Evidence map›Paper›PMID 25278071›Full record

ArticleOsteoarthritis and cartilage2014

Synovial pathology detected on ultrasound correlates with the severity of radiographic knee osteoarthritis more than with symptoms.

M Hall, S Doherty, P Courtney, K Latief, W Zhang, M Doherty

Open access · bronzeAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

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  19. Machine Learning in Rheumatic Diseases.Clinical reviews in allergy & immunology · 2021
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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 2 institutions in 1 country.

M HallAcademic Rheumatology, University of Nottingham, UK; School of Health Sciences, University of Nottingham, UK. Electronic address: michelle.hall@nottingham.ac.uk.
S DohertyAcademic Rheumatology, University of Nottingham, UK. Electronic address: sally.doherty@nottingham.ac.uk.
P CourtneyNottingham University Hospitals NHS Trust, UK. Electronic address: philip.courtney@nuh.nhs.uk.
K LatiefNottingham University Hospitals NHS Trust, UK. Electronic address: khalid.latief@nuh.nhs.uk.
W ZhangAcademic Rheumatology, University of Nottingham, UK. Electronic address: weiya.zhang@nottingham.ac.uk.
M DohertyAcademic Rheumatology, University of Nottingham, UK. Electronic address: michael.doherty@nottingham.ac.uk.
University of Nottingham · GBNottingham University Hospitals NHS Trust · GB

Funding

Arthritis Research UK 18860Versus Arthritis 18861
6 · The paper itself

Abstract

objectiveTo [1] compare the frequency and severity of ultrasound (US) features in people with normal knees (controls), knee pain (KP), asymptomatic radiographic OA (ROA), and symptomatic OA (SROA), [2] examine relationships between US features, pain and radiographic severity, [3] explore the relationship between change in pain and US features over a 3-month period.

methodCommunity participants were recruited into a multiple group case-control study. All underwent assessment for pain, knee radiographs and US examination for effusion, synovial hypertrophy, popliteal cysts and power Doppler (PD) signal within the synovium. A 3-month follow-up was undertaken in over half of control and SROA participants.

results243 participants were recruited (90 controls; 59 KP; 32 ROA; 62 SROA). Effusion and synovial hypertrophy were more common in ROA and SROA participants. Severity of effusion and synovial hypertrophy were greater in SROA compared to ROA (P < 0.05). Severity of US effusion and synovial hypertrophy were correlated with radiographic severity (r = 0.6 and r = 0.7, P < 0.01) but the relationship between pain severity and US features was weak (r = 0.3, P < 0.01). In SROA participants, pain severity did not change in tandem with a change in synovial hypertrophy over time.

conclusionUS abnormalities are common in OA. Effusion and synovial hypertrophy were moderately correlated with radiographic severity but the relationship with pain is less strong. The degree to which these features reflect "active inflammation" is questionable and they may be better considered as part of the total organ pathology in OA. Further studies are warranted to confirm these findings.

Indexed as

AgedAged, 80 and overArthralgiaAsymptomatic DiseasesCase-Control StudiesFemaleHumansHypertrophyMaleMiddle AgedOsteoarthritis, KneeRadiographySeverity of Illness IndexSynovial MembraneSynovitisUltrasonographyInflammationKnee osteoarthritisPainSynovitisUltrasound

Identifiers

PMID25278071
PMCPMC4192137
OpenAlexW2127944789

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.