Evidence map›Paper›PMID 37709187›Full record

ArticleOsteoarthritis and cartilage2024

Exploring different models of pain phenotypes and their association with pain worsening in people with early knee osteoarthritis: The MOST cohort study.

Y V Raghava Neelapala, Tuhina Neogi, Deepak Kumar, Mohamed Jarraya, Luciana Macedo, Dylan Kobsar, Steven Hanna, Laura A Frey-Law, Cora E Lewis, Michael Nevitt and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Osteoarthritis and cartilage, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Wearable sensor-based spinal motion assessments for identifying phenotypic clusters in chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  6. Personalizing the Management of Knee Osteoarthritis.SMART-MD journal of precision medicine · 2026
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  13. Editorial: Insight in musculoskeletal pain-2023.Frontiers in pain research (Lausanne, Switzerland) · 2024
    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

13 authors at 7 institutions in 2 countries.

Y V Raghava NeelapalaSchool of Rehabilitation Science, McMaster University, Hamilton, Canada. Electronic address: neelapay@mcmaster.ca.
Tuhina NeogiDepartment of Medicine, Chobanian & Avedisian Boston University School of Medicine, United States. Electronic address: tneogi@bu.edu.
Deepak KumarBoston University College of Health & Rehabilitation Sciences, Sargent College, United States. Electronic address: kumard@bu.edu.
Mohamed JarrayaDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, United States. Electronic address: mjarraya@mgh.harvard.edu.
Luciana MacedoSchool of Rehabilitation Science, McMaster University, Hamilton, Canada. Electronic address: macedol@mcmaster.ca.
Dylan KobsarDepartment of Kinesiology, McMaster University, Hamilton, Canada. Electronic address: kobsard@mcmaster.ca.
Steven HannaDepartment of Health Research Methods, Faculty of Health Sciences, McMaster University, Hamilton, Canada. Electronic address: hannas@mcmaster.ca.
Laura A Frey-LawDepartment of Physical Therapy and Rehabilitation Science, University of Iowa, United States. Electronic address: laura-freylaw@uiowa.edu.
Cora E LewisDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, United States. Electronic address: celewis@uabmc.edu.
Michael NevittEpidemiology & Biostatistics, University of California San Francisco, United States. Electronic address: Michael.Nevitt@ucsf.edu.
Tom AppletonDepartment of Medicine and Physiology & Pharmacology, Western University, Canada. Electronic address: tom.appleton@sjhc.london.on.ca.
Trevor BirminghamSchool of Physical Therapy, Western University, Canada. Electronic address: tbirming@uwo.ca.
Lisa C CarlessoSchool of Rehabilitation Science, McMaster University, Hamilton, Canada. Electronic address: carlesl@mcmaster.ca.
McMaster University · CABoston University · USWestern University · CAHarvard University · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Iowa · US

Funding

Southern All of Us NetworkOT2OD026548 · OD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N., KORF, BRUCE R · 2018 to 2023
$60.5M
Project 3: Intraarticular MineralizationU19AG076471 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2023 to 2026
$49.0M
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 TUHINA NEOGI · 2019 to 2026
$6.9M
PRROPS: Pathways of Risk and Resilience for Overlapping Pain and SensitizationR01NS121419 · NINDS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Emelia J. Benjamin, ROBERT R EDWARDS · 2021 to 2026
$3.7M
CAPSITE: Community Assessment of Pain and Sensitization in the ElderlyR01AG066010 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., EDWARDS, ROBERT R · 2020 to 2025
$3.3M
Pain in community-based older African American Adults: The Jackson Heart StudyR01AG066914 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., EDWARDS, ROBERT R · 2020 to 2024
$3.2M
The Role of Urate in Knee Osteoarthritis-Related Inflammation, Pathology and PainK24AR070892 · NIAMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI TUHINA NEOGI · 2017 to 2026
$1.1M
NIAMS NIH HHS K24 AR070892NIAMS NIH HHS P30 AR072571NIA NIH HHS R01 AG066010NIA NIH HHS R01 AG066914NIA NIH HHS U01 AG018820NIA NIH HHS U01 AG018832NIA NIH HHS U01 AG018947NIA NIH HHS U01 AG019069NIA NIH HHS U19 AG076471NINDS NIH HHS R01 NS121419
6 · The paper itself

Abstract

objectiveTo determine i) pain phenotypes (PP) in people with early-stage knee osteoarthritis (EKOA); ii) the longitudinal association between the phenotypes and pain worsening at two years.

designWe studied participants with EKOA from the Multicenter Osteoarthritis Study defined as pain intensity ≤3/10, Kellgren and Lawrence grade ≤2, intermittent pain none to sometimes, and no constant pain. Two models of PP were explored. Model A included pressure pain thresholds, temporal summation, conditioned pain modulation, pain catastrophizing, sleep quality, depression, and widespread pain (WSP). In Model B, gait characteristics, quadriceps strength, comorbidities, and magnetic resonance imaging features were added to Model A. Latent Class Analysis was used to create phenotypes, and logistic regression was used to determine their association with pain worsening.

results750 individuals (60% females), mean age [standard deviation (SD)]: 60.3 (9.4) were included in Model A and 333 individuals (60% females), mean age (SD): 59.4 (8.1) in Model B. 3-class and 4-class solutions were chosen for Model A and Model B. In Model A, the most "severe" phenotype was dominated by psychosocial factors, WSP, and measures of nervous system sensitization. Similarly in Model B, the Model A phenotype plus gait variables, quadriceps strength, and comorbidities were dominant. Surprisingly, none of the phenotypes in either model had a significant relationship with pain worsening.

conclusionPhenotypes based upon various factors thought to be important for the pain experience were identified in those with EKOA but were not significantly related to pain worsening. These phenotypes require validation with clinically relevant endpoints.

Indexed as

Chronic PainOsteoarthritis, KneeCohort StudiesFemaleHumansKnee JointMalePain ThresholdPhenotypeEarly-onset knee OAPain progressionPhenotypes

Identifiers

PMID37709187
PMCPMC10903761
OpenAlexW4386646379

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.