Evidence map›Paper›PMID 36474723›Full record

ReviewOsteoarthritis and cartilage open

Osteoarthritis is a neurological disease - an hypothesis.

Jason J McDougall

Open access · goldAbstract readReview
In one paragraph

Review in Osteoarthritis and cartilage open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 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

1 author at 1 institution in 1 country.

Jason J McDougallDepartments of Pharmacology and Anaesthesia, Pain Management & Perioperative Medicine, Dalhousie University, 5850 College Street, Halifax, Nova Scotia, B3H 4R2, Canada.
Dalhousie University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This commentary aims to summarise the importance of the joint nervous system in maintaining joint homeostasis and the role of nerves in contributing to degenerative diseases such as osteoarthritis (OA). Methods: Pertinent scientific literature was evaluated and summarised to form the hypothesis that OA is a neurological disease. Results: Joint nerves regulate a constant blood supply to maintain joint homeostasis and sustain tissue health; however, in OA this neurovascular control system is compromised and joint tissue integrity declines. Similarly, a decrease in joint proprioceptors and nociceptors with age and during arthritis interferes with position sense and pain transmission so that the body is unable to correct abnormal loading and this alteration in joint biomechanics can lead to joint destruction. Finally, brain morphology and activity are altered in OA patients but can be rectified by total joint replacement. Conclusions: Joints possess a complex nervous system that controls multiple physiological functions such as tissue blood flow, position sense, and pain. Damage or dysfunction of the joint nervous system can affect joint health and promote degenerative diseases such as OA. Drugs that are used to treat neurological diseases such as epilepsy and depression have been found to be effective at ameliorating the symptoms of OA. Thus, in addition to age, obesity, joint instability, and sex, neuronal impairment could be considered an additional risk factor for the development and pathogenesis of OA.

Indexed as

JointsNervesNeurogenic InflammationNeuropathic painNeuropathyPain

Identifiers

PMID36474723
PMCPMC9718286
OpenAlexW2986946247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.