Prolonged morning stiffness is common in hand osteoarthritis (OA) and does not preclude a diagnosis of hand osteoarthritis
Authors' conclusion
Prolonged and severe morning stiffness are frequently present in patients with hand OA. Patients with these symptoms report more pain in general and have a lower quality of life than patients that do not report these symptoms. Prolonged morning stiffness does not preclude a diagnosis of hand OA.
Study context
- Population
- Patients with primary hand OA according to their treating rheumatologist in the HOSTAS cohort519 with duration data
- Participants
- 538 patients
- Outcome
- Prolonged morning stiffness (>60 min)
Methodological detailslogistic regression
- Logistic regression
Main finding
As reported in the abstract
Prolonged morning stiffness (>60 min), patients with available data on duration (519 of 538)
89
17%
Observational data: associations, not effects.
Further findings
Severity of stiffness (AUSCAN), of 525
- Mild
- 158 (30%)
- Intermediate
- 194 (37%)
- Severe
- 97 (18%)
- Extreme
- 19 (4%)
Characteristics of patients with prolonged morning stiffness
- More pain, worse physical function, reduced mental and physical quality of life
- More severe radiographic disease, not statistically significant
Original publication
Prolonged morning stiffness is common in hand OA and does not preclude a diagnosis of hand osteoarthritis. Osteoarthritis Cartilage. Published 18 November 2022. doi:10. 1016/ j. joca. 2022. 10. 022
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