دورية أكاديمية
أعرض في EDS

Patterns and natural history of hand pain in individuals with symptomatic hand osteoarthritis in a prospective cohort study: A post-hoc analysis of a randomised controlled trial.

التفاصيل البيبلوغرافية
العنوان: Patterns and natural history of hand pain in individuals with symptomatic hand osteoarthritis in a prospective cohort study: A post-hoc analysis of a randomised controlled trial.
المؤلفون: Estee MM; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia., Wang Y; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia., Lim YZ; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia., Wluka AE; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia., Cicuttini FM; School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
المصدر: Osteoarthritis and cartilage open [Osteoarthr Cartil Open] 2023 Oct 20; Vol. 5 (4), pp. 100413. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101767068 Publication Model: eCollection Cited Medium: Internet ISSN: 2665-9131 (Electronic) Linking ISSN: 26659131 NLM ISO Abbreviation: Osteoarthr Cartil Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [London] : Elsevier Ltd., [2019]-
مستخلص: Objective: To investigate the variation in the distribution and the natural history of hand pain over 6 weeks in individuals with symptomatic hand osteoarthritis.
Design: Patient-reported outcome data were collected at baseline and weekly for 6 weeks from community-based participants enrolled in a randomised controlled trial. Participants were grouped based on location of significant pain (Visual Analogue Scale, VAS≥40/100 ​mm) (both carpometacarpal (CMC) and interphalangeal (IP), CMC only, and IP only).
Results: At baseline, of the 106 participants, 55(51.9 %) had pain in both CMC and IP joints, 28(26.4 %) in IP joints only, and 16(15.1 %) in CMC joint only. Those with CMC and IP pain had significantly higher VAS pain [68.1 (2.6) vs 59.3 (3.5) vs 51.2 (4.7)]; Australian Canadian Osteoarthritis Hand Index, (AUSCAN) pain [290.1 (15.7) vs 225.3 (21.2) vs 237.9 (28.4)], stiffness [57.1 (3.7) vs 44.6 (5.0) vs 32.2 (6.7)] and functional limitation [527.5 (30.9) vs 356.0 (41.7) vs 433.3 (55.7)]; and pain sensitization [PainDETECT score 11.1 (1.1) vs 8.1 (1.8) vs 5.8 (1.9)] compared to those with IP or CMC only pain, respectively. All groups showed improvement in outcomes over 6 weeks without significant inter-group differences.
Conclusion: In a population with significant hand pain, pain in both CMC and IP joints was most common and identified a more severe phenotype than pain in IP or CMC only with higher pain, more functional limitation and pain sensitization. These data have the potential to inform clinical management of patients with hand pain and patient selection in clinical trials.
Competing Interests: None.
(© 2023 The Author(s).)
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فهرسة مساهمة: Keywords: Hand osteoarthritis; Hand pain; Natural history; Phenotype
تواريخ الأحداث: Date Created: 20231103 Latest Revision: 20231104
رمز التحديث: 20231104
مُعرف محوري في PubMed: PMC10618785
DOI: 10.1016/j.ocarto.2023.100413
PMID: 37920673
قاعدة البيانات: MEDLINE
الوصف
تدمد:2665-9131
DOI:10.1016/j.ocarto.2023.100413