Osteoarthritis

Determination and characterization of patient subgroups based on pain trajectories in hand osteoarthritis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

LCGA showed three pain trajectories in hand OA patients, with different baseline pain levels and stable pain over time. Classes were distinguished by BMI, education level, disease severity, depression and HR-QoL.

Study context

Population
Consecutive hand osteoarthritis (OA) patients in secondary care (HOSTAS cohort)484 eligible for longitudinal analysis
Participants
538 patients
Outcome
AUSCAN pain trajectories (measured yearly)
Follow-up
Four years
Methodological detailsconsecutive patients, secondary care, latent class growth analysis, multinomial logistic regression adjusted for baseline pain
  • Consecutive patients
  • Secondary care
  • Latent class growth analysis
  • Multinomial logistic regression adjusted for baseline pain

Main finding

As reported in the abstract

AUSCAN pain trajectories (LCGA)

Latent class growth analysis (LCGA) yielded three classes, characterized by average pain levels at baseline; average pain remained stable over time within classes

3 classes

Observational data: associations, not effects.

Further findings

Mean (SD) baseline AUSCAN pain
9.3 (4.3)
Sex, marital and working status, education, disease duration and severity, anxiety and depression scores, lower health-related quality of life (HR-QoL), specific illness perceptions and coping styles associated with baseline pain

Original publication

Determination and characterization of patient subgroups based on pain trajectories in hand osteoarthritis. Rheumatology (Oxford). Published 17 January 2023. doi:10.1093/rheumatology/kead017

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