Evidence map›Paper›PMID 27900195›Full record

ArticleBMJ open sport & exercise medicine2016

Knee osteoarthritis in traumatic knee symptoms in general practice: 6-year cohort study.

Marlous Kastelein, Pim A J Luijsterburg, Ingrid M Koster, Jan A N Verhaar, Bart W Koes, Dammis Vroegindeweij, Sita M A Bierma-Zeinstra, Edwin H G Oei

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 83% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 1 country.

Marlous KasteleinDepartment of General Practice , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Pim A J LuijsterburgDepartment of General Practice , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Ingrid M KosterDepartment of Radiology , Albert Schweitzer Hospital , Dordrecht , The Netherlands.
Jan A N VerhaarDepartment of Orthopedics , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Bart W KoesDepartment of General Practice , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Dammis VroegindeweijDepartment of Radiology , Maasstad Hospital , Rotterdam , The Netherlands.
Sita M A Bierma-ZeinstraDepartment of General Practice, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands; Department of Orthopedics, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Edwin H G OeiDepartment of Radiology , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Erasmus MC · NLAlbert Schweitzer Ziekenhuis · NLMaasstad Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify degenerative knee abnormalities using MRI and radiography 6 years after knee trauma, their relation with persistent knee symptoms and baseline prognostic factors.

methodsAdults (18-65 years) with incident traumatic knee symptoms visiting their general practitioner were followed up for 6 years and underwent baseline MRI and 6-year follow-up MRI and radiography. Logistic regression was used to analyse associations between various degenerative abnormalities on 6-year MRI and radiography, persistent knee symptoms and baseline prognostic factors for knee osteoarthritis (OA) on 6-year MRI.

resultsOn 6-year radiography, 60% of patients showed no OA, 28% showed OA with Kellgren&Lawrence (K&L) grade 1 and 13% showed with K&L grade 2. On 6-year MRI, 55% of patients showed cartilage defect(s), 45% showed osteophyte(s), 36% showed subchondral cyst(s), 40% showed bone marrow oedema, 21% showed meniscal subluxation, 83% showed meniscal degeneration,11% showed effusion and 11% showed a Baker's cyst. Of these, most were significantly related with 6-year radiographic K&L grade, while only lateral cartilage defect(s), medial osteophyte(s) and medial meniscal subluxation were significantly related with persistent knee symptoms. 32% of patients showed new onset or progressive knee OA on 6-year MRI, for which age, history of non-traumatic knee symptoms and bone marrow oedema at baseline were independent prognostic factors.

conclusionsDegenerative knee abnormalities on MRI are related to the K&L score; however, not all abnormalities are reflected in clinical outcome. Age, history of non-traumatic knee symptoms and bone marrow oedema predict knee OA 6 years after knee trauma, present in 32% of the patients.

Indexed as

Knee injuriesMRIOsteoarthritis

Identifiers

PMID27900195
PMCPMC5125421
OpenAlexW2527585716

What OpenQuestion holds

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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.