Evidence map›Paper›PMID 26175861›Full record

ArticleCartilage2015

Pre-Osteoarthritis: Definition and Diagnosis of an Elusive Clinical Entity.

Leif Ryd, Mats Brittberg, Karl Eriksson, Jukka S Jurvelin, Anders Lindahl, Stefan Marlovits, Per Möller, James B Richardson, Matthias Steinwachs, Marcy Zenobi-Wong

Open access · greenAbstract read
In one paragraph

Article in Cartilage, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 6% 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

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
  2. Intra-articular injections of ozone versus hyaluronic acid for knee osteoarthritis: a level I meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  5. Laboratory-selected, probioticFrontiers in nutrition · 2026
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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

10 authors at 9 institutions in 5 countries.

Leif RydMedical Management Centre, LIME, Karolinska Institute, Stockholm, Sweden.
Mats BrittbergCartilage Research Unit, University of Gothenburg. Department of Orthopaedics, Kungsbacka Hospital, Kungsbacka, Sweden.
Karl ErikssonDepartment of Orthopedics, Southern Hospital, Stockholm, Sweden.
Jukka S JurvelinFaculty of Science and Forestry, University of Eastern Finland, Kuopio, Finland.
Anders LindahlClinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Stefan MarlovitsMedical University of Vienna, Vienna, Austria.
Per MöllerEpisurf Medical, Stockholm, Sweden.
James B RichardsonKeele University, RJAH, Oswestry, UK.
Matthias SteinwachsSport Clinic Zürich, Klinik Hirslanden, Zürich, Switzerland.
Marcy Zenobi-WongCartilage Engineering + Regeneration Laboratory, Zürich, Switzerland.
Karolinska Institutet · SEKeele University · GBKlinik Hirslanden · CHMedical University of Vienna · ATSahlgrenska University Hospital · SEStockholm IVF · SEStockholm South General Hospital · SEUniversity of Eastern Finland · FIUniversity of Gothenburg · SE

Funding

Arthritis Research UK 18480Medical Research Council G0200055Medical Research Council MR/L010453/1
6 · The paper itself

Abstract

objectiveAn attempt to define pre-osteoarthritis (OA) versus early OA and definitive osteoarthritis.

methodsA group of specialists in the field of cartilage science and treatment was formed to consider the nature of OA onset and its possible diagnosis.

resultsLate-stage OA, necessitating total joint replacement, is the end stage of a biological process, with many previous earlier stages. Early-stage OA has been defined and involves structural changes identified by arthroscopy or radiography. The group argued that before the "early-stage OA" there must exist a stage where cellular processes, due to the presence of risk factors, have kicked into action but have not yet resulted in structural changes. The group suggested that this stage could be called "pre-osteoarthritis" (pre-OA).

conclusionsThe group suggests that defining points of initiation for OA in the knee could be defined, for example, by traumatic episodes or surgical meniscectomy. Such events may set in motion metabolic processes that could be diagnosed by modern MRI protocols or arthroscopy including probing techniques before structural changes of early OA have developed. Preventive measures should preferably be applied at this pre-OA stage in order to stop the projected OA "epidemic."

Indexed as

diagnosisdiagnosticsepidemiologygeneralposttraumatic arthritis

Identifiers

PMID26175861
PMCPMC4481392
OpenAlexW1961648612

What OpenQuestion holds

Textmetadata
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.