Evidence map›Paper›PMID 34792868›Full record

ArticleACR open rheumatology2022

Relation of MRI-Detected Features of Patellofemoral Osteoarthritis to Pain, Performance-Based Function, and Daily Walking: The Multicenter Osteoarthritis Study.

J L Maxwell, T Neogi, Kay M Crossley, Erin M Macri, Dan White, A Guermazi, F W Roemer, M C Nevitt, C E Lewis, J C Torner and 1 more

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 60% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Osteoarthritis year in review 2022: imaging.Osteoarthritis and cartilage · 2023
    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

11 authors at 7 institutions in 6 countries.

J L MaxwellDepartment of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, Massachusetts.ORCID https://orcid.org/0000-0001-6455-2312
T NeogiDepartment of Medicine, Section of Rheumatology, Boston University School of Medicine, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-9515-1711
Kay M CrossleyLa Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Bundoora, Australia.
Erin M MacriDepartments of General Practice, Orthopaedics and Sports Medicine, Erasmus University Medical Centre, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0003-2798-6052
Dan WhiteDepartment of Physical Therapy, University of Delaware, Newark, Delaware.ORCID https://orcid.org/0000-0003-3792-4621
A GuermaziDepartment of Radiology, VA Boston Healthcare System, West Roxbury, Massachusetts.
F W RoemerDepartment of Radiology, University of Erlangen-Nuremberg, Erlangen, Germany.ORCID https://orcid.org/0000-0001-9238-7350
M C NevittDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
C E LewisDivision of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
J C TornerDepartment of Epidemiology, The University of Iowa, Iowa City, Iowa.
J J StefanikDepartment of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, Massachusetts.
Roche (Switzerland) · CHBoston University · USErasmus University Rotterdam · NLFriedrich-Alexander-Universität Erlangen-Nürnberg · DELa Trobe University · AUUniversity of Delaware · USUniversity of Iowa · US

Funding

Multicenter Osteoarthritis Study (MOST) Second RenewalU01AG019069 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEVITT, MICHAEL C · 2001 to 2020
$21.7M
Multicenter Osteoarthritis Study (MOST) Second Renewal: Iowa Clinical CenterU01AG018832 · NIA · UNIVERSITY OF IOWA · PI SEGAL, NEIL A, TORNER, JAMES C · 2001 to 2020
$14.1M
Multicenter Osteoarthritis Study (MOST) Second Renewal - Boston UniversityU01AG018820 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FELSON, DAVID TOBIN · 2001 to 2019
$13.6M
Multicenter Osteoarthritis Study (MOST) Second Renewal - UAB Clinical CenterU01AG018947 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEWIS, CORA E · 2001 to 2020
$13.2M
Research and Evaluation Support Core Unit (RESCU Core)P30AR072571 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Michael Paul Lavalley · 2019 to 2026
$6.9M
The Relation of Altered Pain Processing to Impact Loading and Response to a Gait Retraining Treatment in Knee OsteoarthritisK23AR070913 · NIAMS · UNIVERSITY OF DELAWARE · PI STEFANIK, JOSHUA JON · 2017 to 2021
$828k
Risk factors for anterior knee pain and the relation to future patellofemoral osteoarthritisR03AR077698 · NIAMS · NORTHEASTERN UNIVERSITY · PI STEFANIK, JOSHUA JON · 2021 to 2022
$173k
NIAMS NIH HHS K23 AR070913NIAMS NIH HHS P30 AR072571NIAMS NIH HHS R03 AR077698NIA NIH HHS U01 AG018820NIA NIH HHS U01 AG018832NIA NIH HHS U01 AG018947NIA NIH HHS U01 AG019069
6 · The paper itself

Abstract

objectiveThe study objective was to determine the relationship of magnetic resonance imaging (MRI)-detected features of patellofemoral joint osteoarthritis to pain and functional outcomes.

methodsWe sampled 1,099 participants from the 60-month visit of the Multicenter Osteoarthritis Study (mean ± SD age: 66.8 ± 7.5 years; body mass index: 29.6 ± 4.8; 65% female). We determined the prevalence of MRI-detected features of patellofemoral joint osteoarthritis (eg, cartilage damage, bone marrow lesions, and osteophytes) and assessed the relationship between these features and knee pain severity, knee pain on stairs, chair stand time, and walking less than 6,000 steps per day. We evaluated the relationship of MRI features to each outcome using logistic and linear regression, adjusting for potential covariates.

resultsParticipants with cartilage damage in 3-4 subregions had the highest mean pain severity (22.0/100; 95% confidence interval [CI]: 17.6-26.4 mm). They also showed higher odds of having at least mild pain on stairs (odds ratio [OR]: 3.3; 95% CI: 1.7-6.5) and of walking less than 6,000 steps per day (OR: 2.3; 95% CI: 1.1-4.4) compared with those without cartilage damage. Participants with bone marrow lesions in 3-4 subregions had higher odds of at least mild pain on stairs than those without (OR: 3.3; 95% CI: 2.2-5.2). Participants with osteophytes in 3-4 subregions also had higher odds of walking less than 6,000 steps/day (OR 2.1, 95% CI: 1.3-3.5, respectively).

conclusionMRI-detected features of osteoarthritis of the patellofemoral joint are related to pain and functional performance. This knowledge highlights the need to develop treatments for those with patellofemoral joint osteoarthritis to improve pain and maximize function.

Identifiers

PMID34792868
PMCPMC8843751
OpenAlexW3212421813

What OpenQuestion holds

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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.