Evidence map›Paper›PMID 32005116›Full record

ArticleBMC musculoskeletal disorders2020

The incidence and characteristics of accelerated knee osteoarthritis among women: the Chingford cohort.

Jeffrey B Driban, Raveendhara R Bannuru, Charles B Eaton, Tim D Spector, Deborah J Hart, Timothy E McAlindon, Bing Lu, Grace H Lo, Nigel K Arden

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.2field-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

18 citing papers in PubMed, 38 citations in OpenAlex.

  1. Comparative outcome analyses of stromal vascular fractionWorld journal of experimental medicine · 2025
    Article
  2. Accelerated knee osteoarthritis: a case description and literature analysis.Quantitative imaging in medicine and surgery · 2025
    Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Epidemiology of osteoarthritis.Osteoarthritis and cartilage · 2022
    Review
  16. Celastrol ameliorates osteoarthritisFrontiers in pharmacology · 2022
    Article
  17. Article
  18. 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

9 authors at 6 institutions in 2 countries.

Jeffrey B DribanDivision of Rheumatology, Allergy & Immunology, Tufts Medical Center, 800 Washington Street, Box #406, Boston, MA, 02111, USA. jeffrey.driban@tufts.edu.ORCID http://orcid.org/0000-0001-6098-4273
Raveendhara R BannuruDivision of Rheumatology, Allergy & Immunology, Tufts Medical Center, 800 Washington Street, Box #406, Boston, MA, 02111, USA.
Charles B EatonCenter for Primary Care and Prevention, Alpert Medical School of Brown University, 111 Brewster St, Pawtucket, RI, 02860, USA.
Tim D SpectorDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Campus, Lambeth Palace Road, London, SE1 7EH, UK.
Deborah J HartDepartment of Twin Research and Genetic Epidemiology, King's College London, St Thomas' Campus, Lambeth Palace Road, London, SE1 7EH, UK.
Timothy E McAlindonDivision of Rheumatology, Allergy & Immunology, Tufts Medical Center, 800 Washington Street, Box #406, Boston, MA, 02111, USA.
Bing LuDivision of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Grace H LoMedical Care Line and Research Care Line, Houston Health Services Research and Development (HSR&D) Center of Excellence Michael E. DeBakey VAMC, 2002 Holcombe Blvd, Houston, TX, 77030, USA.
Nigel K ArdenNuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences, University of Oxford, Windmill Road, Headington, Oxford, OX3 7HE, UK.
Tufts Medical Center · USKing's College London · GBBrigham and Women's Hospital · USBrown University · USMichael E. DeBakey VA Medical Center · USNuffield Orthopaedic Centre · GB

Funding

Metabolites of Dietary Intake and Risk of Knee OsteoarthritisR01AR074447 · NIAMS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI LU, BING · 2019 to 2022
$2.6M
Characterization of Rapidly Progressive Knee OsteoarthritisR01AR065977 · NIAMS · TUFTS MEDICAL CENTER · PI DRIBAN, JEFFREY B · 2015 to 2018
$1.5M
Comparative effectiveness of mind-body interventions for osteoarthritis - individual patient data network meta-analysisK23AT009374 · NCCIH · TUFTS MEDICAL CENTER · PI BANNURU, RAVEENDHARA REDDY · 2017 to 2021
$830k
Modifiable Risk Factors for Incident and Progressive Early Knee OsteoarthritisK23AR062127 · NIAMS · BAYLOR COLLEGE OF MEDICINE · PI LO, GRACE · 2012 to 2016
$676k
NCCIH NIH HHS K23-AT009374NIAMS NIH HHS K23-AR062127NIAMS NIH HHS R01 AR065977NIAMS NIH HHS R01-AR065977NIAMS NIH HHS R01 AR074447
6 · The paper itself

Abstract

backgroundPrior research on accelerated knee osteoarthritis (AKOA) was primarily confined to the Osteoarthritis Initiative, which was enriched with people with risk factors for knee osteoarthritis (KOA). It is unclear how often AKOA develops in a community-based cohort and whether we can replicate prior findings from the Osteoarthritis Initiative in another cohort. Hence, we determined the incidence and characteristics of AKOA among women in the Chingford Study, which is a prospective community-based cohort.

methodsThe Chingford Study had 1003 women with quinquennial knee radiographs over 15 years. We divided the 15-year observation period into three consecutive 5-year phases. Within each 5-year phase, we selected 3 groups of participants among women who started a phase without KOA (Kellgren-Lawrence [KL] < 2): 1) incident AKOA developed KL grade ≥ 3, 2) typical KOA increased radiographic scoring (excluding AKOA), and 3) no KOA had the same KL grade over time. Study staff recorded each participant's age, body mass index (BMI), and blood pressure at baseline, 5-year, and 10-year study visits. We used multinomial logistic regression models to test the association between groups (outcome) and age, BMI, and blood pressure at the start of each phase. The cumulative incidences and odds ratios (OR) from each phase were pooled using a fixed-effect meta-analysis model.

resultsThe person-based cumulative incidence of AKOA was 3.9% over 5 years (pooled estimate across the three 5-year phases). Among incident cases of KOA, AKOA represented ~ 15% of women with incident KOA. Women with AKOA were older than those with typical (OR = 1.56, 95%CI = 1.16-2.11) or no KOA (OR = 1.84, 95%CI = 1.40-2.43). Women with AKOA had a greater BMI than those without KOA (OR = 1.52, 95%CI = 1.17-1.97). We observed no association between group and blood pressure.

conclusionsIn a community-based cohort, > 1 in 7 women with incident KOA had AKOA. Like the Osteoarthritis Initiative, people with AKOA were more likely to have greater age and BMI.

Indexed as

Age FactorsArthroplasty, Replacement, KneeBody Mass IndexDisease ProgressionFemaleFollow-Up StudiesHumansIncidenceKnee JointLondonMiddle AgedOsteoarthritis, KneeProspective StudiesRadiographyRisk FactorsSelf ReportEpidemiologyPhenotypeTotal knee replacement

Identifiers

PMID32005116
PMCPMC6995080
OpenAlexW3008350708

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.