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  • Haugen, Ida K.Diakonhjemmet Hospital (author)

Development of radiographic classification criteria for hand osteoarthritis : a methodological report (Phase 2)

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-02-04
  • BMJ,2022

Numbers

  • LIBRIS-ID:oai:lup.lub.lu.se:b7cf7acf-ec3a-4ec5-9597-aac5547f3c09
  • https://lup.lub.lu.se/record/b7cf7acf-ec3a-4ec5-9597-aac5547f3c09URI
  • https://doi.org/10.1136/rmdopen-2021-002024DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • ObjectivesIn Phase 1 of developing new hand osteoarthritis (OA) classification criteria, features associated with hand OA were identified in a population with hand complaints. Radiographic findings could better discriminate patients with hand OA and controls than clinical examination findings. The objective of Phase 2 was to achieve consensus on the features and their weights to be included in three radiographic criteria sets of overall hand OA, interphalangeal OA and thumb base OA.MethodsMultidisciplinary, international expert panels were convened. Patient vignettes were used to identify important features consistent with hand OA. A consensus-based decision analysis approach implemented using 1000minds software was applied to identify the most important features and their relative importance influencing the likelihood of symptoms being due to hand OA. Analyses were repeated for interphalangeal and thumb base OA. The reliability and validity of the proposed criteria sets were tested.ResultsThe experts agreed that the criteria sets should be applied in a population with pain, aching or stiffness in hand joint(s) not explained by another disease or acute injury. In this setting, five additional criteria were considered important: age, morning stiffness, radiographic osteophytes, radiographic joint space narrowing and concordance between symptoms and radiographic findings. The reliability and validity were very good.ConclusionRadiographic features were considered critical when determining whether a patient had symptoms due to hand OA. The consensus-based decision analysis approach in Phase 2 complemented the data-driven results from Phase 1, which will form the basis of the final classification criteria sets.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Felson, DavidBoston University,Centre for Epidemiology Versus Arthritis (author)
  • Abhishek, AbhishekUniversity of Nottingham (author)
  • Berenbaum, FrancisParis-Sorbonne University,Hospital Saint-Antoine (author)
  • Edwards, John James (author)
  • Herrero Beaumont, GabrielAutonomous University of Madrid (author)
  • Hermann-Eriksen, MereteDiakonhjemmet Hospital (author)
  • Hill, Catherine L. (author)
  • Ishimori, MarikoCedars-Sinai Medical Center (author)
  • Jonsson, HelgiNational University Hospital of Iceland (author)
  • Karjalainen, TeemuJyväskylä Central Hospital (author)
  • Leung, Ying YingSingapore General Hospital (author)
  • Maheu, EmmanuelHospital Saint-Antoine (author)
  • Mallen, Christian D. (author)
  • Moe, Rikke HeleneDiakonhjemmet Hospital (author)
  • Ramonda, RobertaUniversity of Padova (author)
  • Ritschl, ValentinMedical University of Vienna (author)
  • Stamm, Tanja A.Medical University of Vienna (author)
  • Szekanecz, ZoltanUniversity of Debrecen (author)
  • van der Giesen, Florus J.Leiden University Medical Centre (author)
  • Ritt, Marco J.P.F. (author)
  • Wittoek, RuthGhent University (author)
  • Kjeken, IngvildDiakonhjemmet Hospital (author)
  • Osteras, NinaDiakonhjemmet Hospital (author)
  • van de Stadt, Lotte A.Leiden University Medical Centre (author)
  • Englund, MartinLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups(Swepub:lu)ort-med (author)
  • Dziedzic, Krysia S. (author)
  • Marshall, M. (author)
  • Bierma-Zeinstra, SitaErasmus University Rotterdam (author)
  • Hansen, PaulUniversity of Otago (author)
  • Greibrokk, ElsieDiakonhjemmet Hospital (author)
  • Smeets, WilmaLeiden University Medical Centre (author)
  • Kloppenburg, MargreetLeiden University Medical Centre (author)
  • Diakonhjemmet HospitalBoston University (creator_code:org_t)

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  • In:RMD Open: BMJ8:12056-5933

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