Evidence map›Paper›PMID 41817243›Full record

ReviewACR open rheumatology2026

Burden and Associated Factors of Unmet Health Care Needs in Individuals With Osteoarthritis: A Systematic Review.

Kiana Ragagnin, Sophia da Silva-Oolup, Hainan Yu, Srinidhi Balaji, Pierre Côté, Sheilah Hogg-Johnson, Kent Murnaghan, Jessica J Wong

Abstract readReview
In one paragraph

Review in ACR open rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Kiana RagagninGraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.ORCID https://orcid.org/0009-0000-5702-5928
Sophia da Silva-OolupGraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Hainan YuUndergraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Srinidhi BalajiUndergraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Pierre CôtéInstitute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
Sheilah Hogg-JohnsonInstitute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
Kent MurnaghanLibrary Services, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
Jessica J WongGraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review aimed to describe the prevalence, incidence, and associated factors of unmet health care needs among adults with osteoarthritis.

methodsWe searched Medline (Ovid), Embase (Ovid), CINAHL (EBSCO), and PsycINFO (Ovid) from inception through May 15, 2024. Eligible studies were cross-sectional, cohort, and case-control studies investigating the prevalence, incidence, associated factors, or risk factors of unmet health care needs in adults with osteoarthritis. We restricted to articles published in English, French, Italian, and Chinese for feasibility. Reviewers independently screened articles, assessed risk of bias using the Joanna Briggs Institute Checklists, and extracted data. We descriptively synthesized results from low/moderate risk-of-bias studies, stratifying results by age (<60 vs ≥60 years).

resultsOf 3,589 citations screened, 7 cross-sectional studies with low/moderate risk-of-bias were included in the synthesis (3 from South Korea, 4 from the United States). In South Korea, the 12-month prevalence of unmet health care needs was 31.6% (95% confidence interval [CI] 29.9%-33.3%) among adults aged ≥50 years with osteoarthritis and 31% (95% CI 30.9%-31.1%) among those aged ≥65 years with arthritis. In the United States, the 12-month prevalence of unmet needs in the general population due to unaffordability ranged from 15% to 30% in adults with osteoarthritis or arthritis. Prevalence was higher among those who exclusively used complementary and alternative medicine and varied during the COVID-19 pandemic, peaking in the summer of 2020. Evidence suggests that unmet needs are associated with lower income, no insurance, and activity limitations.

conclusionUnmet health care needs are common in adults with osteoarthritis, particularly those facing socioeconomic disadvantages or functional limitations. Given the paucity of high-quality studies, additional research is needed.

Identifiers

PMID41817243
PMCPMC13629749

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.