Osteoarthritis

A virtual knee replacement (vKR) multi-component endpoint for knee osteoarthritis based on patient-reported patient-reported outcomes (PROs): Data from the Osteoarthritis Initiative

Osteoarthritis CartilagePublished Prognostic model development study

Authors' conclusion

The three vKR criteria represent potential clinical multi-component outcomes for clinical trials of knee OA.

Study context

Population
Osteoarthritis Initiative (OAI) participants with baseline radiographs, clinical assessments and health insurance, followed for 60 months8,205 knees
Participants
4,143 participants
Comparison
vKR1 vs vKR2 vs vKR3
Outcome
Prediction of knee replacement in the next year (sensitivity, specificity, AUC)
Follow-up
Next year
Methodological detailslogistic regression, 60-month follow-up
  • Logistic regression
  • 60-month follow-up

Performance

As reported in the abstract

Prediction of knee replacement (KR) in the next year
Test or modelAUC
vKR10.87 to 0.92
vKR2exceeded 0.85
vKR3>0.80

AUC

vKR10.87 to 0.92
vKR2exceeded 0.85
vKR3>0.80
Odds of vKR increase per 10 points of these assessments
30 % to 65 %

Original publication

A virtual knee replacement (vKR) multi-component endpoint for knee osteoarthritis based on patient-reported PROs: Data from the Osteoarthritis Initiative. Osteoarthritis Cartilage. Published 6 August 2025. doi:10.1016/j.joca.2025.08.001

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