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At
the annual European congress of rheumatology in Vienna
Karel Pavelka, M.D., reported on his last 5 year follow up
research study suggesting some merits with use of glucosamine.
“The use of oral glucosamine by patients with knee
osteoarthritis results in a marked reduction in need for
knee replacement surgery for at least 5 years after the
drug is stopped”, He reported on a new 5-year follow-up
data from his previously reported double-blind
placebo-controlled trial involving 202 patients with
knee osteoarthritis randomized to oral glucosamine
sulfate at 1,500 mg once daily or placebo for 3 years
.“During the next 5 years after the 3-year trial ended
and patients were back on standard conservative
management, 11 of 67 patients formerly in the placebo
arm underwent total knee replacement, as did 3 of 69
previously on glucosamine. This represents a 73%
reduction in the risk of surgical knee replacement. The
number of patients who needed to be treated with
glucosamine instead of placebo to avoid one additional
knee replacement was eight”, told the conference
attendees, Dr. Pavelka of Charles University, Prague,
Czech Republic.
In his study the
scientist observed Glucosamine resulted in
radiographically changes in joint structure that
persisted for years after treatment ended. “This is the
most likely explanation for the observed reduction in
knee replacement”, the rheumatologist adds. The
conference was sponsored by the European League Against
Rheumatism.” Indeed, only 5% of patients on glucosamine
had more than 5 mm of joint space narrowing during the
3-year active treatment phase, compared with 14% in the
placebo arm. And this degree of joint space narrowing
during the first 3 years of the study was associated
with a 3.2-fold increased risk of total knee replacement
during the subsequent 5 years.” Dr. Pavelka
confirmed.
This study supports the previous findings about Glucosamine
and the beneficial effects of it on osteoarthritis.
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