Evidence map›Paper›PMID 35331146›Full record

ArticleBMC geriatrics2022

Predictors of resilience in older adults with lower limb osteoarthritis and persistent severe pain.

Natasja M van Schoor, Erik J Timmermans, Martijn Huisman, Alicia Gutiérrez-Misis, Willem Lems, Elaine M Dennison, Maria Victoria Castell, Michael D Denkinger, Nancy L Pedersen, Stefania Maggi and 1 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Resiliency Among Women's Health Initiative Women Aged 80 and Older by Race, Ethnicity, and Neighborhood Socioeconomic Status.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  2. Article
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.

Natasja M van Schoor *Department of Epidemiology and Data Science, UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands. nm.vanschoor@amsterdamumc.nl.
Erik J Timmermans *Department of Epidemiology and Data Science, UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands. nm.vanschoor@amsterdamumc.nl.
Martijn HuismanDepartment of Epidemiology and Data Science, UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands.
Alicia Gutiérrez-MisisMedicine Department, Family Medicine and Primary Care Division, School of Medicine, Autonomous University of Madrid, Madrid, Spain.
Willem LemsDepartment of Rheumatology, Amsterdam UMC, Amsterdam, the Netherlands.
Elaine M DennisonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK.
Maria Victoria CastellHospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain.
Michael D DenkingerGeriatric Research Unit and Geriatric Center, Agaplesion Bethesda Hospital, University of Ulm, Ulm, Germany.
Nancy L PedersenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Stefania MaggiNational Research Council, Neuroscience Institute, Padua, Italy.
Dorly J H DeegDepartment of Epidemiology and Data Science, UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands.

Funding

Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2Versus Arthritis 19583
6 · The paper itself

Abstract

backgroundResilience refers to the process in which people function well despite adversity. Persistent severe pain may be considered an adversity in people with lower limb osteoarthritis (LLOA). The objectives of this study are: (1) to identify what proportion of older adults with LLOA and persistent severe pain show good functioning; and (2) to explore predictors of resilience.

methodsData from the European Project on OSteoArthritis (EPOSA) were used involving standardized data from six European population-based cohort studies. LLOA is defined as clinical knee and/or hip osteoarthritis. Persistent severe pain is defined as the highest tertile of the pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index both at baseline and follow-up. Resilience is defined as good physical, mental or social functioning at follow-up despite having LLOA with persistent severe pain.

resultsIn total, 95 (14.9%) out of 638 individuals with LLOA had persistent severe pain. Among these, 10 (11.0%), 54 (57.4%) and 49 (53.8%) had good physical, mental and social functioning, respectively. Only 4 individuals (4.5%) were resilient in all three domains of functioning. Younger age, male sex, higher education, higher mastery, smoking and alcohol use, higher physical activity levels, absence of chronic diseases, and more contacts with friends predicted resilience in one or more domains of functioning.

conclusionsFew people with LLOA and persistent severe pain showed good physical functioning and about half showed good mental or social functioning. Predictors of resilience differed between domains, and might provide new insights for treatment.

Indexed as

Osteoarthritis, HipAgedHumansLower ExtremityMalePainPain MeasurementOlder AdultsOsteoarthritisPainPredictorsResilience

Identifiers

PMID35331146
PMCPMC8944048

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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.