The clinical, functional, and radiological features of hand osteoarthritis: TLAR-osteoarthritis multi-center cohort study

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dc.contributor.authorDuruoz, Mehmet Tuncay
dc.contributor.authorGursoy, Didem Erdem
dc.contributor.authorTuncer, Tiraje
dc.contributor.authorAltan, Lale
dc.contributor.authorAyhan, Figen
dc.contributor.authorBal, Ajda
dc.contributor.authorBilgilisoy, Meral
dc.date.accessioned2024-02-23T14:40:48Z
dc.date.available2024-02-23T14:40:48Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractObjectives: This study aims to evaluate the clinical, functional, and radiological features of hand osteoarthritis (OA) and to examine their relationships in different geographic samples of the Turkish population. Patients and methods: Between April 2017 and January 2019, a total of 520 patients (49 males, 471 females; mean age: 63.6 +/- 9.8 years) with hand OA were included in the study from 26 centers across Turkiye by the Turkish League Against Rheumatism (TLAR). The demographic characteristics, grip strengths with Jamar dynamometer, duration of hand pain (month), the severity of hand pain (Visual Analog Scale [ VAS]), and morning stiffness were evaluated. The functional disability was evaluated with Duruoz Hand Index (DHI). The Kellgren-Lawrence (KL) OA scoring system was used to assess the radiological stage of hand OA. Results: The DHI had significant correlations with VAS- pain (r= 0.367, p<0.001), duration of pain (r=0.143, p=0.001) and bilateral handgrip strengths (r=-0.228, p=0.001; r=-0.303, p<0.001). Although DHI scores were similar between the groups in terms of the presence of hand deformity (p= 0.125) or Heberden's nodes (p=0.640), the mean DHI scores were significantly higher in patients with Bouchard's nodes (p=0.015). The total number of nodes had no significant correlations with the VAS-pain and DHI score (p>0.05). The differences between the groups of radiological hand OA grades in terms of age (p= 0.007), VAS-pain (p<0.001), duration of pain (p<0.001), and DHI (p<0.001) were significant. There were no significant differences between radiological hand OA grades according to the duration of the stiffness, grip strength, and BMI (p>0.05 for all). Conclusion: In our population, the patients with hand OA had pain, functional disability, and weak grip strength. The functional impairment was significantly correlated with the severity of the pain, and the functional status was worse in high radiological hand OA grades.en_US
dc.identifier.doi10.46497/ArchRheumatol.2022.9234
dc.identifier.endpage382en_US
dc.identifier.issn2618-6500
dc.identifier.issue3en_US
dc.identifier.pmid36589604en_US
dc.identifier.scopus2-s2.0-85147767745en_US
dc.identifier.startpage375en_US
dc.identifier.urihttps://doi.org/10.46497/ArchRheumatol.2022.9234
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16592
dc.identifier.volume37en_US
dc.identifier.wosWOS:000815860200001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish League Against Rheumatismen_US
dc.relation.ispartofArchives Of Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFunctionen_US
dc.subjectGrip Strengthen_US
dc.subjectHand Osteoarthritisen_US
dc.subjectPainen_US
dc.titleThe clinical, functional, and radiological features of hand osteoarthritis: TLAR-osteoarthritis multi-center cohort studyen_US
dc.typeArticleen_US

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