Evidence map›Paper›PMID 33948768›Full record

ArticleClinical rheumatology2021

Polycystic ovary syndrome and (pre)osteoarthritis: assessing the link between hyperandrogenism in young women and cartilage oligomeric matrix protein as a marker of cartilage breakdown.

Plamena Kabakchieva, Tsvetoslav Georgiev, Antoaneta Gateva, Julieta Hristova, Zdravko Kamenov

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Article in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
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

4 citing papers in PubMed, 14 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Plamena KabakchievaClinic of Endocrinology, University Hospital "Alexandrovska", Department of Internal Medicine, Medical Faculty, Medical University of Sofia, Sofia, Bulgaria.ORCID http://orcid.org/0000-0003-3577-0577
Tsvetoslav GeorgievClinic of Rheumatology, University Hospital "St. Marina", First Department of Internal Medicine, Medical Faculty, Medical University - Varna, Varna, Bulgaria. tsetso@medfaculty.org.ORCID http://orcid.org/0000-0002-1652-4648
Antoaneta GatevaClinic of Endocrinology, University Hospital "Alexandrovska", Department of Internal Medicine, Medical Faculty, Medical University of Sofia, Sofia, Bulgaria.ORCID http://orcid.org/0000-0002-8030-4498
Julieta HristovaClinical Laboratory and Clinical Pharmacology, University Hospital "Alexandrovska", Department of Clinical Laboratory, Medical University-Sofia, Sofia, Bulgaria.ORCID http://orcid.org/0000-0001-9915-3282
Zdravko KamenovClinic of Endocrinology, University Hospital "Alexandrovska", Department of Internal Medicine, Medical Faculty, Medical University of Sofia, Sofia, Bulgaria.ORCID http://orcid.org/0000-0002-4829-9449
Medical University of Sofia · BGMedical University of Varna · BG

Funding

Medical University Sofia 8378/20.11.2019 with Contract D-85/24.06.2020
6 · The paper itself

Abstract

introduction

objectivesOur aim was to analyze the link between hyperandrogenism and early clinical manifestations of osteoarthritis (OA), knee cartilage thickness, and serum cartilage oligomeric matrix protein (sCOMP) levels in patients with polycystic ovary syndrome (PCOS) and to compare them with healthy volunteers.

methodsFifty-four PCOS patients who met the Rotterdam criteria with phenotypes A, B, and C were included. They were compared with 26 age- and body mass index (BMI)-matched controls. Detailed anthropometric measurements and clinical evaluation for hyperandrogenism were performed for all participants who also filled in the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Furthermore, laboratory tests including sCOMP and hormone quantification were performed in a fasting stage. Finally, an ultrasound assessment was carried out in randomly selected 56 study participants.

resultsPCOS women reported more prominent knee-related symptoms (p = 0.035) and more impaired activities of daily living (ADL) (p = 0.001) than controls. Cartilage thickness of the left and right medial condyle and left lateral condyle was significantly greater in PCOS group (n = 41) than in control group (n = 15) (p = 0.05, p = 0.006, and p = 0.036, respectively). COMP correlated significantly and negatively with testosterone levels (p = 0.029, r =  - 0.297) in women with PCOS and the correlation remained significant after controlling for BMI.

conclusionsWomen with PCOS may experience knee-related symptoms and impaired ADL. They had greater knee femoral cartilage thickness. Although sCOMP levels did not significantly differ between the groups, lower levels of sCOMP may be inherent to PCOS patients with higher testosterone levels. Key Points • Although PCOS patients may experience more prominent knee related symptoms, their femoral cartilage of the knee joint is found thicker than controls. • PCOS patients did not have significantly elevated levels of sCOMP. • Lower sCOMP levels were related to higher testosterone levels.

Indexed as

HyperandrogenismOsteoarthritisPolycystic Ovary SyndromeActivities of Daily LivingBody Mass IndexCartilageCartilage Oligomeric Matrix ProteinFemaleHumansCartilage Oligomeric Matrix ProteinBiomarkersCartilageHyperandrogenismKneeOsteoarthritisPolycystic ovary syndrome

Identifiers

PMID33948768
OpenAlexW3157039764

What Socratic holds

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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 Socratic graph.