Evidence map›Paper›PMID 31964664›Full record

ArticleBMJ open2020

Epidemiology of knee osteoarthritis in general practice: a registry-based study.

David Spitaels, Pavlos Mamouris, Bert Vaes, Miek Smeets, Frank Luyten, Rosella Hermens, Patrik Vankrunkelsven

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05839262 (Physical Exercise Guided by Active Video Games for Optimizing Clinical and Psychosocial Outcomes in Older Adults With Knee and/or Hip Osteoarthritis Under a Community-based Rehabilitation Model.), which is not on this map. Cited by 59 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 7 pooled it
15.1field-weighted citation impact, top 1% 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.

NCT05839262 nacompletednot on this mapstarted 2023, after this paper: background citation

Physical Exercise Guided by Active Video Games for Optimizing Clinical and Psychosocial Outcomes in Older Adults With Knee and/or Hip Osteoarthritis Under a Community-based Rehabilitation Model.

TypeinterventionalSponsorCristian AlvarezRan2023 to 2024Enrolled60ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsConventional physical rehabilitation plus Active video games (CPR+AVG), Conventional physical rehabilitation alone (CPR)
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 7 syntheses or guidelines pooled it, 129 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

David SpitaelsDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium david.spitaels@kuleuven.be.ORCID 0000-0002-7900-7533
Pavlos MamourisDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.
Bert VaesDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.ORCID 0000-0001-5244-1930
Miek SmeetsDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.ORCID 0000-0001-7725-4429
Frank LuytenRheumatology, University Hospitals Leuven, Leuven, Belgium.
Rosella HermensDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.
Patrik VankrunkelsvenDepartment of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium.
KU Leuven · BERadboud University Nijmegen · NLUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study investigated (1) trends in the prevalence and incidence of knee osteoarthritis over a 20-year period (1996-2015); (2) trends in multimorbidity and (3) trends in drug prescriptions.

designRegistry-based study.

settingPrimary healthcare, Flanders, Belgium.

participantsData were collected from Intego, a general practice-based morbidity registration network. In the study period between 1996 and 2015, data from 440 140 unique patients were available. OUTCOME MEASURES: Trends in prevalence and incidence rate of knee osteoarthritis were computed using joinpoint regression analysis. The mean disease count was calculated to assess trends in multimorbidity. In addition, the number of drug prescriptions was identified by the Anatomical Therapeutic Chemical Classification code and trends were equally recorded with joinpoint regression.

resultsThe total age-standardised prevalence of knee osteoarthritis increased from 2.0% in 1996 to 3.6% in 2015. An upward trend was observed with an average annual percentage change (AAPC) of 2.5 (95% CI 2.2 to 2.9). In 2015, the prevalence rates in the 10 year age groups from the 45-54 years age group onwards were 3.1%, 5.6%, 9.0% and 13.9%, to reach 15.0% in people aged 85 years and older. The incidence remained stable with 3.75‰ in 2015 (AAPC=-0.5, 95% CI -1.4 to 0.5). The mean disease count significantly increased from 1.63 to 2.34 (p<0.001) for incident cases with knee osteoarthritis. Finally, we observed a significantly positive trend in the overall prescription of acetaminophen (AAPC=6.7, 95% CI 5.6 to 7.7), weak opioids (AAPC=4.0, 95% CI 0.9 to 7.3) and glucosamine (AAPC=8.6, 95% CI 2.4 to 15.1). Oral non-steroidal anti-inflammatory drugs were most prescribed, with a prevalence rate of 29.8% in 2015, but remained stable during the study period (AAPC=0.0, 95% CI -1.1 to 1.1).

conclusionsIncreased prevalence, multimorbidity, and number of drug prescriptions confirm an increased burden of knee osteoarthritis. In future, these trends can be used to prioritise initiatives for improvement in care.

Indexed as

RegistriesAdultAgedAged, 80 and overBelgiumFemaleGeneral PracticeHumansIncidenceMaleMiddle AgedMorbidityOsteoarthritis, KneePrevalenceRetrospective Studieskneemusculoskeletal disordersprimary carepublic health

Identifiers

PMID31964664
PMCPMC7044813
OpenAlexW3001828862

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.