Osteoarthritis

Do Not Throw Out the Radiographs! Radiographic Disease Severity as a Prognostic Biomarker for the Onset of Frequent Knee Pain

J RheumatolPublished Prospective cohort study

Authors' conclusion

Radiographic OA severity should be considered a potential prognostic biomarker to identify individuals at high risk of developing knee symptoms.

Study context

Population
Knees of Osteoarthritis Initiative participants without frequent knee symptoms at baseline3,407 participants
Participants
5,653 participants
Exposure
Baseline Kellgren-Lawrence (KL) grades 1–4 vs KL 0
Outcome
Incident frequent knee symptoms (self-report)
Follow-up
12 and 48 months
Methodological detailsknee-based logistic regression, generalized estimating equations
  • Knee-based logistic regression
  • Generalized estimating equations

Main finding

As reported in the abstract

Incident frequent knee symptoms · 12 months
Each group vs KL 0Odds ratio (95% CI)
KL 1
1.30(1.05–1.61)
KL 2
1.61(1.32–1.96)
KL 3
2.31(1.82–2.92)
KL 4
4.18(2.69–6.48)

Observational data: associations, not effects.

Further findings

Incident frequent knee symptoms · 48 months

Results similar to 12 months

Original publication

Do Not Throw Out the Radiographs! Radiographic Disease Severity as a Prognostic Biomarker for the Onset of Frequent Knee Pain. J Rheumatol. Published 15 May 2026. doi:10.3899/jrheum.2026-0129

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