Evidence map›Paper›PMID 31350803›Full record

ArticleArthritis care & research2020

Quality-Adjusted Life-Years Lost Due to Physical Inactivity in a US Population With Osteoarthritis.

Elena Losina, Genevieve S Silva, Karen C Smith, Jamie E Collins, David J Hunter, Swastina Shrestha, Stephen P Messier, Ed H Yelin, Lisa G Suter, A David Paltiel and 1 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis care & research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Knee osteoarthritis: disease burden, available treatments, and emerging options.Therapeutic advances in musculoskeletal disease · 2024
    Review
  13. Article
  14. Article
  15. Osteoarthritis - Insights From Recent Research.Journal of rheumatic diseases · 2022
    Review
  16. Article
  17. Article
  18. Review
  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

11 authors at 7 institutions in 2 countries.

Elena LosinaBrigham and Women's Hospital, Harvard Medical School and Boston University School of Public Health, Boston, Massachusetts.ORCID 0000-0002-3424-0892
Genevieve S SilvaBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-4935-3523
Karen C SmithBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0003-0330-1610
Jamie E CollinsBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8413-007X
David J HunterUniversity of Sydney and Royal North Shore Hospital, Sydney, New South Wales, Australia.
Swastina ShresthaBrigham and Women's Hospital, Boston, Massachusetts.
Stephen P MessierWake Forest University, Winston-Salem, North Carolina.
Ed H YelinUniversity of California, San Francisco.
Lisa G SuterYale School of Medicine, New Haven, Connecticut, and West Haven Veterans Affairs Medical Center, West Haven, Connecticut.
A David PaltielYale School of Public Health, New Haven, Connecticut.
Jeffrey N KatzBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Brigham and Women's Hospital · USBoston University · USThe University of Sydney · AUUniversity of California, San Francisco · USVA Connecticut Research and Education Foundation · USWake Forest University · USYale New Haven Health System · US

Funding

VERITY: Value and Evidence in Rheumatology using bioInformaTics, and advanced analYticsP30AR072577 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Daniel Hal Solomon · 2017 to 2026
$9.8M
Optimizing the value of pain management in knee OA patients with comorbiditiesR01AR074290 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Elena Losina · 2018 to 2026
$5.9M
Clinical impact and cost-effectiveness of pain management in knee OAR01AR064320 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2013 to 2017
$3.3M
Patient Oriented Research and Mentoring Program in OrthopedicsK24AR057827 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2010 to 2019
$1.7M
Studying Physical Activity Rewards and Telephonic Active CoachingU34AR069187 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2016 to 2017
$465k
Study of Physical Activity Rewards after Knee Surgery (SPARKS)R21AR063913 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2013 to 2014
$410k
NIAMS NIH HHS K24 AR057827NIAMS NIH HHS P30 AR072577NIAMS NIH HHS R01 AR064320NIAMS NIH HHS R01 AR074290NIAMS NIH HHS R21 AR063913NIAMS NIH HHS U34 AR069187
6 · The paper itself

Abstract

objectiveOne-half of the 14 million persons in the US with knee osteoarthritis (OA) are not physically active, despite evidence that physical activity (PA) is associated with improved health. We undertook this study to estimate both the quality-adjusted life-year (QALY) losses in a US population with knee OA due to physical inactivity and the health benefits associated with higher PA levels.

methodsWe used data from the Osteoarthritis Initiative and the Centers for Disease Control and Prevention to estimate the proportions of a US population with knee OA ages ≥45 years that are inactive, insufficiently active, and active, and the likelihood of a shift in their PA level. We used the OA Policy Model, a computer simulation of knee OA, to determine QALYs lost due to inactivity and to measure potential benefits of increased PA (comorbidities averted and QALYs saved).

resultsAmong 13.7 million persons with knee OA, a total of 7.5 million QALYs, or 0.55 QALYs per person, were lost due to inactivity or insufficient PA relative to activity over their remaining lifetimes. Black Hispanic women experienced the highest losses, at 0.76 QALYs per person. Women of all races/ethnicities had ~20% higher loss burdens than men. According to our model, if 20% of the inactive population were instead active, 95,920 cases of cancer, 222,413 of cardiovascular disease, and 214,725 of diabetes mellitus would potentially be averted, and 871,541 potential QALYs would be saved.

conclusionPhysical inactivity leads to substantial QALY losses in a US population with knee OA. Increases in the activity levels in even a fraction of this population may have considerable collateral health benefits, potentially averting cases of cancer, cardiovascular disease, and diabetes mellitus.

Indexed as

Quality-Adjusted Life YearsSedentary BehaviorAgedFemaleHumansMaleMiddle AgedModels, BiologicalOsteoarthritisUnited States

Identifiers

PMID31350803
PMCPMC6982563
OpenAlexW2965262972

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.