.R., Frobell, R., Englund, M., Felson, D.T.,... Mason, D.J. (2019). Towards prevention of post-traumatic osteoarthritis: report from an international expert working group on considerations for the design and conduct of interventional studies following acute knee injury. Osteoarthritis and Cartilage, 27(1), 23-33. https://dx.doi.org/10.1016/j.joca.2018.08.001

MLA:
Watt, F. E., et al. "Towards prevention of post-traumatic osteoarthritis: report from an international expert working group on considerations for the design and conduct of interventional studies following acute knee injury." Osteoarthritis and Cartilage 27.1 (2019): 23-33.

BibTeX: 

Last updated on 2019-08-03 at 01:08