Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study

Background: Osteoarthritis (OA) of the peripheral joints is frequently related with physical disability and decline in health-related quality of life, deciphering into a significant burden on people and humankind. Although IA corticosteroid injections are being in clinical use, their long-term effec...

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Autores principales:	Rajeev Reddy Kikkuri, Viveksheel Kashyap, Alka Upadhay, Vaibhav Kumar, Karri Sandeep Reddy, Richa Singhal
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	corticosteroid osteoarthritis steroid injection Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
Acceso en línea:	https://doaj.org/article/84d7845ab5f746f18508dbb2514b64e6
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spelling	oai:doaj.org-article:84d7845ab5f746f18508dbb2514b64e62021-11-19T12:15:52ZEffect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study0975-740610.4103/jpbs.jpbs_301_21https://doaj.org/article/84d7845ab5f746f18508dbb2514b64e62021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1162;epage=1167;aulast=Kikkurihttps://doaj.org/toc/0975-7406Background: Osteoarthritis (OA) of the peripheral joints is frequently related with physical disability and decline in health-related quality of life, deciphering into a significant burden on people and humankind. Although IA corticosteroid injections are being in clinical use, their long-term effects on knee OA are least studied and documented. Hence, the study was done with the aim of assessing the effect of intra-articular (IA) injection of corticosteroid in patients with OA of the knee. Methods: This prospective observational study was conducted over a period of 6 months between 40 years and 75 years with Grade I and II OA of the knee admitted under the Department of Orthopaedics, Tertiary Care Hospital, Belgaum. Patients' affected knee was injected with 80 mg of triamcinolone after the examination, and follow-ups had done at 2 weeks, 6 weeks, 3 months, and 6 months. The standard pro forma used were Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: The mean age of the participants was 58.96 ± 9.58, ranging from 40 to 75 years, with a slightly higher proportion of females. The proportion of Grade 1 and Grade II OA was 24% and 76%, respectively, and 54.7% had right-sided involvement. The difference between pre Rx: Pre intervention VAS score VAS score and follow-up periods at 2 weeks, 6 weeks, 3 months, and 6 months was statistically significant with respect to VAS scale, KOOS scale, and WOMAC scale (P < 0.001). Conclusion: there was no major adverse effect of corticosteroid injections, and it showed significant improvement in patients. There is a need to conduct large-scale well-controlled clinical trials with an appropriate control group, to be able to document the relative efficacy and safety of IA steroid injection.Rajeev Reddy KikkuriViveksheel KashyapAlka UpadhayVaibhav KumarKarri Sandeep ReddyRicha SinghalWolters Kluwer Medknow Publicationsarticlecorticosteroidosteoarthritissteroid injectionPharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1162-1167 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	corticosteroid osteoarthritis steroid injection Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
spellingShingle	corticosteroid osteoarthritis steroid injection Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142 Rajeev Reddy Kikkuri Viveksheel Kashyap Alka Upadhay Vaibhav Kumar Karri Sandeep Reddy Richa Singhal Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
description	Background: Osteoarthritis (OA) of the peripheral joints is frequently related with physical disability and decline in health-related quality of life, deciphering into a significant burden on people and humankind. Although IA corticosteroid injections are being in clinical use, their long-term effects on knee OA are least studied and documented. Hence, the study was done with the aim of assessing the effect of intra-articular (IA) injection of corticosteroid in patients with OA of the knee. Methods: This prospective observational study was conducted over a period of 6 months between 40 years and 75 years with Grade I and II OA of the knee admitted under the Department of Orthopaedics, Tertiary Care Hospital, Belgaum. Patients' affected knee was injected with 80 mg of triamcinolone after the examination, and follow-ups had done at 2 weeks, 6 weeks, 3 months, and 6 months. The standard pro forma used were Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: The mean age of the participants was 58.96 ± 9.58, ranging from 40 to 75 years, with a slightly higher proportion of females. The proportion of Grade 1 and Grade II OA was 24% and 76%, respectively, and 54.7% had right-sided involvement. The difference between pre Rx: Pre intervention VAS score VAS score and follow-up periods at 2 weeks, 6 weeks, 3 months, and 6 months was statistically significant with respect to VAS scale, KOOS scale, and WOMAC scale (P < 0.001). Conclusion: there was no major adverse effect of corticosteroid injections, and it showed significant improvement in patients. There is a need to conduct large-scale well-controlled clinical trials with an appropriate control group, to be able to document the relative efficacy and safety of IA steroid injection.
format	article
author	Rajeev Reddy Kikkuri Viveksheel Kashyap Alka Upadhay Vaibhav Kumar Karri Sandeep Reddy Richa Singhal
author_facet	Rajeev Reddy Kikkuri Viveksheel Kashyap Alka Upadhay Vaibhav Kumar Karri Sandeep Reddy Richa Singhal
author_sort	Rajeev Reddy Kikkuri
title	Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
title_short	Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
title_full	Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
title_fullStr	Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
title_full_unstemmed	Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study
title_sort	effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – a hospital-based cross-sectional study
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/84d7845ab5f746f18508dbb2514b64e6
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Effect of intra-articular injection of corticosteroid in the patients with osteoarthritis of the knee – A hospital-based cross-sectional study

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