Evidence map›Paper›PMID 34802087›Full record

Trial reportClinical rheumatology2022

A clinical model for predicting knee replacement in early-stage knee osteoarthritis: data from osteoarthritis initiative.

Rongjie Wu, Yuanchen Ma, Yuhui Yang, Mengyuan Li, Qiujian Zheng, Guangtao Fu

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Continued stepped care model improves early-stage self-report quality of life and knee function after total knee arthroplasty.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
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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

6 authors at 2 institutions in 1 country.

Rongjie Wu *Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China.
Yuanchen Ma *Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China.
Yuhui Yang *Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China.
Mengyuan LiDepartment of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China.
Qiujian ZhengDepartment of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China. zhengqiujian@gdph.org.cn.
Guangtao FuDepartment of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Yuexiu District, 106, Zhongshan Road, Guangzhou, Guangdong Province, People's Republic of China. fuguangtao@gdph.org.cn.ORCID http://orcid.org/0000-0003-1071-3680
Guangdong Academy of Medical Sciences · CNShantou University · CN

Funding

Medical Scientific Research Foundation of Guangdong Province of China A2021310Natural Science Foundation of Guangdong Province 2021A1515011008NSFC Incubation Program of GDPH KY012021163Program of Science and Technology of Guangzhou 201904010424Project of Administration of Traditional Chinese Medicine of Guangdong Province of China 20211007
6 · The paper itself

Abstract

backgroundKnee osteoarthritis (OA) progresses in a heterogeneous way, as a majority of the patients gradually worsen over decades while some undergo rapid progression and require knee replacement. The aim of this study was to develop a predictive model that enables quantified risk prediction of future knee replacement in patients with early-stage knee OA.

methodsPatients with early-stage knee OA, intact MRI measurements, and a follow-up time larger than 108 months were retrieved from the Osteoarthritis Initiative database. Twenty-five candidate predictors including demographic data, clinical outcomes, and radiographic parameters were selected. The presence or absence of knee replacement during the first 108 months of the follow-up was regarded as the primary outcome. Patients were randomly divided into derivation and validation groups in the ratio of three to one. Nomograms were developed based on multivariable logistic regressions of derivation group via R language. Those models were further tested in the validation group for external validation.

resultsA total of 839 knees were enrolled, with 98 knees received knee replacement during the first 108 months. Glucocorticoid injection history, knee OA in the contralateral side, extensor muscle strength, area of cartilage deficiency, bone marrow lesion, and meniscus extrusion were selected to develop the nomogram after multivariable logistic regression analysis. The bias-corrected C-index and AUC of our nomogram in the validation group were 0.804 and 0.822, respectively.

conclusionOur predicting model provided simplified identification of patients with high risk of rapid progression in knee OA, which showed adequate predictive discrimination and calibration. KEY POINTS: • Knee OA progresses in a heterogeneous way and rises to a challenge when making treatment strategies. • Our predicting model provided simplified identification of patients with high risk of rapid progression in knee OA.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeDisease ProgressionHumansKnee JointMagnetic Resonance ImagingEarly stageFuture knee replacementKnee osteoarthritisPredictive model

Identifiers

PMID34802087
OpenAlexW3216529905

What Socratic 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 Socratic graph.