Osteoarthritis

Exploring different models of pain phenotypes and their association with pain worsening in people with early knee osteoarthritis: The MOST cohort study

Osteoarthritis CartilagePublished Prospective cohort study

Authors' conclusion

Phenotypes based upon various factors thought to be important for the pain experience were identified in those with EKOA but were not significantly related to pain worsening.

Study context

Population
People with early-stage knee OA (pain intensity ≤3/10, Kellgren and Lawrence grade ≤2, intermittent pain none to sometimes, no constant pain) from the Multicenter Osteoarthritis Study
Participants
750 vs 333
Exposure
Model A vs Model B
  • Model An = 750
  • Model Bn = 333
Outcome
Association between pain phenotypes and pain worsening
Follow-up
Two years
Methodological detailslatent class analysis, logistic regression, multicentre
  • Latent class analysis
  • Logistic regression
  • Multicentre

Main finding

As reported in the abstract

Association of pain phenotypes with pain worsening
  • Model A: 3-class solution; most severe phenotype dominated by psychosocial factors, widespread pain (WSP) and nervous system sensitization
  • Model B: 4-class solution; Model A phenotype plus gait variables, quadriceps strength and comorbidities dominant
  • None of the phenotypes in either model had a significant relationship with pain worsening

Observational data: associations, not effects.

Original publication

Exploring different models of pain phenotypes and their association with pain worsening in people with early knee osteoarthritis: The MOST cohort study. Osteoarthritis Cartilage. Published 13 September 2023. doi:10.1016/j.joca.2023.09.003

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

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