Evidence map›Paper›PMID 28776751›Full record

Observational studyJournal of orthopaedic research : official publication of the Orthopaedic Research Society2018

Risk factors can classify individuals who develop accelerated knee osteoarthritis: Data from the osteoarthritis initiative.

Jeffrey B Driban, Timothy E McAlindon, Mamta Amin, Lori L Price, Charles B Eaton, Julie E Davis, Bing Lu, Grace H Lo, Jeffrey Duryea, Mary F Barbe

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Accelerated knee osteoarthritis: a case description and literature analysis.Quantitative imaging in medicine and surgery · 2025
    Article
  7. Article
  8. Radiomic features of the medial meniscus predicts incident destabilizing meniscal tears: Data from the osteoarthritis initiative.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Meniscal degeneration is prognostic of destabilzing meniscal tear and accelerated knee osteoarthritis: Data from the Osteoarthritis Initiative.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Intraarticular injection of bone marrow-derived mesenchymal stem cells enhances regeneration in knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Review
  19. Article
  20. Review
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 6 institutions in 1 country.

Jeffrey B DribanDivision of Rheumatology, Tufts Medical Center, 800 Washington Street, Box 406, Boston, 02111, Massachusetts.ORCID 0000-0001-6098-4273
Timothy E McAlindonDivision of Rheumatology, Tufts Medical Center, 800 Washington Street, Box 406, Boston, 02111, Massachusetts.
Mamta AminDepartment of Anatomy and Cell Biology, Temple University School of Medicine, Philadelphia, Pennsylvania.
Lori L PriceThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts.
Charles B EatonCenter for Primary Care and Prevention, Alpert Medical School of Brown University, Pawtucket, Rhode Island.
Julie E DavisDivision of Rheumatology, Tufts Medical Center, 800 Washington Street, Box 406, Boston, 02111, Massachusetts.
Bing LuDivision of Rheumatology, Immunology & Allergy, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Grace H LoMedical Care Line and Research Care Line, Houston Health Services Research and Development (HSR&D) Center of Excellence Michael E. DeBakey VAMC, Houston, Texas.
Jeffrey DuryeaDepartment of Radiology, Brigham & Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Mary F BarbeDepartment of Anatomy and Cell Biology, Temple University School of Medicine, Philadelphia, Pennsylvania.
Tufts Medical Center · USBrigham and Women's Hospital · USTemple University · USBrown University · USMichael E. DeBakey VA Medical Center · USTufts University · US

Funding

Characterization of Rapidly Progressive Knee OsteoarthritisR01AR065977 · NIAMS · TUFTS MEDICAL CENTER · PI DRIBAN, JEFFREY B · 2015 to 2018
$1.5M
Modifiable Risk Factors for Incident and Progressive Early Knee OsteoarthritisK23AR062127 · NIAMS · BAYLOR COLLEGE OF MEDICINE · PI LO, GRACE · 2012 to 2016
$676k
NIAMS NIH HHS K23 AR062127NIAMS NIH HHS R01 AR065977
6 · The paper itself

Abstract

We assessed which combinations of risk factors can classify adults who develop accelerated knee osteoarthritis (KOA) or not and which factors are most important. We conducted a case-control study using data from baseline and the first four annual visits of the Osteoarthritis Initiative. Participants had no radiographic KOA at baseline (Kellgren-Lawrence [KL]<2). We classified three groups (matched on sex): (i) accelerated KOA: >1 knee developed advance-stage KOA (KL = 3 or 4) within 48 months; (ii) typical KOA: >1 knee increased in radiographic scoring (excluding those with accelerated KOA); and (iii) No KOA: no change in KL grade by 48 months. We selected eight predictors: Serum concentrations for C-reactive protein, glycated serum protein (GSP), and glucose; age; sex; body mass index; coronal tibial slope, and femorotibial alignment. We performed a classification and regression tree (CART) analysis to determine rules for classifying individuals as accelerated KOA or not (no KOA and typical KOA). The most important baseline variables for classifying individuals with incident accelerated KOA (in order of importance) were age, glucose concentrations, BMI, and static alignment. Individuals <63.5 years were likely not to develop accelerated KOA, except when overweight. Individuals >63.5 years were more likely to develop accelerated KOA except when their glucose levels were >81.98 mg/dl and they did not have varus malalignment. The unexplained variance of the CART = 69%. These analyses highlight the complex interactions among four risk factors that may classify individuals who will develop accelerated KOA but more research is needed to uncover novel risk factors. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 36:876-880, 2018.

Indexed as

AgedAge FactorsBody Mass IndexCase-Control StudiesFemaleHumansMaleMiddle AgedOsteoarthritis, KneeRisk FactorsUnited Statesclassificationkneeosteoarthritisrisk factors

Identifiers

PMID28776751
PMCPMC5797506
OpenAlexW2742269918

What OpenQuestion holds

Textmetadata
LicenceTDM
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.