Evidence map›Paper›PMID 29669593›Full record

ArticleArthritis research & therapy2018

Association between general joint hypermobility and knee, hip, and lumbar spine osteoarthritis by race: a cross-sectional study.

Portia P E Flowers, Rebecca J Cleveland, Todd A Schwartz, Amanda E Nelson, Virginia B Kraus, Howard J Hillstrom, Adam P Goode, Marian T Hannan, Jordan B Renner, Joanne M Jordan and 1 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. [Hypermobility-Importance in rheumatology].Zeitschrift fur Rheumatologie · 2025
    Review
  6. Article
  7. Article
  8. Hypermobility spectrum disorders: A review.Rheumatology and immunology research · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
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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

11 authors at 5 institutions in 1 country.

Portia P E FlowersThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Rebecca J ClevelandThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Todd A SchwartzThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Amanda E NelsonThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Virginia B KrausDepartment of Medicine, Duke Molecular Physiology Institute, School of Medicine, Duke University, Durham, 27701, NC, USA.
Howard J HillstromMotion Analysis Laboratory, Hospital for Special Surgery, New York, 10021, NY, USA.
Adam P GoodeDepartment of Orthopedic Surgery, Duke Clinical Research Institute, School of Medicine, Duke University, Durham, 27708, NC, USA.
Marian T HannanInstitute for Aging Research, Hebrew SeniorLife, Boston, 02131, MA, USA.
Jordan B RennerThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Joanne M JordanThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA.
Yvonne M GolightlyThurston Arthritis Research Center, University of North Carolina, 3300 Doc J. Thurston Bldg, CB#7280, Chapel Hill, 27599-7280, NC, USA. golight@email.unc.edu.
University of North Carolina at Chapel Hill · USClinical Research Institute · USDuke University · USHebrew SeniorLife · USHospital for Special Surgery · US

Funding

NIAMS Multidisciplinary Clinical Research CenterP60AR064166 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SCHWARTZ, TODD A · 2013 to 2017
$5.8M
Biomarkers to Advance Clinical Phenotypes of Low Back Pain (BACk)R01AR071440 · NIAMS · DUKE UNIVERSITY · PI Adam Goode · 2017 to 2026
$5.0M
Johnston County Osteoarthritis Project: Arthritis, Disability, and Other Chronic DiseasesU01DP006266 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NELSON, AMANDA E · 2016 to 2020
$3.8M
Women's knee motion patterns in functional activitiesP60AR030701 · NIAMS · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI CALLAHAN, LEIGH FLEMING · 1986 to 2001
$1.9M
Joint Hypermobility and Lower Body OsteoarthritisR01AR067743 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOLIGHTLY, YVONNE M · 2015 to 2018
$1.6M
ACL HHS U01DP006266CDC HHS U01DP006266NCCDPHP CDC HHS U01 DP006266NIAMS NIH HHS P60 AR030701NIAMS NIH HHS P60 AR064166NIAMS NIH HHS R01 AR067743NIAMS NIH HHS R01AR067743NIAMS NIH HHS R01 AR071440
6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) prevalence differs by race. General joint hypermobility (GJH) may be associated with OA, but differences by race are not known. This community-based study examined the frequency of GJH and its relationship with knee, hip, and lumbar spine OA by race (African American vs. Caucasian).

methodsData were from the Johnston County OA project, collected 2003-2010. GJH was defined as Beighton score ≥4. OA symptoms were defined as the presence of pain, aching, or stiffness on most days separately at the knee, hip, and lower back. Radiographic OA (rOA) of the knee or hip was defined as Kellgren-Lawrence grade 2-4. Lumbar spine rOA was disc space narrowing grade ≥1 and osteophyte grade ≥2 in ≥ 1 at the same lumbar level. Lumbar spine facet rOA was present in ≥ 1 lumbar levels. Separate logistic regression models stratified by race were used to examine the association between hypermobility and rOA or OA symptoms at each joint site, adjusting for age, sex, previous joint injury, and body mass index (BMI).

resultsOf 1987 participants, 1/3 were African-American and 2/3 were women (mean age 65 years, mean BMI 31 kg/m

conclusionsGeneral joint hypermobility was more common in Caucasians than African-Americans. Although there were no associations between hypermobility and rOA, the association between hypermobility and lower back symptoms may differ by race.

Indexed as

AgedBlack or African AmericanCross-Sectional StudiesFemaleHumansJoint InstabilityLumbosacral RegionMaleMiddle AgedOdds RatioOsteoarthritisOsteoarthritis, HipOsteoarthritis, KneeOsteoarthritis, SpinePrevalenceWhite PeopleCohortGeneral joint hypermobilityOsteoarthritisPainRace

Identifiers

PMID29669593
PMCPMC5907300
OpenAlexW2804369361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.