Evidence map›Paper›PMID 33413273›Full record

Trial reportBMC musculoskeletal disorders2021

Depression in patients with knee osteoarthritis: risk factors and associations with joint symptoms.

Shuang Zheng, Liudan Tu, Flavia Cicuttini, Zhaohua Zhu, Weiyu Han, Benny Antony, Anita E Wluka, Tania Winzenberg, Dawn Aitken, Leigh Blizzard and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01176344 (Does Vitamin D Supplementation Prevent Progression of Knee Osteoarthritis? A Randomised Controlled Trial), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
15.0field-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.

NCT01176344 phase3completednot on this map

Does Vitamin D Supplementation Prevent Progression of Knee Osteoarthritis? A Randomised Controlled Trial

TypeinterventionalSponsorMenzies Institute for Medical ResearchRan2010 to 2014Enrolled413ConditionsOsteoarthritis, KneeArmsVitamin D, Placebo
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 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

12 authors at 5 institutions in 2 countries.

Shuang ZhengDepartment of Rheumatology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Liudan TuDepartment of Rheumatology, The Third Affiliated Hospital of SUN YAT-SEN University, Guangzhou, China.
Flavia CicuttiniDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Zhaohua ZhuMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Weiyu HanMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Benny AntonyMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Anita E WlukaDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Tania WinzenbergMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Dawn AitkenMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Leigh BlizzardMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Graeme JonesMenzies Institute for Medical Research, University of Tasmania, Private Bag 23, Hobart, Tasmania, Australia.
Changhai DingDepartment of Rheumatology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. Changhai.Ding@utas.edu.au.
University of Tasmania · AUMonash University · AUSouthern Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CNSun Yat-sen University · CN

Funding

National Health and Medical Research Council Grant 605501
6 · The paper itself

Abstract

backgroundTo describe demographic and clinical factors associated with the presence and incidence of depression and explore the temporal relationship between depression and joint symptoms in patients with symptomatic knee osteoarthritis (OA).

methodsThree hundred ninety-seven participants were selected from a randomized controlled trial in people with symptomatic knee OA and vitamin D deficiency (age 63.3 ± 7.1 year, 48.6% female). Depression severity and knee joint symptoms were assessed using the patient health questionnaire (PHQ-9) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), respectively, at baseline and 24 months.

resultsThe presence and incidence of depression was 25.4 and 11.2%, respectively. At baseline, having younger age, a higher body mass index (BMI), greater scores of WOMAC pain (PR: 1.05, 95%CI:1.03, 1.07), dysfunction (PR: 1.02, 95%CI:1.01, 1.02) and stiffness (PR: 1.05, 95%CI: 1.02, 1.09), lower education level, having more than one comorbidity and having two or more painful body sites were significantly associated with a higher presence of depression. Over 24 months, being female, having a higher WOMAC pain (RR: 1.05, 95%CI: 1.02, 1.09) and dysfunction score (RR: 1.02, 95%CI: 1.01, 1.03) at baseline and having two or more painful sites were significantly associated with a higher incidence of depression. In contrast, baseline depression was not associated with changes in knee joint symptoms over 24 months.

conclusionKnee OA risk factors and joint symptoms, along with co-existing multi-site pain are associated with the presence and development of depression. This suggests that managing common OA risk factors and joint symptoms may be important for prevention and treatment depression in patients with knee OA.

trial registrationClinicalTrials.gov identifier: NCT01176344 . Anzctr.org.au identifier: ACTRN12610000495022 .

Indexed as

Osteoarthritis, KneeAgedDepressionFemaleHumansKnee JointMaleMiddle AgedPainRisk FactorsDepressionJoint symptomsKnee osteoarthritisRisk factors

Identifiers

PMID33413273
PMCPMC7791830
OpenAlexW3113571667

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.