Research in hand osteoarthritis: Time for reappraisal and demand for new strategies. An opinion paper

被引:54
作者
Kloppenburg, Margreet [1 ]
Stamm, Tanja [1 ]
Watt, Iain [1 ]
Kainberger, Franz [1 ]
Cawston, Tim E. [1 ]
Birrell, Fraser N. [1 ]
Petersson, Ingemar F. [1 ]
Saxne, Tore [1 ]
Kvien, Tore K. [1 ]
Slatkowsky-Christensen, Barbara [1 ]
Dougados, Maxime [1 ]
Gossec, Laure [1 ]
Breedveld, Ferdinand C. [1 ]
Smolen, Josef S. [1 ]
机构
[1] Leiden Univ, Med Ctr, Dept Rheumatol, NL-2300 RC Leiden, Netherlands
关键词
D O I
10.1136/ard.2007.070813
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Osteoarthritis of the hands is a prevalent musculoskeletal disease with a considerable effect on patients' lives, but knowledge and research results in the field of hand osteoarthritis are limited. Therefore, the Disease Characteristics in Hand OA ( DICHOA) initiative was founded in early 2005 with the aim of addressing key issues and facilitating research into hand osteoarthritis. Objective: To review and discuss current knowledge on hand osteoarthritis with regard to aetiopathogenesis, diagnostic criteria, biomarkers and clinical outcome measures. Methods: Recommendations were made based on a literature review. Results: Outcomes of hand osteoarthritis should be explored, including patient perspective on the separate components of disease activity, damage and functioning. All imaging techniques should be cross-validated for hand osteoarthritis with clinical status, including disease activity, function and performance, biomarkers and long-term outcome. New imaging modalities are available and need scoring systems and validation. The role of biomarkers in hand osteoarthritis has to be defined. Conclusion: Future research in hand osteoarthritis is warranted.
引用
收藏
页码:1157 / 1161
页数:5
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