Osteoarthritis

Does hsCRP provide insights into an inflammatory phenotype of knee osteoarthritis?

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

Despite interest in identifying an inflammatory phenotype in OA, hsCRP levels do not reliably identify knees with inflammation.

Study context

Population
MOST Study participants with baseline knee MRIs and hsCRP assays (mean age 62, 52% female)
Participants
792 participants
Exposure
hsCRP vs MRI inflammation
Outcome
Inflammation presence on MRI (Whole Organ MRI Score (WORMS) Hoffa's synovitis or effusion-synovitis score ≥2 in ≥1 of 3 locations)
Follow-up
Baseline
Methodological detailslogistic and linear regression, cubic spline regression, ROC curve, adjusted for age, sex and BMI
  • Logistic and linear regression
  • Cubic spline regression
  • ROC curve
  • Adjusted for age, sex and BMI

Main finding

As reported in the abstract

Association of hsCRP levels with inflammation presence on knee MRI (Hoffa's synovitis or effusion-synovitis), adjusted for age, sex and BMI

hsCRP levels and inflammation presence: OR

0.99

hsCRP levels and inflammation presence: 95% CI

0.96-1.01

Observational data: associations, not effects.

Further findings

Non-linear associations (cubic spline)

Cubic spline regression did not reveal non-linear associations

ROC: predictive ability of hsCRP for MRI inflammation

Poor predictive ability of hsCRP to identify knees with inflammation on MRI

Original publication

Does hsCRP provide insights into an inflammatory phenotype of knee osteoarthritis? Osteoarthritis Cartilage. Published 5 September 2025. doi:10.1016/j.joca.2025.08.019

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.