Evidence map›Paper›PMID 19035482›Full record

ArticleArthritis and rheumatism2008

Inverse association of general joint hypermobility with hand and knee osteoarthritis and serum cartilage oligomeric matrix protein levels.

Hsiang-Cheng Chen, Svati H Shah, Yi-Ju Li, Thomas V Stabler, Joanne M Jordan, Virginia Byers Kraus

Abstract read
In one paragraph

Article in Arthritis and rheumatism, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. [Hypermobility-Importance in rheumatology].Zeitschrift fur Rheumatologie · 2025
    Review
  3. Article
  4. [Expression of cartilage oligomeric matrix protein in the synovial chondromatosis of the temporomandibular joint].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Serum level of cartilage oligomeric matrix protein is lower in children with idiopathic scoliosis than in non-scoliotic controls.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2015
    Article
  11. Article
  12. Epidemiology of osteoarthritis.Clinics in geriatric medicine · 2010
    Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Hsiang-Cheng ChenDuke University Medical Center, Durham, North Carolina 27710, USA.
Svati H Shah
Yi-Ju Li
Thomas V Stabler
Joanne M Jordan
Virginia Byers Kraus
Duke University · USDuke University Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

Taste and smell enhancement in older cancer patientsP60AG011268 · NIA · DUKE UNIVERSITY · PI COHEN, HARVEY JAY · 1992 to 2005
$5.8M
NIA NIH HHS 2-P60AG11268NIA NIH HHS P60 AG011268
6 · The paper itself

Abstract

objectiveExtensive joint hypermobility, lower serum cartilage oligomeric matrix protein (COMP) levels, and early-onset osteoarthritis (OA) are phenotypes of inherited pseudoachondroplasia and multiple epiphyseal dysplasia. However, few studies have evaluated the association between articular hypermobility and primary OA. We undertook the present study to evaluate this association and to test the hypothesis that COMP levels are associated with hypermobility in patients with OA and individuals without OA.

methodsTwo separate cohorts were available for analysis, the CARRIAGE (CARolinas Region Interaction of Aging Genes and Environment) extended family and a subset of the GOGO (Genetics of Generalized Osteoarthritis) sibpair cohort. In the CARRIAGE family, we performed hand and knee examinations and hypermobility evaluations (Beighton criteria) and obtained sera for measurement of COMP and hyaluronan (HA). Data on COMP and HA levels and extensive joint radiographic and hypermobility data were also available for the GOGO cohort.

resultsThe prevalence of hypermobility was 13% in the CARRIAGE family and 5% in the GOGO cohort. In the CARRIAGE family, hypermobility was associated with a significantly reduced prevalence of hand (especially proximal interphalangeal joint) and knee OA and lower mean serum COMP levels, both in the total cohort and in non-hand-OA subgroups. These results were further validated in the GOGO subsets without radiographic OA, in which hypermobility was also associated with a significantly reduced mean serum COMP level (P < 0.0001 adjusted for age). Serum HA levels did not differ in relation to hypermobility in either cohort.

conclusionThe present results indicate that there is an inverse relationship between hypermobility and hand and knee OA, and that hypermobility is associated with lower serum COMP levels. Genetic variations of the COMP gene may account for some subgroups of benign joint hypermobility.

Indexed as

Age of OnsetBiomarkersCartilage Oligomeric Matrix ProteinCohort StudiesExtracellular Matrix ProteinsGlycoproteinsHandHumansHyaluronic AcidJoint InstabilityMatrilin ProteinsOsteoarthritis, KneePhenotypePrevalenceBiomarkersCartilage Oligomeric Matrix ProteinExtracellular Matrix ProteinsGlycoproteinsHyaluronic AcidMatrilin ProteinsTSP5 protein, human

Identifiers

PMID19035482
PMCPMC3698615
OpenAlexW2025619386

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.