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Published In
Archives of Rheumatology
Volume: 37 Issue: 3, September 2022
Pages: 375-382
History
Published Online: September 30, 2022
This work is licensed under a Creative Commons Attribution 4.0 International License.
Mehmet Tuncay Duruöz
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, Istanbul, Turkey
Taciser Kaya
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Izmir Faculty of Medicine, Izmir, Turkey
Hilal Ecesoy
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Karamanoğlu Mehmetbey University School of Medicine, Karaman, Turkey
Meltem Alkan Melikoğlu
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Atatürk University School of Medicine, Erzurum, Turkey
Kemal Nas
Department of Physical Medicine and Rehabilitation, Sakarya University School of Medicine, Sakarya, Turkey
Hakan Nur
Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey
Şüheda Özçakır
Department of Physical Medicine and Rehabilitation, Uludağ University School of Medicine, Bursa, Turkey
Merih Sarıdoğan
Department of Physical Medicine and Rehabilitation, Istanbul University Cerrahpaşa School of Medicine, Istanbul, Turkey
Selda Sarıkaya
Department of Physical Medicine and Rehabilitation, Bülent Ecevit University School of Medicine, Zonguldak, Turkey
İlhan Sezer
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey
Dilşad Sindel
Department of Physical Medicine and Rehabilitation, Istanbul University Istanbul School of Medicine, Istanbul, Turkey
Nilay Şahin
Department of Physical Medicine and Rehabilitation, Balıkesir University, Balıkesir, Turkey
Özlem Şahin
Department of Physical Medicine and Rehabilitation, Cumhuriyet University School of Medicine, Sivas, Turkey
Ömer Faruk Şendur
Department of Physical Medicine and Rehabilitation, Adnan Menderes University School of Medicine, Aydın, Turkey
Gülnur Taşçı Bozbaş
Department of Physical Medicine and Rehabilitation, Necmettin Erbakan University School of Medicine, Konya, Turkey
Canan Tıkız
Department of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine, Manisa, Turkey
Ece Kaptanoğlu
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Başkent University Zübeyde Hanım Application and Research Center, Izmir, Turkey
Cahit Kaçar
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey
Sami Hizmetli
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Cumhuriyet University School of Medicine, Sivas, Turkey
Didem Erdem Gürsoy
Department of Physical Medicine and Rehabilitation, Rheumatology Clinic, Prof. Dr. Cemil Taşcoğlu City Hospital, Istanbul, Turkey
Tiraje Tuncer
Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey
Lale Altan
Department of Physical Medicine and Rehabilitation, Uludağ University School of Medicine, Bursa, Turkey
Figen Ayhan
Department of Physical Medicine and Rehabilitation, Atılım University School of Medicine, Ankara, Turkey
Ajda Bal
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Meral Bilgilisoy
Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
Lale Cerrahoğlu
Department of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine, Manisa, Turkey
Erhan Çapkın
Department of Physical Medicine and Rehabilitation, Karadeniz Technical University School of Medicine, Trabzon, Turkey
Hasan Fatih Çay
Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
Remzi Çevik
Department of Physical Medicine and Rehabilitation, Dicle University School of Medicine, Diyarbakır, Turkey
Berrin Durmaz
Department of Physical Medicine and Rehabilitation, Ege University School of Medicine, Izmir, Turkey
Deniz Dülgeroğlu
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Gülcan Gürer
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Adnan Menderes University School of Medicine, Aydın, Turkey
Savaş Gürsoy
Department of Physical Medicine and Rehabilitation, Gaziantep University School of Medicine, Gaziantep, Turkey
Simin Hepgüler
Department of Physical Medicine and Rehabilitation, Ege University School of Medicine, Izmir, Turkey
Hatice Uğurlu
Department of Physical Medicine and Rehabilitation, Necmettin Erbakan University School of Medicine, Konya, Turkey
Mehmet Tuncay Duruöz, Taciser Kaya, Hilal Ecesoy, Meltem Alkan Melikoğlu, Kemal Nas, Hakan Nur, … Hatice Uğurlu. (2022). The clinical, functional, and radiological features of hand osteoarthritis: TLAR-osteoarthritis multi-center cohort study. Archives of Rheumatology, 37(3), 375–382. https://doi.org/10.46497/ArchRheumatol.2022.9234
Abstract
Objectives: 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 Turkey 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 Duruöz 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.
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Article Info
Published In
Journal
Archives of Rheumatology
Volume / Issue
Vol. 37 No. 3 (2022): The Archives of Rheumatology
Pages
375-382
History
Published Online
September 30, 2022
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Affiliations
1
Mehmet Tuncay Duruöz
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University School of Medicine, Istanbul, Turkey
2
Taciser Kaya
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Izmir Faculty of Medicine, Izmir, Turkey
3
Hilal Ecesoy
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Karamanoğlu Mehmetbey University School of Medicine, Karaman, Turkey
4
Meltem Alkan Melikoğlu
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Atatürk University School of Medicine, Erzurum, Turkey
5
Kemal Nas
Department of Physical Medicine and Rehabilitation, Sakarya University School of Medicine, Sakarya, Turkey
6
Hakan Nur
Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey
7
Şüheda Özçakır
Department of Physical Medicine and Rehabilitation, Uludağ University School of Medicine, Bursa, Turkey
8
Merih Sarıdoğan
Department of Physical Medicine and Rehabilitation, Istanbul University Cerrahpaşa School of Medicine, Istanbul, Turkey
9
Selda Sarıkaya
Department of Physical Medicine and Rehabilitation, Bülent Ecevit University School of Medicine, Zonguldak, Turkey
10
İlhan Sezer
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey
11
Dilşad Sindel
Department of Physical Medicine and Rehabilitation, Istanbul University Istanbul School of Medicine, Istanbul, Turkey
12
Nilay Şahin
Department of Physical Medicine and Rehabilitation, Balıkesir University, Balıkesir, Turkey
13
Özlem Şahin
Department of Physical Medicine and Rehabilitation, Cumhuriyet University School of Medicine, Sivas, Turkey
14
Ömer Faruk Şendur
Department of Physical Medicine and Rehabilitation, Adnan Menderes University School of Medicine, Aydın, Turkey
15
Gülnur Taşçı Bozbaş
Department of Physical Medicine and Rehabilitation, Necmettin Erbakan University School of Medicine, Konya, Turkey
16
Canan Tıkız
Department of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine, Manisa, Turkey
17
Ece Kaptanoğlu
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Başkent University Zübeyde Hanım Application and Research Center, Izmir, Turkey
18
Cahit Kaçar
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University School of Medicine, Antalya, Turkey
19
Sami Hizmetli
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Cumhuriyet University School of Medicine, Sivas, Turkey
20
Didem Erdem Gürsoy
Department of Physical Medicine and Rehabilitation, Rheumatology Clinic, Prof. Dr. Cemil Taşcoğlu City Hospital, Istanbul, Turkey
21
Tiraje Tuncer
Department of Physical Medicine and Rehabilitation, Akdeniz University School of Medicine, Antalya, Turkey
22
Lale Altan
Department of Physical Medicine and Rehabilitation, Uludağ University School of Medicine, Bursa, Turkey
23
Figen Ayhan
Department of Physical Medicine and Rehabilitation, Atılım University School of Medicine, Ankara, Turkey
24
Ajda Bal
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
25
Meral Bilgilisoy
Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
26
Lale Cerrahoğlu
Department of Physical Medicine and Rehabilitation, Celal Bayar University School of Medicine, Manisa, Turkey
27
Erhan Çapkın
Department of Physical Medicine and Rehabilitation, Karadeniz Technical University School of Medicine, Trabzon, Turkey
28
Hasan Fatih Çay
Department of Physical Medicine and Rehabilitation, Antalya Training and Research Hospital, Antalya, Turkey
29
Remzi Çevik
Department of Physical Medicine and Rehabilitation, Dicle University School of Medicine, Diyarbakır, Turkey
30
Berrin Durmaz
Department of Physical Medicine and Rehabilitation, Ege University School of Medicine, Izmir, Turkey
31
Deniz Dülgeroğlu
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
32
Gülcan Gürer
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Adnan Menderes University School of Medicine, Aydın, Turkey
33
Savaş Gürsoy
Department of Physical Medicine and Rehabilitation, Gaziantep University School of Medicine, Gaziantep, Turkey
34
Simin Hepgüler
Department of Physical Medicine and Rehabilitation, Ege University School of Medicine, Izmir, Turkey
35
Hatice Uğurlu
Department of Physical Medicine and Rehabilitation, Necmettin Erbakan University School of Medicine, Konya, Turkey
Cite this Article
Mehmet Tuncay Duruöz, Taciser Kaya, Hilal Ecesoy, Meltem Alkan Melikoğlu, Kemal Nas, Hakan Nur, … Hatice Uğurlu. (2022). The clinical, functional, and radiological features of hand osteoarthritis: TLAR-osteoarthritis multi-center cohort study. Archives of Rheumatology, 37(3), 375–382. https://doi.org/10.46497/ArchRheumatol.2022.9234
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