Evidence map›Paper›PMID 41567278›Full record

ArticleOsteoarthritis and cartilage open2026

Determinants of six-minute walk test performance in individuals with knee osteoarthritis.

Sivakami Mylvaganam, Philippa Nicolson, Ian Stanaitis, Gillian Hawker, Lauren K King

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Sivakami MylvaganamDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Philippa NicolsonNuffield Department of Orthopaedics, Rheumatology & Musculoskeletal Sciences (NDORMS), University of Oxford, UK.
Ian StanaitisResearch and Innovation Institute, Women's College Hospital, Toronto, Ontario, Canada.
Gillian HawkerDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.
Lauren K KingDepartment of Medicine, University of Toronto, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The 6-minute walk test (6MWT), an Osteoarthritis Research Society International (OARSI)-recommended measure of physical function in knee osteoarthritis (OA), was originally developed to assess submaximal aerobic fitness in people with cardiovascular disease. The degree to which 6MWT performance reflects knee OA severity versus other patient factors remains unclear. Our objective was to assess the contributions of OA-related and non-OA-related patient characteristics to 6MWT performance in individuals with symptomatic knee OA. Design: In this cross-sectional study, participants scheduled for total knee arthroplasty completed the 6MWT and standardized questionnaires. Participant characteristics were compared by tertiles of 6MWT distance. Multivariable linear regression modelling was used to assess associations between patient factors and 6MWT distance. Results: Among 278 participants (mean age 67.1 years, 65.5% female, mean WOMAC pain 57.0, and mean 6MWT distance 323.1m), older age (adjusted beta coefficient -4.0 per year, 95% confidence interval [CI] -5.4, -2.5), female sex (adjusted beta [95% CI] -43.0 [-67.3, -18.7]), presence of obesity (adjusted beta [95% CI] -44.4 [-68.2, -20.5]), greater knee pain (adjusted beta [95% CI] per unit increase in WOMAC pain -1.12 [-2.1, -0.2]), worse knee-OA related function (adjusted beta [95% CI] per unit increase in KOOS-PS -1.1 [-2.0, -0.1]) were associated with shorter 6MWT distance. Greater arthritis coping efficacy (adjusted beta [95% CI] 5.2 [1.4, 9.0]) was associated with longer 6MWT distance. Conclusions: While 6MWT distance declines with greater knee OA symptom severity, other demographic, biomedical and psychosocial factors also significantly influence 6MWT performance. These should be considered when interpreting the 6MWT in this population.

Indexed as

Knee osteoarthritisPerformance-based measureSix-minute walk test

Identifiers

PMID41567278
PMCPMC12816899

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.