Evidence map›Paper›PMID 41852771›Full record

ReviewOsteoarthritis and cartilage open2026

The impact of knee osteoarthritis on cardiovascular disease mortality: A systematic review and meta-analysis.

Pei-En Kao, Po-Yuan Chen

Abstract readReview
In one paragraph

Review in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Pei-En KaoDepartment of Medical Education, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833401, Taiwan.
Po-Yuan ChenDepartment of Medical Education, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 231016, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to conduct a systematic review and meta-analysis to evaluate the risk of cardiovascular disease (CVD) mortality in patients with knee osteoarthritis (OA). Design: A systematic search of PubMed, Cochrane Library, and Web of Science was conducted through January 23, 2026. Cohort studies reporting risk estimates of CVD mortality in knee OA were included. Pooled hazard ratios (HRs) were calculated using a random-effects model. Subgroup analyses were performed based on knee OA classification (radiographic knee OA only, symptomatic knee OA only, and both radiographic and symptomatic knee OA) and gender. Results: Six cohort studies comprising 476,665 patients were included in this meta-analysis. Knee OA was associated with an increased risk of CVD mortality (Pooled HRs: 1.22; 95 % CI: 1.07, 1.39, p = 0.002). However, subgroup analyses showed no significant association based on radiographic knee OA only (Pooled HRs: 1.19; 95 % CI: 0.91, 1.55, p = 0.20), and both radiographic and symptomatic knee OA (Pooled HRs: 1.53; 95 % CI: 0.98, 2.41, p = 0.06). By sex, no significant association was found in males (Pooled HR = 0.97, 95 % CI: 0.83, 1.13, p = 0.68), while females had a significantly increased risk of CVD mortality (Pooled HR = 1.28; 95 % CI: 1.04, 1.59, p = 0.02). Conclusion: Knee OA was associated with an increased risk of CVD mortality, with a more pronounced association observed among females. These findings suggest that CVD risk may warrant consideration in patients with knee OA.

Indexed as

Cardiovascular diseaseCardiovascular mortalityDeathKnee osteoarthritis

Identifiers

PMID41852771
PMCPMC12992097

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LicenceCC BY-NC-ND
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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.