Evidence map›Paper›PMID 40087790›Full record

ArticleBMC rheumatology2025

Terminologies and definitions used to classify patients with osteoarthritis: a scoping review.

Gabriel Gijon-Nogueron, Peter Balint, Anastas Batalov, Predrag Ostojic, Nico Sollmann, Marienke van Middelkoop, Rintje Agricola, Josefine E Naili, Darko Milovanovic, Stanislava Popova and 5 more

Abstract read
In one paragraph

Article in BMC rheumatology, 2025. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
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

15 authors.

Gabriel Gijon-NogueronDepartment Nursing and Podiatry, University of Malaga, Malaga, Spain. gagijon@uma.es.
Peter BalintMusculoskeletal Radiology Group, Semmelweis University, Budapest, Hungary.
Anastas BatalovFaculty of Medicine, Clinic of Rheumatology, Medical University of Plovdiv, University Hospital "Kaspela", Plovdiv, Bulgaria.
Predrag OstojicInstitute of Rheumatology, School of Medicine, University of Belgrade, Belgrade, Serbia.
Nico SollmannDepartment of Diagnostic and Interventional Radiology, University Hospital Ulm, Ulm, Germany.
Marienke van MiddelkoopDepartment of General Practice, Erasmus MC Medical University Center Rotterdam, Rotterdam, The Netherlands.
Rintje AgricolaErasmus Medical Center, Rotterdam, The Netherlands.
Josefine E NailiDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Darko MilovanovicFaculty of Medicine, Clinic for Orthopaedic Surgery and Traumatology, University of Belgrade, University Clinical Centre of Serbia, Belgrade, 11000, Serbia.
Stanislava PopovaMedical University of Plovdiv, Plovdiv, Bulgaria.
Maria KazakovaDepartment of Medical Biology, Research Institute, Medical University-Plovdiv, Plovdiv, Bulgaria.
Sylvia NuernbergerDepartment of Trauma Surgery, General Hospital, Medical University of Vienna, Vienna, Austria.
Cecilia AulinDepartment of Medicine Solna, Division of Rheumatology, Centre for Molecular Medicine, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Rositsa KaralilovaFaculty of Medicine, Clinic of Rheumatology, Medical University of Plovdiv, University Hospital "Kaspela", Plovdiv, Bulgaria.
Yves HenrotinMusculoskeletal Innovative Research Lab (mskil), University of Liège, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOsteoarthritis (OA), a prevalent and disabling condition, significantly burdens individuals and healthcare systems worldwide. It is characterized by joint pain, stiffness, and structural changes in cartilage, bone, and synovium. The clinical manifestations of OA vary widely, reflecting complex interactions among genetic, metabolic, biomechanical, and environmental factors. Despite progress in identifying OA clinical phenotypes, inconsistent terminology, including "phenotypes," "subtypes," and "subgroups," hinders effective communication and research translation. This review aims to synthesize existing literature on clinical OA phenotypes, terminology, and definitions and propose a research agenda.

methodThis scoping review followed PRISMA-ScR guidelines, focusing on publications from 2010 to 2023 investigating clinical phenotypes in adult OA patients. Searches were conducted in MEDLINE, SCOPUS, and EBSCOhost using combinations of terms related to clinical phenotypes in OA. Studies were screened, duplicates removed, and relevant data were charted and analyzed by two independent reviewers.

resultsFrom 196 identified studies, 50 were included in the final analysis. Eight clinical phenotypes were categorized, including inflammatory, biomechanical, metabolic, and pain-sensitization. minimal joint disease, psychologically driven, menopause, severe radiographic. Most studies focused on knee OA, with limited exploration of hand, midfoot, and hip OA. Phenotype-based management strategies demonstrated potential for improving treatment outcomes and guiding research.

conclusionStandardizing terminology and leveraging phenotype-based frameworks hold promise for advancing personalized OA care and research. Future efforts should focus on validating criteria, developing accessible diagnostic tools, and addressing understudied OA phenotypes. This work highlights the value of tailoring interventions to specific OA phenotypes for improved patient outcomes. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

ClinicalOsteoarthritisPatientsPhenotype

Identifiers

PMID40087790
PMCPMC11908012

What Socratic 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 Socratic graph.