Evidence map›Paper›PMID 33844453›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2021

Erosive Hand Osteoarthritis: Incidence and Predictive Characteristics Among Participants in the Osteoarthritis Initiative.

Timothy E McAlindon, Jeffrey B Driban, Mary B Roberts, Jeffrey Duryea, Ida K Haugen, Lena F Schaefer, Stacy E Smith, Alexander Mathiessen, Charles Eaton

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Methotrexate for hand osteoarthritis.The Cochrane database of systematic reviews · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Erosive hand osteoarthritis: latest findings and outlook.Nature reviews. Rheumatology · 2022 · on this map
    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 4 institutions in 2 countries.

Timothy E McAlindonTufts Medical Center, Boston, Massachusetts.
Jeffrey B DribanTufts Medical Center, Boston, Massachusetts.ORCID 0000-0001-6098-4273
Mary B RobertsCare New England Medical Group Family Care Center and Internal Medicine, Pawtucket, Rhode Island, and Brown University, Providence, Rhode Island.
Jeffrey DuryeaBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7692-9340
Ida K HaugenDiakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0001-7810-2216
Lena F SchaeferBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Stacy E SmithBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Alexander MathiessenBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, and Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0002-9696-2081
Charles EatonCare New England Medical Group Family Care Center and Internal Medicine, Pawtucket, Rhode Island, and Brown University, Providence, Rhode Island.ORCID 0000-0002-7723-9461
Brigham and Women's Hospital · USBrown University · USTufts Medical Center · USDiakonhjemmet Hospital · NO

Funding

Constitutional and metabolic factors associated with the development of Hand OAR01AR066378 · NIAMS · TUFTS MEDICAL CENTER · PI MCALINDON, TIMOTHY E · 2015 to 2018
$2.6M
DATA COORDINATING CENTER FOR THE OSTEOARTHRITIS INITIATIVE-264022258N01AR022258 · NIAMS · UNIVERSITY OF CALIFORNIA SYS OFFICE/PRES · 2003 to 2003
–
CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-264022259-264022259N01AR022259 · NIAMS · UNIVERSITY OF MARYLAND AT BALT · PI HOCHBERG, MARC C. · 2002 to 2006
–
CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-N01AR22260N01AR022260 · NIAMS · UNIVERSITY OF PITTSBURGH · PI KWOH, KENT · 2002 to 2006
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CLINICAL CENTERS FOR THE OSTEOARTHRITIS INITIATIVE-N01AR22261N01AR022261 · NIAMS · OHIO STATE UNIVERSITY RESEARCH · PI JACKSON, REBECCA · 2002 to 2006
–
CLINICAL CENTER FOR THE OSTEOARTHRITIS-264022262-264022262N01AR022262 · NIAMS · THE MEMORIAL HOSPITAL · PI ASSAF, ANNLOUISE R. · 2002 to 2006
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NIAMS NIH HHS R01 AR066378The Osteoarthritis Initiative funded by the National Institutes of Health N01-AR-2-2258The Osteoarthritis Initiative funded by the National Institutes of Health N01-AR-2-2259The Osteoarthritis Initiative funded by the National Institutes of Health N01-AR-2-2260The Osteoarthritis Initiative funded by the National Institutes of Health N01-AR-2-2261The Osteoarthritis Initiative funded by the National Institutes of Health N01-AR-2-2262Tupper Research Fund at Tufts Medical Center n/a
6 · The paper itself

Abstract

objectiveTo evaluate age, sex, race, osteoarthritis (OA) severity, metabolic factors, and bone health as risk factors for erosive hand OA at baseline and its incidence over a 48-month period.

methodsThis was a longitudinal cohort study that included participants from the Osteoarthritis Initiative (OAI) with complete hand radiographs from baseline and 48-month visits who were eligible at baseline for incident erosive hand OA (i.e., had or were at risk for knee OA [criterion for OAI inclusion] and did not currently have erosive hand OA). Individuals were classified as having erosive hand OA if the Kellgren/Lawrence (K/L) grade was ≥2 in at least 1 interphalangeal joint on 2 different fingers and central erosion was present in at least 1 joint.

resultsOf the 3,365 individuals without prevalent erosive hand OA at baseline, 86 (2.6%) developed erosive hand OA during the 48-month period. Risk factors included older age (relative risk [RR] per SD 1.63 [95% confidence interval 1.35-1.97]), female sex (RR 2.47 [95% confidence interval 1.52-4.02]), greater OA severity (sum K/L grade 13.9 versus 5.3; P < 0.001), and less cortical width (1.38 mm versus 1.52 mm; P < 0.001). After 48 months, subjects who had developed erosive hand OA were characterized by greater progression of radiographic OA (i.e., joint space narrowing, K/L grade progression [RR 1.35], and loss of cortical thickness [RR 1.23]), adjusted for age, sex, race, body mass index, and baseline OA severity (sum K/L grade).

conclusionThese findings demonstrate that erosive hand OA is more common in older women and is strongly associated with severity of articular structural damage and its progression. Individuals who develop erosive hand OA have thinner bones prior to erosive hand OA development and as it progresses, suggesting that erosive hand OA is a disorder of skeletal frailty.

Indexed as

AgedFemaleHand JointsHumansIncidenceKnee JointLongitudinal StudiesMaleMiddle AgedOsteoarthritis, KneePatient Acuity

Identifiers

PMID33844453
PMCPMC8505573
OpenAlexW3154295056

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Registered trials

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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.