Prognostic Factors and Changes in Pain, Physical Functioning, and Participation in Patients With Hip and/or Knee Osteoarthritis: A Systematic Review
Authors' conclusion
This review encompasses prognostic factors associated with changes in either direction (ie, worsening or improvement) in pain, physical functioning, and participation. The results are consistent with other reviews.
Study context
- Population
- Patients with knee and/or hip osteoarthritis (OA)31 studies
- Outcome
- Prognostic factors of changes (worsening or improvement) in pain, physical functioning and participation
Methodological detailsHayden criteria for methodologic quality, active learning program for title/abstract screening
- Hayden criteria for methodologic quality
- Active learning program for title/abstract screening
Pooled result
As reported in the abstract
- Knee OA, pain worsening: lower physical functioning (strong evidence); higher BMI, ethnicity and higher comorbidity count (moderate evidence)
- Knee OA, pain improvement: less pain at baseline (moderate evidence)
- Knee and/or hip OA, worsening of physical functioning: higher BMI, more pain, more hip pain, higher comorbidity count, higher avoidance of activities (strong evidence) and ethnicity (moderate evidence)
- Knee OA, improvement in physical functioning: higher vitality (moderate evidence)
- Remaining prognostic factors: weak, inconclusive or inconsistent evidence
- Hip OA: only weak evidence for three factors predicting change in physical functioning
Original publication
Prognostic Factors and Changes in Pain, Physical Functioning, and Participation in Patients With Hip and/or Knee Osteoarthritis: A Systematic Review. Arthritis Care Res (Hoboken). Published 30 September 2024. doi:10. 1002/ acr. 25428
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