Evidence map›Paper›PMID 30543951›Full record

SynthesisThe journal of pain2019

Racial-Ethnic Differences in Osteoarthritis Pain and Disability: A Meta-Analysis.

Ivana A Vaughn, Ellen L Terry, Emily J Bartley, Nancy Schaefer, Roger B Fillingim

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The journal of pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06493903 (Physical and Mental Health Intervention for Black Adults With Knee Osteoarthritis), which is not on this map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing 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.

NCT06493903 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Physical and Mental Health Intervention for Black Adults With Knee Osteoarthritis: A Feasibility Study

TypeinterventionalSponsorBoston University Charles River CampusRan2025 to 2026Enrolled39ConditionsOsteoarthritis, KneeArmsPositive Minds, Strong Joints
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Gender-Based Differences in Arthroplasty Utilization Across Two Tertiary Academic Centers.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. The Impact of the Area Deprivation Index on Knee and Hip Health.Journal of racial and ethnic health disparities · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

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.

Ivana A VaughnDepartment of Health Services Research, Management & Policy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida; Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, Florida. Electronic address: ivaughn@nyam.org.
Ellen L TerryPain Research and Intervention Center of Excellence, University of Florida, Gainesville, Florida.
Emily J BartleyPain Research and Intervention Center of Excellence, University of Florida, Gainesville, Florida.
Nancy SchaeferHealth Science Center Libraries, University of Florida, Gainesville, Florida.
Roger B FillingimPain Research and Intervention Center of Excellence, University of Florida, Gainesville, Florida.

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
Ethnic Differences in Responses to Painful StimuliR37AG033906 · NIA · UNIVERSITY OF FLORIDA · PI FILLINGIM, ROGER B · 2014 to 2023
$12.9M
the Integrative and Multidisciplinary Pain and Aging Research Training (IMPART) ProgramT32AG049673 · NIA · UNIVERSITY OF FLORIDA · PI FILLINGIM, ROGER B · 2015 to 2024
$3.2M
Neural mechanisms underlying psychosocial contributions to ethnic group differences in painK22NS102334 · NINDS · UNIVERSITY OF FLORIDA · PI TERRY, ELLEN L. · 2018 to 2022
$854k
Pain and Aging Research Translational InitiativeK07AG046371 · NIA · UNIVERSITY OF FLORIDA · PI FILLINGIM, ROGER B · 2014 to 2018
$667k
Adaptability and Resilience in Aging Adults (ARIAA)K99AG052642 · NIA · UNIVERSITY OF FLORIDA · PI BARTLEY, EMILY J. · 2016 to 2017
$233k
NIA NIH HHS K07 AG046371NIA NIH HHS K99 AG052642NIA NIH HHS P30 AG028740NIA NIH HHS R37 AG033906NIA NIH HHS T32 AG049673NINDS NIH HHS K22 NS102334
6 · The paper itself

Abstract

Osteoarthritis (OA), a leading cause of disability and pain, affects 32.5 million Americans, producing tremendous economic burden. Although some findings suggest that racial/ethnic minorities experience increased OA pain severity, other studies have shown conflicting results. This meta-analysis examined differences in clinical pain severity between African Americans (AAs) and non-Hispanic whites with OA. Articles were initially identified between October 1 and 5, 2016, and updated May 30, 2018, using PubMed, Web of Science, PsycINFO, and the Cochrane Library Database. Eligibility included English-language peer-reviewed articles comparing clinical pain severity in adult black/AA and non-Hispanic white/Caucasian patients with OA. Nonduplicate article abstracts (N = 1,194) were screened by 4 reviewers, 224 articles underwent full-text review, and 61 articles reported effect sizes of pain severity stratified by race. Forest plots of the standard mean difference showed higher pain severity in AAs for studies using the Western Ontario and McMasters Universities Osteoarthritis Index (0.57; 95% confidence interval [CI], 0.54-0.61) and non-Western Ontario and McMasters Universities Osteoarthritis Index studies (0.35, 95% CI, 0.23-0.47). AAs also showed higher self-reported disability (0.38, 95% CI, 0.22-0.54) and poorer performance testing (-0.58, 95% CI, -0.72 to -0.44). Clinical pain severity and disability in OA is higher among AAs and future studies should explore the reasons for these differences to improve pain management. PERSPECTIVE: This meta-analysis shows that differences exist in clinical pain severity, functional limitations, and poor performance between AAs and non-Hispanic whites with OA. This research may lead to a better understanding of racial/ethnic differences in OA-related pain.

Indexed as

Black or African AmericanDisability EvaluationFemaleHumansMaleOsteoarthritisPainWhite PeopleDisabilityMeta-analysisOsteoarthritisPainRace/ethnicity

Identifiers

PMID30543951
PMCPMC6557704

What OpenQuestion holds

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Registered trials

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.