ArticleAnnals of the rheumatic diseases2024
2023 EULAR classification criteria for hand osteoarthritis.
Article in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Patient and healthcare factors associated with treatment response in patients with hand osteoarthritis: secondary analyses from a randomised controlled, noninferiority trial.EULAR rheumatology open · 2026Article
- High-frequency ultrasound semi-quantitative assessment of cartilage damage in rheumatoid arthritis using the outcome measures in rheumatology scoring system.Quantitative imaging in medicine and surgery · 2026Article
- Observational
- Optical Spectral Transmission Imaging in Patients with Osteoarthritis: A Comparative Study with Joint Ultrasound and Clinical Markers.Rheumatology and therapy · 2026Article
- Osteoarthritis: Epidemiology, Diagnosis, and Treatment.MedComm · 2026Review
- Comment to the Article "Association of Sarcopenia with Pain and Disability in Hand Osteoarthritis: A Retrospective, Cross-Sectional, Single-Center Study".Archives of rheumatology · 2026Article
- Assessing active thumb palmar and radial abduction in persons with thumb carpometacarpal osteoarthritis via intermetacarpal distance methods: an exploration of validity, reliability, and precision.Clinical rheumatology · 2026Article
- Factors associated with radiographic progression of hand osteoarthritis over 2 years.RMD open · 2026Article
- Genetic polymorphisms of SPP1 and MGP are associated with thumb osteoarthritis: a replication study in the Chinese population.Molecular biology reports · 2026Article
- The stability of pain phenotypes in people with hand osteoarthritis - results from the NOR-HAND study.Osteoarthritis and cartilage open · 2026Article
- The association between social determinants, lifestyle, and metabolic factors and the incidence of hand osteoarthritis: A cohort study of British adults.Clinical rheumatology · 2026Article
- Limited discriminatory value of RAMRIS findings between RA and hand osteoarthritis: a cross-sectional MRI study.Rheumatology international · 2026Article
- Central obesity and radiographic severity are associated with symptomatic hand osteoarthritis: a population-based cross-sectional study.Rheumatology international · 2025Article
- A multidisciplinary, cross-sectorial management program for people living with hand osteoarthritis (HANDY): protocol for a feasibility study.Pilot and feasibility studies · 2025Article
- Evaluation of 14-3-3eta protein as a diagnostic biomarker in the initial assessment of inflammatory arthritis.Journal of rheumatic diseases · 2025Article
- Study protocol for the PICASSO trial: A randomized placebo-controlled trial to investigate the efficacy and safety of intraarticular steroid injections and an occupational therapy intervention in painful inflammatory carpometacarpal-1 osteoarthritis.Osteoarthritis and cartilage open · 2025Article
- Is thickened hyaline cartilage on ultrasound a sign of osteoarthritis? A within-person, between-joint pilot study.BMC rheumatology · 2025Article
- Osteoarthritis.Nature reviews. Disease primers · 2025Review
- Biochemical markers in hand osteoarthritis: a path to precision medicine.Rheumatology international · 2025Review
- Apremilast in osteoarthritis: exploring its therapeutic mechanisms.Drugs in context · 2025Review
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Authors and funding
31 authors.
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Abstract
objectivesThe objective of this study is to develop classification criteria for overall hand osteoarthritis (OA), interphalangeal OA and thumb base OA based on self-reported data and radiographic features.
methodsThe classification criteria sets were developed in three phases. In phase 1, we identified criteria that discriminated hand OA from controls. In phase 2, we used a consensus-based decision analysis approach to derive a clinician-based evaluation of the relative importance of the criteria. In phase 3, we refined the scoring system, determined the cut-offs for disease classification and compared the sensitivity and specificity of the European Alliance of Associations for Rheumatology (EULAR) criteria with the 1990 American College of Rheumatology (ACR) criteria.
resultsIn persons with hand symptoms and no other disease (including psoriasis) or acute injury that can explain the hand symptoms (mandatory criteria), hand OA can be classified based on age, duration of morning stiffness, number of joints with osteophytes and joint space narrowing, and concordance between symptoms and radiographic findings. Using a sum of scores based on each diagnostic element, overall hand OA can be classified if a person achieves 9 or more points on a 0-15 scale. The cut-off for interphalangeal OA and thumb base OA is 8 points. While the EULAR criteria demonstrated better sensitivity than the ACR criteria in the phase 1 data set, the performance of the two criteria sets was similar in two external cohorts.
conclusionsInternational experts developed the EULAR criteria to classify overall hand OA, interphalangeal OA and thumb base OA in clinical studies using a rigorous methodology.
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