Evidence map›Paper›PMID 25575967›Full record

ArticleOsteoarthritis and cartilage2015

The relation of MRI-detected structural damage in the medial and lateral patellofemoral joint to knee pain: the Multicenter and Framingham Osteoarthritis Studies.

J J Stefanik, K D Gross, A Guermazi, D T Felson, F W Roemer, Y Zhang, J Niu, N A Segal, C E Lewis, M Nevitt and 1 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Osteoarthritis and cartilage, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03446404 (Standing Computerized Tomography), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% 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.

NCT03446404 completednot on this mapstarted 2016, after this paper: background citation

Standing Computerized Tomography (SCT) Imaging of the Knee Joint in People With or at Risk for Knee Osteoarthritis (KOA)

TypeobservationalSponsorNeil A SegalRan2016 to 2020Enrolled826ConditionsOsteoarthritis, KneeArmsStanding Computed Tomography
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  17. Observational
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  19. Patellofemoral pain in athletes.Open access journal of sports medicine · 2017
    Review
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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

11 authors at 5 institutions in 2 countries.

J J StefanikDepartment of Physical Therapy and Athletic Training, Boston University, Boston, MA, USA. Electronic address: stefanik@bu.edu.
K D GrossDepartment of Physical Therapy, MGHIHP, Boston, MA, USA. Electronic address: grossd@bu.edu.
A GuermaziQuantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, MA, USA. Electronic address: ali.guermazi@bmc.org.
D T FelsonClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA. Electronic address: dfelson@bu.edu.
F W RoemerQuantitative Imaging Center, Department of Radiology, Boston University School of Medicine, Boston, MA, USA; Department of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany. Electronic address: frank.roemer@klinikum-augsburg.de.
Y ZhangClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA. Electronic address: yuquing@bu.edu.
J NiuClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA. Electronic address: niujp@bu.edu.
N A SegalDepartment of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA. Electronic address: neil-segal@uiowa.edu.
C E LewisDepartment of Medicine, UAB, Birmingham, AB, USA. Electronic address: celewis@uabmc.edu.
M NevittDepartment of Epidemiology and Biostatistics, UCSF, San Francisco, CA, USA. Electronic address: mnevitt@psg.ucsf.edu.
T NeogiClinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, USA. Electronic address: tneogi@bu.edu.
Boston University · USMGH Institute of Health Professions · USUniversity of Alabama at Birmingham Hospital · USUniversity of California, San Francisco · USUniversity of Iowa · US

Funding

Multicenter Osteoarthritis Study (MOST) Second RenewalU01AG019069 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEVITT, MICHAEL C · 2001 to 2020
$21.7M
WORK DISABILITY-- PERSONS WITH RHEUMATOID ARTHRITISP60AR047785 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2016
$18.0M
Multicenter Osteoarthritis Study (MOST) Second Renewal: Iowa Clinical CenterU01AG018832 · NIA · UNIVERSITY OF IOWA · PI SEGAL, NEIL A, TORNER, JAMES C · 2001 to 2020
$14.1M
Multicenter Osteoarthritis Study (MOST) Second Renewal - Boston UniversityU01AG018820 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2019
$13.6M
Multicenter Osteoarthritis Study (MOST) Second Renewal - UAB Clinical CenterU01AG018947 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E · 2001 to 2020
$13.2M
THE FRAMINGHAM OSTEOARTHRITIS STUDYR01AG018393 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2000 to 2005
$4.8M
Central Sensitization in Post-Knee Replacement Pain and Relation to OA PathologyR01AR062506 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NEOGI, TUHINA · 2012 to 2016
$2.4M
NIAMS NIH HHS AR-47785NIAMS NIH HHS P60 AR047785NIAMS NIH HHS R01 AR062506NIA NIH HHS R01 AG018393NIA NIH HHS R01-AG018393NIA NIH HHS U01 AG018820NIA NIH HHS U01 AG018832NIA NIH HHS U01 AG018947NIA NIH HHS U01 AG019069NIA NIH HHS U01-AG18820NIA NIH HHS U01-AG18832NIA NIH HHS U01-AG18947NIA NIH HHS U01-AG19069
6 · The paper itself

Abstract

objectiveTo examine the relation of cartilage loss and bone marrow lesions (BMLs) in the medial and lateral patellofemoral joint (PFJ) to knee pain.

methodsWe categorized the location of full-thickness cartilage loss and BMLs in the PFJ on knee magnetic resonance imaging (MRIs) from the Multicenter Osteoarthritis (MOST) and Framingham Osteoarthritis (FOA) Studies as no damage, isolated medial, isolated lateral, or both medial and lateral (mixed). We determined the relation of MRI lesions in each PFJ region to prevalent knee pain. Differences in knee pain severity were compared among categories of PFJ full-thickness cartilage loss and BMLs using quantile regression.

resultsIn MOST (n = 1137 knees), compared with knees without full-thickness cartilage loss, knees with isolated lateral or mixed PFJ full-thickness cartilage loss had 1.9 (1.3, 2.8) and 1.9 (1.2, 2.9) times the odds of knee pain, respectively, while isolated medial cartilage loss had no association with knee pain. BMLs in both the medial and lateral PFJ had 1.5 (1.1, 2.0) times the odds of knee pain compared with knees without BMLs. Knee pain severity was lowest in knees with isolated medial PFJ cartilage loss or BMLs. In FOA (n = 934 knees), neither isolated medial nor lateral cartilage loss was associated with knee pain, whereas isolated BMLs in either region were associated with pain.

conclusionsResults were not completely concordant but suggest that knee pain risk and severity is greatest with cartilage loss isolated to (MOST) or inclusive of (MOST and FOA) the lateral PFJ. While BMLs in either the medial or lateral PFJ are related to pain.

Indexed as

Magnetic Resonance ImagingAgedAge FactorsArthralgiaCartilage, ArticularFemaleHumansKnee JointMaleMiddle AgedOsteoarthritis, KneePatellofemoral JointRegression AnalysisRisk FactorsSeverity of Illness IndexMagnetic resonance imagingOsteoarthritisPainPatellofemoral

Identifiers

PMID25575967
PMCPMC4368472
OpenAlexW2014917156

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Registered trials

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.