Retrospective Case Series on Clinical and Functional Outcomes in 40 Osteoarthritis Patients Receiving a Nutraceutical Supplement in Real-World Practice
Background: Degenerative joint diseases are among the leading causes of chronic pain and disability in the adult population. Assessing the effect of therapeutic interventions in real-world clinical settings (Real World Practice) allows for the integration of randomized controlled trial (RCT) data with observational clinical insights. Objective: To evaluate, in daily clinical practice, the improvement of joint function and indirect parameters of cartilage quality in patients with degenerative arthropathy monitored over a 2-month period. Materials and Methods: A retrospective observational case series study was conducted on 40 patients with symptomatic osteoarthritis (OA). Participants were administered one sachet of a nutraceutical supplement daily for two months. Clinical evaluation occurred at baseline (T0), first follow-up (T1), and second follow-up (T2) using a structured questionnaire covering pain, stiffness, and functional limitation (analogous to VAS and WOMAC scales). Results: A progressive reduction in scores for pain, joint stiffness, and difficulty in daily activities was observed. Comparison across follow-up intervals showed significant symptomatic improvement compared to baseline, suggesting a favorable effect on primary osteoarthritis parameters. Conclusions: Results suggest that this nutraceutical formulation may improve symptoms associated with primary osteoarthritis. Further controlled studies with larger samples are required to confirm these encouraging findings.
References
[1]
Allen, K.D., Thoma, L.M. and Golightly, Y.M. (2022) Epidemiology of Osteoarthritis. OsteoarthritisandCartilage, 30, 184-195. https://doi.org/10.1016/j.joca.2021.04.020
[2]
Musumeci, G., Aiello, F., Szychlinska, M., Di Rosa, M., Castrogiovanni, P. and Mobasheri, A. (2015) Osteoarthritis in the XXIst Century: Risk Factors and Behaviours That Influence Disease Onset and Progression. InternationalJournalofMolecularSciences, 16, 6093-6112. https://doi.org/10.3390/ijms16036093
[3]
Giorgino, R., Albano, D., Fusco, S., Peretti, G.M., Mangiavini, L. and Messina, C. (2023) Knee Osteoarthritis: Epidemiology, Pathogenesis, and Mesenchymal Stem Cells: What Else Is New? An Update. InternationalJournalofMolecularSciences, 24, Article 6405. https://doi.org/10.3390/ijms24076405
[4]
Hoaglund, F.T. and Steinbach, L.S. (2001) Primary Osteoarthritis of the Hip: Etiology and Epidemiology. JournaloftheAmericanAcademyofOrthopaedicSurgeons, 9, 320-327. https://doi.org/10.5435/00124635-200109000-00005
[5]
Kalichman, L. and Hernández-Molina, G. (2010) Hand Osteoarthritis: An Epidemiological Perspective. SeminarsinArthritisandRheumatism, 39, 465-476. https://doi.org/10.1016/j.semarthrit.2009.03.001
[6]
Coppola, C., Greco, M., Munir, A., Musarò, D., Quarta, S., Massaro, M., et al. (2024) Osteoarthritis: Insights into Diagnosis, Pathophysiology, Therapeutic Avenues, and the Potential of Natural Extracts. CurrentIssuesinMolecularBiology, 46, 4063-4105. https://doi.org/10.3390/cimb46050251
[7]
Punwani, D., Zhang, Y., Yu, J., Cowan, M.J., Rana, S., Kwan, A., et al. (2016) Multisystem Anomalies in Severe Combined Immunodeficiency with Mutant BCL11B. NewEnglandJournalofMedicine, 375, 2165-2176. https://doi.org/10.1056/nejmoa1509164
[8]
Li, Y., Anderson, C.A., Drennen, J.K., Airiau, C. and Igne, B. (2018) Method Development and Validation of an Inline Process Analytical Technology Method for Blend Monitoring in the Tablet Feed Frame Using Raman Spectroscopy. AnalyticalChemistry, 90, 8436-8444. https://doi.org/10.1021/acs.analchem.8b01009
[9]
King, A., May, J., French, G. and Phillips, I. (2000) Comparative in Vitro Activity of Gemifloxacin. JournalofAntimicrobialChemotherapy, 45, 1. https://doi.org/10.1093/jac/45.suppl_3.1
[10]
Everest, D.J., Grierson, S.S., Meredith, A.L. and Milne, E.M. (2010) Adenovirus in a Red Squirrel (Sciurusvulgaris) from Scotland. VeterinaryRecord, 167, 184-184. https://doi.org/10.1136/vr.c3928
[11]
Nishie, A., Barloon, T. and Schreiber, A. (2009) Preaortic Interazygous Vein; Mimicker of Other Pathologies. ClinicalImaging, 33, 144-145. https://doi.org/10.1016/j.clinimag.2008.11.002
[12]
Iannitti, T., Di Cerbo, A., Cesar Morales-Medina, J. and Palmieri, B. (2015) Narrative Review of Telemedicine Consultation in Medical Practice. PatientPreferenceandAdherence, 9, 65-75. https://doi.org/10.2147/ppa.s61617
[13]
Di Cerbo, A. and Palmieri, B. (2012) The Economic Impact of Second Opinion in Pathology. Saudi Medical Journal, 33, 1051-1052.
[14]
Palmieri, B. and Iannitti, T. (2011) The Web Babel Syndrome. PatientEducationandCounseling, 85, 331-333. https://doi.org/10.1016/j.pec.2011.02.019
[15]
Honvo, G., Reginster, J., Rabenda, V., Geerinck, A., Mkinsi, O., Charles, A., et al. (2019) Safety of Symptomatic Slow-Acting Drugs for Osteoarthritis: Outcomes of a Systematic Review and Meta-Analysis. Drugs&Aging, 36, 65-99. https://doi.org/10.1007/s40266-019-00662-z
[16]
Bellamy, N., Buchanan, W.W., Goldsmith, C.H., Campbell, J. and Stitt, L.W. (1988) Validation Study of Womac: A Health Status Instrument for Measuring Clinically Important Patient Relevant Outcomes to Antirheumatic Drug Therapy in Patients with Osteoarthritis of the Hip or Knee. The Journal of Rheumatology, 15, 1833-1840.
[17]
Ng, W.J., Ong, S.L. and Hu, J.Y. (2001) The Effects of Water Reclamation Technologies on Biological Stability of Industrial Water. WaterScienceandTechnology, 43, 327-334. https://doi.org/10.2166/wst.2001.0653
[18]
Rocha Leite, M., Ramos, D., Navarro Bertolini, G., Soares Carvalho Junior, L.C., da Silva Pestana, P.R., Ribeiro dos Santos, V., et al. (2015) Is Dynamometry Able to Infer the Risk of Muscle Mass Loss in Patients with COPD? InternationalJournalofChronicObstructivePulmonaryDisease, 10, 1403-1407. https://doi.org/10.2147/copd.s69829
[19]
Liu, X., Machado, G.C., Eyles, J.P., Ravi, V. and Hunter, D.J. (2017) Dietary Supplements for Treating Osteoarthritis: A Systematic Review and Meta-Analysis. BritishJournalofSportsMedicine, 52, 167-175. https://doi.org/10.1136/bjsports-2016-097333
[20]
Aghamohammadi, D., Dolatkhah, N., Bakhtiari, F., Eslamian, F. and Hashemian, M. (2020) Nutraceutical Supplements in Management of Pain and Disability in Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. ScientificReports, 10, Article No. 20892. https://doi.org/10.1038/s41598-020-78075-x
[21]
Mathieu, S., Soubrier, M., Peirs, C., Monfoulet, L., Boirie, Y. and Tournadre, A. (2022) A Meta-Analysis of the Impact of Nutritional Supplementation on Osteoarthritis Symptoms. Nutrients, 14, Article 1607. https://doi.org/10.3390/nu14081607
[22]
Vo, N.X., Le, N.N.H., Chu, T.D.P., Pham, H.L., Dinh, K.X.A., Che, U.T.T., et al. (2023) Effectiveness and Safety of Glucosamine in Osteoarthritis: A Systematic Review. Pharmacy, 11, Article 117. https://doi.org/10.3390/pharmacy11040117