Chondroitin sulfate slightly improves hand osteoarthritis
PainSci summary of Gabay 2011?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focussed on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided at the bottom of the page, as often as possible. ★★★☆☆?3-star ratings are for typical studies with no more (or less) than the usual common problems. Ratings are a highly subjective opinion, and subject to revision at any time. If you think this paper has been incorrectly rated, please let me know.
It was a bit hard to believe my eyes when I first read this abstract. On a 100mm VAS (pain scale), the treatment group was just “8.77mm happier” with their hands. With a p=.02. And then the conclusion is that chondroitin sulfate “improves hand pain”? My my, that is a lovely demonstration of the abuse of statistical significance! (See Statistical Significance Abuse.)
Basically what the researchers found is a chance that chondroitin makes a small difference in arthritis pain. It’s not nothing, but it is an unimpressive result. The authors’ interpretation is like taking the dog to the end of the driveway and saying you took him for a walk. Technically true …
OBJECTIVE: To evaluate the symptomatic effect of highly purified chondroitin sulfate (CS) in patients with hand osteoarthritis (OA).
METHODS: This investigator initiated, single-center, randomized, placebo-controlled, double-blind, clinical trial included 162 symptomatic patients with radiographic hand OA (ACR criteria). Inclusion criteria included global spontaneous hand pain on a 0-100 mm visual analogue scale (VAS) of at least 40 mm, and a level of functional impairment of at least 6 on the Functional Index for Hand OA (FIHOA: 0-30 scale), in the most symptomatic hand. Patients received either 800 mg CS (n=80 patients) or placebo (n= 82 patients) once daily for 6 months and were analyzed in an intent-to-treat approach. The two primary outcomes were the change from baseline to month 6 in global spontaneous hand pain and in hand function. Secondary outcomes were improvement in grip strength, duration of morning stiffness, acetaminophen consumption, and a global impression of efficacy.
RESULTS: Decrease in global hand pain was significantly more pronounced in the CS than in the placebo group (VAS: -8.7 mm, P=0.02). Hand function improved significantly more in the CS than in the placebo group (FIHOA: -2.14, P=0.008). There was a statistically significant difference between groups in favour of CS for the duration of morning stiffness and for the global impression on treatment efficacy. Evolution of grip strength, acetaminophen consumption, and safety endpoints were not significantly different between the two groups.
CONCLUSION: This study demonstrates that CS improves hand pain and function in symptomatic hand OA, with a good safety profile.
These two articles on PainScience.com cite Gabay 2011 as a source:
- PS Can Supplements Help Arthritis and Other Aches and Pains? — Debunkery and analysis of supplements and food-like medicines (nutraceuticals), especially glucosamine, chondroitin, and creatine, mostly as they relate to pain
- PS Statistical Significance Abuse — A lot of research makes scientific evidence seem more “significant” than it is