The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study. Larsson, S., Englund, M., Struglics, A., & Lohmander, L. S. 20(5):388--395. doi abstract bibtex OBJECTIVE: To investigate whether change in concentrations over time of aggrecanase generated ARGS-aggrecan in synovial fluid (SF ARGS) associates with progression of radiographic knee osteoarthritis (OA) and patient-reported outcome in subjects with previous meniscectomy. METHODS: We studied 141 subjects at two time points after meniscectomy. Time point A was on average 18 years after meniscectomy, time point B was on average 7.5 years later; 74 subjects had SF available from both examinations. We measured SF ARGS by an electrochemiluminescence immunoassay, graded radiographic features of tibiofemoral or patellofemoral OA according to the Osteoarthritis Research Society International (OARSI) atlas, and scored patient-reported outcomes using the Knee Injury and Osteoarthritis Outcome Score (KOOS). Using logistic regression (adjusted for age, gender, body mass index, time between examinations, and SF ARGS at first examination) we assessed associations between change in SF ARGS between first and second examinations and progression of radiographic OA and KOOS. RESULTS: In subjects with decreasing SF ARGS between examinations, the likelihood of loss of joint space and worsening of KOOS pain between examinations was increased 6- and 4-fold respectively compared to those increasing in SF ARGS (odds ratio (OR) 5.72; 95% confidence interval (CI) 1.53-21.4 and 3.66; 1.01-13.2, respectively). No significant associations were seen between decreasing SF ARGS and progression of osteophytes (OR 0.88; 0.28-2.78), or for patient-reported outcomes other than KOOS pain. CONCLUSION: Having decreasing levels of SF ARGS over time was associated with an increased risk of loss of joint space and pain worsening, but showed no association with other patient-reported outcomes or osteophyte progression.
@article{larsson_association_2012,
title = {The association between changes in synovial fluid levels of {ARGS}-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study},
volume = {20},
issn = {1522-9653},
doi = {10.1016/j.joca.2012.02.001},
shorttitle = {The association between changes in synovial fluid levels of {ARGS}-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes},
abstract = {{OBJECTIVE}: To investigate whether change in concentrations over time of aggrecanase generated {ARGS}-aggrecan in synovial fluid ({SF} {ARGS}) associates with progression of radiographic knee osteoarthritis ({OA}) and patient-reported outcome in subjects with previous meniscectomy.
{METHODS}: We studied 141 subjects at two time points after meniscectomy. Time point A was on average 18 years after meniscectomy, time point B was on average 7.5 years later; 74 subjects had {SF} available from both examinations. We measured {SF} {ARGS} by an electrochemiluminescence immunoassay, graded radiographic features of tibiofemoral or patellofemoral {OA} according to the Osteoarthritis Research Society International ({OARSI}) atlas, and scored patient-reported outcomes using the Knee Injury and Osteoarthritis Outcome Score ({KOOS}). Using logistic regression (adjusted for age, gender, body mass index, time between examinations, and {SF} {ARGS} at first examination) we assessed associations between change in {SF} {ARGS} between first and second examinations and progression of radiographic {OA} and {KOOS}.
{RESULTS}: In subjects with decreasing {SF} {ARGS} between examinations, the likelihood of loss of joint space and worsening of {KOOS} pain between examinations was increased 6- and 4-fold respectively compared to those increasing in {SF} {ARGS} (odds ratio ({OR}) 5.72; 95\% confidence interval ({CI}) 1.53-21.4 and 3.66; 1.01-13.2, respectively). No significant associations were seen between decreasing {SF} {ARGS} and progression of osteophytes ({OR} 0.88; 0.28-2.78), or for patient-reported outcomes other than {KOOS} pain.
{CONCLUSION}: Having decreasing levels of {SF} {ARGS} over time was associated with an increased risk of loss of joint space and pain worsening, but showed no association with other patient-reported outcomes or osteophyte progression.},
pages = {388--395},
number = {5},
journaltitle = {Osteoarthritis and cartilage / {OARS}, Osteoarthritis Research Society},
shortjournal = {Osteoarthr. Cartil.},
author = {Larsson, S. and Englund, M. and Struglics, A. and Lohmander, L. S.},
date = {2012-05},
pmid = {22330175},
keywords = {Adult, Aged, Aggrecans, Biomarkers, Cohort Studies, Disease Progression, Endopeptidases, Female, Follow-Up Studies, Humans, Knee Injuries, Male, Menisci, Tibial, Middle Aged, Osteoarthritis, Knee, Peptide Fragments, Postoperative Period, Prognosis, Sex Factors, Synovial Fluid}
}
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{"_id":"PupjRTMhQyvjQ45zX","bibbaseid":"larsson-englund-struglics-lohmander-theassociationbetweenchangesinsynovialfluidlevelsofargsaggrecanfragmentsprogressionofradiographicosteoarthritisandselfreportedoutcomesacohortstudy","downloads":0,"creationDate":"2017-03-31T11:02:36.907Z","title":"The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study","author_short":["Larsson, S.","Englund, M.","Struglics, A.","Lohmander, L. S."],"year":null,"bibtype":"article","biburl":"http://clinicalepidemiology.se/ClinEpi_LU.bib","bibdata":{"bibtype":"article","type":"article","title":"The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study","volume":"20","issn":"1522-9653","doi":"10.1016/j.joca.2012.02.001","shorttitle":"The association between changes in synovial fluid levels of ARGS-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes","abstract":"OBJECTIVE: To investigate whether change in concentrations over time of aggrecanase generated ARGS-aggrecan in synovial fluid (SF ARGS) associates with progression of radiographic knee osteoarthritis (OA) and patient-reported outcome in subjects with previous meniscectomy. METHODS: We studied 141 subjects at two time points after meniscectomy. Time point A was on average 18 years after meniscectomy, time point B was on average 7.5 years later; 74 subjects had SF available from both examinations. We measured SF ARGS by an electrochemiluminescence immunoassay, graded radiographic features of tibiofemoral or patellofemoral OA according to the Osteoarthritis Research Society International (OARSI) atlas, and scored patient-reported outcomes using the Knee Injury and Osteoarthritis Outcome Score (KOOS). Using logistic regression (adjusted for age, gender, body mass index, time between examinations, and SF ARGS at first examination) we assessed associations between change in SF ARGS between first and second examinations and progression of radiographic OA and KOOS. RESULTS: In subjects with decreasing SF ARGS between examinations, the likelihood of loss of joint space and worsening of KOOS pain between examinations was increased 6- and 4-fold respectively compared to those increasing in SF ARGS (odds ratio (OR) 5.72; 95% confidence interval (CI) 1.53-21.4 and 3.66; 1.01-13.2, respectively). No significant associations were seen between decreasing SF ARGS and progression of osteophytes (OR 0.88; 0.28-2.78), or for patient-reported outcomes other than KOOS pain. CONCLUSION: Having decreasing levels of SF ARGS over time was associated with an increased risk of loss of joint space and pain worsening, but showed no association with other patient-reported outcomes or osteophyte progression.","pages":"388--395","number":"5","journaltitle":"Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society","shortjournal":"Osteoarthr. Cartil.","author":[{"propositions":[],"lastnames":["Larsson"],"firstnames":["S."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Struglics"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Lohmander"],"firstnames":["L.","S."],"suffixes":[]}],"date":"2012-05","pmid":"22330175","keywords":"Adult, Aged, Aggrecans, Biomarkers, Cohort Studies, Disease Progression, Endopeptidases, Female, Follow-Up Studies, Humans, Knee Injuries, Male, Menisci, Tibial, Middle Aged, Osteoarthritis, Knee, Peptide Fragments, Postoperative Period, Prognosis, Sex Factors, Synovial Fluid","bibtex":"@article{larsson_association_2012,\n\ttitle = {The association between changes in synovial fluid levels of {ARGS}-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes: a cohort study},\n\tvolume = {20},\n\tissn = {1522-9653},\n\tdoi = {10.1016/j.joca.2012.02.001},\n\tshorttitle = {The association between changes in synovial fluid levels of {ARGS}-aggrecan fragments, progression of radiographic osteoarthritis and self-reported outcomes},\n\tabstract = {{OBJECTIVE}: To investigate whether change in concentrations over time of aggrecanase generated {ARGS}-aggrecan in synovial fluid ({SF} {ARGS}) associates with progression of radiographic knee osteoarthritis ({OA}) and patient-reported outcome in subjects with previous meniscectomy.\n{METHODS}: We studied 141 subjects at two time points after meniscectomy. Time point A was on average 18 years after meniscectomy, time point B was on average 7.5 years later; 74 subjects had {SF} available from both examinations. We measured {SF} {ARGS} by an electrochemiluminescence immunoassay, graded radiographic features of tibiofemoral or patellofemoral {OA} according to the Osteoarthritis Research Society International ({OARSI}) atlas, and scored patient-reported outcomes using the Knee Injury and Osteoarthritis Outcome Score ({KOOS}). Using logistic regression (adjusted for age, gender, body mass index, time between examinations, and {SF} {ARGS} at first examination) we assessed associations between change in {SF} {ARGS} between first and second examinations and progression of radiographic {OA} and {KOOS}.\n{RESULTS}: In subjects with decreasing {SF} {ARGS} between examinations, the likelihood of loss of joint space and worsening of {KOOS} pain between examinations was increased 6- and 4-fold respectively compared to those increasing in {SF} {ARGS} (odds ratio ({OR}) 5.72; 95\\% confidence interval ({CI}) 1.53-21.4 and 3.66; 1.01-13.2, respectively). No significant associations were seen between decreasing {SF} {ARGS} and progression of osteophytes ({OR} 0.88; 0.28-2.78), or for patient-reported outcomes other than {KOOS} pain.\n{CONCLUSION}: Having decreasing levels of {SF} {ARGS} over time was associated with an increased risk of loss of joint space and pain worsening, but showed no association with other patient-reported outcomes or osteophyte progression.},\n\tpages = {388--395},\n\tnumber = {5},\n\tjournaltitle = {Osteoarthritis and cartilage / {OARS}, Osteoarthritis Research Society},\n\tshortjournal = {Osteoarthr. Cartil.},\n\tauthor = {Larsson, S. and Englund, M. and Struglics, A. and Lohmander, L. 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