Evidence map›Paper›PMID 27496698›Full record

Trial reportClinical rehabilitation2016

Determinants of pain and functioning in knee osteoarthritis: a one-year prospective study.

Eeva-Eerika Helminen, Sanna H Sinikallio, Anna L Valjakka, Rauni H Väisänen-Rouvali, Jari Pa Arokoski

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical rehabilitation, 2016. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Trial
  3. Protection from Chronic Musculoskeletal Pain: A Scoping Review.European journal of pain (London, England) · 2026
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  12. Review
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  15. Global Research Hotspots and Trends of Physical Activity in Knee Osteoarthritis: A Bibliometric Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  16. Article
  17. Giving an account of patients' experience: A qualitative study on the care process of hip and knee osteoarthritis.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  18. Association of Hypertension with Knee Pain Severity Among People with Knee Osteoarthritis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022
    Article
  19. Article
  20. 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

5 authors.

Eeva-Eerika HelminenDepartment of Physical and Rehabilitation Medicine, Kuopio University Hospital, Finland Psychiatry, Department of Social Services and Health Care, City of Helsinki Health Care, Finland eeva-eerika.helminen@fimnet.fi.
Sanna H SinikallioSchool of Educational Sciences and Psychology, University of Eastern Finland, Finland.
Anna L ValjakkaDepartment of Psychiatry, Addiction Psychiatry Outpatient Clinic, Kuopio University Hospital, Finland.
Rauni H Väisänen-RouvaliDepartment of Physical and Rehabilitation Medicine, Kuopio University Hospital, Finland.
Jari Pa ArokoskiDepartment of Physical and Rehabilitation Medicine, Kuopio University Hospital, Finland Institute of Clinical Medicine, University of Eastern Finland, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify predictors of pain and disability in knee osteoarthritis.

designA one-year prospective analysis of determinants of pain and functioning in knee osteoarthritis. STUDY

settingPrimary care providers in a medium-sized city. PATIENTS: A total of 111 patients aged from 35 to 75 with clinical symptoms and radiographic grading (Kellgren-Lawrence 2-4) of knee osteoarthritis who participated in a randomized controlled trial. MAIN MEASURES: The outcome measures were self-reported pain and function, which were recorded at 0, 3 and 12 months. Disease-specific pain and functioning were assessed using the pain and function subscales of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Generic physical and mental functioning were assessed using the RAND-36 subscales for function, and physical and mental component summary scores. Possible baseline predictors for these outcomes were 1) demographic, socioeconomic and disease-related variables, and 2) psychological measures of resources, distress, fear of movement and catastrophizing.

resultsMultivariate linear mixed model analyses revealed that normal mood at baseline measured with the Beck Anxiety Inventory predicted significantly better results in all measures of pain (WOMAC P=0.02) and function (WOMAC P=0.002, RAND-36 P=0.002) during the one-year follow-up. Psychological resource factors (pain self-efficacy P=0.012, satisfaction with life P=0.002) predicted better function (RAND-36). Pain catastrophizing predicted higher WOMAC pain levels (P=0.013), whereas fear of movement (kinesiophobia) predicted poorer functioning (WOMAC P=0.046, RAND-36 P=0.024).

conclusionsMultiple psychological factors in people with knee osteoarthritis pain are associated with the development of disability and longer term worse pain.

Indexed as

AdultAffectAgedCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedOntarioOsteoarthritis, KneePainPain ManagementPain MeasurementProspective StudiesRecovery of FunctiondisabilityKnee osteoarthritispainpredictorspsychological factors

Identifiers

PMID27496698
PMCPMC4976658

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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.