Osteoarthritis

Quantifying sustained pain worsening in knee osteoarthritis

Osteoarthritis CartilagePublished Cohort study

Authors' conclusion

Most participants with knee OA reported at least one clinically relevant increase in WOMAC pain, but fewer than half experienced an episode of sustained pain worsening.

Study context

Population
Participants from the Osteoarthritis Initiative with radiographic, symptomatic knee osteoarthritis (OA)
Participants
1,093 participants
Outcome
Frequency and duration of episodes of pain worsening (clinically relevant increase: WOMAC pain ≥9 points; sustained worsening: maintaining ≥80% of the initial increase)
Methodological detailsPoisson regression
  • Poisson regression

Main finding

As reported in the abstract

Episodes of pain worsening
≥1 increase in WOMAC pain ≥9 points
Eighty-eight percent
Incidence rate (IR) of WOMAC pain increase ≥9 points
26.3 per 100 person years (95% CI: 25.2, 27.4)
≥1 episode of sustained worsening
Forty-eight percent
IR of sustained worsening
9.7 per 100 person-years (95% CI: 8.9, 10.5)
Average duration elevated pain maintained after initial increase
2.4 years

Observational data: associations, not effects.

Original publication

Quantifying sustained pain worsening in knee osteoarthritis. Osteoarthritis Cartilage. Published 5 April 2023. doi:10.1016/j.joca.2023.03.012

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

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