Evidence map›Paper›PMID 39948092›Full record

ReviewNature reviews. Disease primers2025

Osteoarthritis.

Su'an Tang, Changqing Zhang, Win Min Oo, Kai Fu, May Arna Risberg, Sita M Bierma-Zeinstra, Tuhina Neogi, Inoshi Atukorala, Anne-Marie Malfait, Changhai Ding and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Disease primers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 274 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
274citing papers in PubMed, 6 pooled it
–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

274 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Second-to-Fourth Digit (2D:4D) Ratio as A Risk Factor for Osteoporosis and Osteoarthritis: A Systematic Review.American journal of human biology : the official journal of the Human Biology Council · 2026
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  20. The IL-4/IL-4R/STAT6 signaling axis regulates macrophage efferocytosis in osteoarthritis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article

214 more citing papers are in PubMed but not listed here.

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.

Su'an Tang *Clinical Research Centre, Zhujiang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-1391-5838
Changqing Zhang *Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-7408-4126
Win Min OoDepartment of Rheumatology, Royal North Shore Hospital and Sydney Musculoskeletal Health, Faculty of Medicine and Health Science, Kolling Institute, University of Sydney, Sydney, Australia.ORCID http://orcid.org/0000-0002-4065-7395
Kai FuDepartment of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-8721-0734
May Arna RisbergDepartment of Sport Medicine, Norwegian School Sport Sciences, Oslo, Norway.ORCID http://orcid.org/0000-0002-9511-1314
Sita M Bierma-ZeinstraDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-1280-5896
Tuhina NeogiBoston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9515-1711
Inoshi AtukoralaDepartment of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0000-0002-1223-6454
Anne-Marie MalfaitDepartment of Internal Medicine, Division of Rheumatology, Rush University Medical Center, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1428-0384
Changhai DingClinical Research Centre, Zhujiang Hospital, Southern Medical University, Guangzhou, China. Changhai.Ding@utas.edu.au.ORCID http://orcid.org/0000-0002-9479-730X
David J HunterClinical Research Centre, Zhujiang Hospital, Southern Medical University, Guangzhou, China. david.hunter@sydney.edu.au.ORCID http://orcid.org/0000-0003-3197-752X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoarthritis is a heterogeneous whole-joint disease that can cause pain and is a leading cause of disability and premature work loss. The predominant disease risk factors - obesity and joint injury - are well recognized and modifiable. A greater understanding of the complex mechanisms, including inflammatory, metabolic and post-traumatic processes, that can lead to disease and of the pathophysiology of pain is helping to delineate mechanistic targets. Currently, management is primarily focused on alleviating the main symptoms of pain and obstructed function through lifestyle interventions such as self-management programmes, education, physical activity, exercise and weight management. However, lack of adherence to known effective osteoarthritis therapeutic strategies also contributes to the high global disease burden. For those who have persistent symptoms that are compromising quality of life and have not responded adequately to core treatments, joint replacement is an option to consider. The burden imparted by the disease causes a substantial impact on individuals affected in terms of quality of life. For society, this disease is a substantial driver of increased health-care costs and underemployment. This Primer highlights advances and controversies in osteoarthritis, drawing key insights from the current evidence base.

Indexed as

OsteoarthritisExerciseHumansObesityQuality of LifeRisk Factors

Identifiers

What OpenQuestion holds

Textmetadata
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.