Evidence map›Paper›PMID 26867582›Full record

ArticleBMC musculoskeletal disorders2016

Relation between phalangeal bone mineral density and radiographic knee osteoarthritis: a cross-sectional study.

Zhen-Han Deng, Chao Zeng, Yu-Sheng Li, Tuo Yang, Hui Li, Jie Wei, Guang-Hua Lei

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Zhen-Han DengDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. dengzhenhan@csu.edu.cn.
Chao ZengDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. 125562108@qq.com.
Yu-Sheng LiDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. 33139641@qq.com.
Tuo YangDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. 693673464@qq.com.
Hui LiDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. 397969391@qq.com.
Jie WeiHealth Management Center, Xiangya Hospital, Central South University, Changsha, Hunan Province, 410008, China. 394345006@qq.com.
Guang-Hua LeiDepartment of Orthopaedics, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, Hunan Province, 410008, China. lgh9640@sina.cn.
Xiangya Hospital Central South University · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor reports have suggested that bone mineral density (BMD) is higher in patients with osteoarthritis (OA), while other studies do not agree. Our aim was to examine the cross-sectional association between phalangeal BMD and radiographic knee OA.

methodsA total of 2855 participants were included in this study. Radiographic knee OA was defined as Kellgren-Lawrence (K-L) Grade ≥ 2 in at least one leg. BMD scans of the middle phalanges of the second, third and fourth digits of the nondominant hand were performed with a compact radiographic absorptiometry system (Alara MetriScan®). A multivariable logistic analysis model was applied to test the relation between phalangeal BMD with radiographic knee OA, the presence of knee osteophytes (OSTs), and knee joint space narrowing (JSN) after adjusting for a number of potential confounding factors.

resultsThe multivariable-adjusted odds ratios with 95 % confidence intervals [ORs (95 % CI)] of radiographic knee OA across phalangeal BMDs were 1.08 (95 % CI 0.89-1.32) and 0.62 (95 % CI 0.45-0.86), respectively. The P for trend was 0.09. For the female population, the multivariable-adjusted ORs (95 % CI) of radiographic knee OA across phalangeal BMD were 1.01 (95 % CI 0.73-1.37) and 0.58 (95 % CI 0.38 - 0.87), respectively. The P for trend was 0.02. This positive finding, however, did not exist in the male subgroup. There was a significantly lower prevalence of OST in the osteoporosis (OP) group than in the normal group (OR = 0.59, 95 % CI 0.40-0.88; P for trend was 0.01). In contrast, the prevalence of JSN was significantly higher in the osteopenia group (OR = 1.22, 95 % CI 1.00-1.48) and the OP group (OR = 1.35, 95 % CI 1.00-1.84) than in the normal group. The P for trend was 0.02.

conclusionsThis study observed lower odds for the presence of radiographic knee OA and OST in OP patients than in normal subjects. The prevalence of JSN was higher in the osteopenia and OP groups than in normal subjects.

Indexed as

AdultAgedBone DensityCohort StudiesCross-Sectional StudiesFemaleFinger PhalangesHumansMaleMiddle AgedOsteoarthritis, KneeRadiography

Identifiers

PMID26867582
PMCPMC4750174
OpenAlexW2269894439

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.