Association of Changes in Hand Pain With Body Mass Index (BMI), Employment, and Mental Well‐Being Over Four Years in Patients With Hand Osteoarthritis
Authors' conclusion
The pain course of patients with hand OA is variable, not inevitably worsening, and various factors may play a role.
Study context
- Population
- Patients with hand osteoarthritis (OA), Hand OSTeoArthritis in Secondary Care cohort (83% female, mean age 60.6 years, mean AUSCAN pain 9.1)analysed
- Participants
- 356 patients
- Outcome
- Change in AUSCAN pain (0-20): deterioration, stable or improvement by Minimal Clinical Important Improvement; good clinical outcome by PASS
- Follow-up
- 4 years
Methodological details4-year annual follow-up, multinomial or binary logistic regression adjusted for baseline pain, age, sex and BMI
- 4-year annual follow-up
- Multinomial or binary logistic regression adjusted for baseline pain, age, sex and BMI
Main finding
As reported in the abstract
Hand pain course (AUSCAN pain)
Pain improved
38%
Pain deteriorated
30%
Pain remained stable
32%
Observational data: associations, not effects.
Further findings
Patient Acceptable Symptom State (PASS) reached
- At baseline
- 44%
- At follow-up
- 49%
Baseline factors associated with pain change
- Higher BMI, coping through comforting cognitions and illness comprehension positively associated with pain deterioration
- Higher AUSCAN function score, mental well-being and illness consequences negatively associated with pain improvement
- Employment (positive) and emotional representations (negative) associated with both improvement and deterioration
Baseline factors associated with PASS after 4 years
- Higher baseline AUSCAN function, tender joint count and symptoms attributed to hand OA negatively associated with PASS
Original publication
Association of Changes in Hand Pain With BMI, Employment, and Mental Well‐Being Over Four Years in Patients With Hand Osteoarthritis. Arthritis Care Res (Hoboken). Published 27 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →