The use of digital photographs for the diagnosis of hand osteoarthritis: the AGES-Reykjavik study.

2.50
Hdl Handle:
http://hdl.handle.net/2336/249372
Title:
The use of digital photographs for the diagnosis of hand osteoarthritis: the AGES-Reykjavik study.
Authors:
Jonsson, Helgi; Helgadottir, Gudrun P; Aspelund, Thor; Sverrisdottir, Johanna E; Eiriksdottir, Gudny; Sigurdsson, Sigurdur; Eliasson, Gudmundur J; Jonsson, Asbjorn; Ingvarsson, Thorvaldur; Harris, Tamara B; Launer, Lenore; Gudnason, Vilmundur
Citation:
BMC Musculoskelet. Disord. 2012, 13:20 BMC Musculoskelet Disord
Issue Date:
2012
Abstract:
The objective of the study was to standardize a method using digital photographs to diagnose and grade hand osteoarthritis (HOA), to compare it with radiographs and clinical examination with regard to prevalence and relation to symptoms, and finally to construct a simple shortened version suitable for use in very large studies, where a global estimate may be preferable. High quality photographs with standard distance and hand positioning were analysed for the presence of HOA and subsequently compared with standard radiographs and clinical examination in 381 random participants in the AGES-Reykjavik Study, a large population study. The mean age of the participants was 76 years. Using the photographic method, the most commonly affected joints were the second DIP joints followed by the third DIP joints and second and third PIP joints. Both interobserver (ICC = 0.83) and intraobserver reading agreements (ICC = 0.89) were acceptable. On comparison with radiography and clinical examination, aggregate scores were significantly correlated (R(s) 0.35-0.69), more so in females (R(s) 0.53-0.72) than males. Hand pain in males showed very little association with HOA findings by the three methods but all methods showed a comparable moderate association with hand pain in females. The performance of photography in predicting pain on most days for at least a month in females was comparable to that of radiography and clinical examination (AUC 0.63 p = 0.004). Analysis of intermittent pain yielded similar results for in the DIP and PIP joints (OR 3.2-3.3, p < 0.01), but for the CMC1 joints, both radiography (OR 9.0, p < 0.0001), and clinical examination (OR 9.8, p < 0.0001), had higher predictive odds ratios for pain than photography (OR 3.6, p < 0.0001)., A shortened, rapidly performed form of reading photographs also showed a high degree of correlation with the other methods (R(s) 0.56-0.82). High quality hand photographs can be used to diagnose and grade hand osteoarthritis. The method has the advantage of being inexpensive and easy to perform. By using a slightly simplified method of reading, it appears to be highly suitable for use in large studies.
Description:
To access full text version of this article. Please click on the hyperlink "View/open" at the bottom of this page
Additional Links:
http://dx.doi.org/10.1186/1471-2474-13-20; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293753/; http://www.biomedcentral.com/1471-2474/13/20
Rights:
Archived with thanks to BMC musculoskeletal disorders

Full metadata record

DC FieldValue Language
dc.contributor.authorJonsson, Helgien_GB
dc.contributor.authorHelgadottir, Gudrun Pen_GB
dc.contributor.authorAspelund, Thoren_GB
dc.contributor.authorSverrisdottir, Johanna Een_GB
dc.contributor.authorEiriksdottir, Gudnyen_GB
dc.contributor.authorSigurdsson, Sigurduren_GB
dc.contributor.authorEliasson, Gudmundur Jen_GB
dc.contributor.authorJonsson, Asbjornen_GB
dc.contributor.authorIngvarsson, Thorvalduren_GB
dc.contributor.authorHarris, Tamara Ben_GB
dc.contributor.authorLauner, Lenoreen_GB
dc.contributor.authorGudnason, Vilmunduren_GB
dc.date.accessioned2012-10-18T12:00:09Z-
dc.date.available2012-10-18T12:00:09Z-
dc.date.issued2012-
dc.date.submitted2012-10-18-
dc.identifier.citationBMC Musculoskelet. Disord. 2012, 13:20 BMC Musculoskelet Disorden_GB
dc.identifier.issn1471-2474-
dc.identifier.pmid22340303-
dc.identifier.doi10.1186/1471-2474-13-20-
dc.identifier.urihttp://hdl.handle.net/2336/249372-
dc.descriptionTo access full text version of this article. Please click on the hyperlink "View/open" at the bottom of this pageen_GB
dc.description.abstractThe objective of the study was to standardize a method using digital photographs to diagnose and grade hand osteoarthritis (HOA), to compare it with radiographs and clinical examination with regard to prevalence and relation to symptoms, and finally to construct a simple shortened version suitable for use in very large studies, where a global estimate may be preferable. High quality photographs with standard distance and hand positioning were analysed for the presence of HOA and subsequently compared with standard radiographs and clinical examination in 381 random participants in the AGES-Reykjavik Study, a large population study. The mean age of the participants was 76 years. Using the photographic method, the most commonly affected joints were the second DIP joints followed by the third DIP joints and second and third PIP joints. Both interobserver (ICC = 0.83) and intraobserver reading agreements (ICC = 0.89) were acceptable. On comparison with radiography and clinical examination, aggregate scores were significantly correlated (R(s) 0.35-0.69), more so in females (R(s) 0.53-0.72) than males. Hand pain in males showed very little association with HOA findings by the three methods but all methods showed a comparable moderate association with hand pain in females. The performance of photography in predicting pain on most days for at least a month in females was comparable to that of radiography and clinical examination (AUC 0.63 p = 0.004). Analysis of intermittent pain yielded similar results for in the DIP and PIP joints (OR 3.2-3.3, p < 0.01), but for the CMC1 joints, both radiography (OR 9.0, p < 0.0001), and clinical examination (OR 9.8, p < 0.0001), had higher predictive odds ratios for pain than photography (OR 3.6, p < 0.0001)., A shortened, rapidly performed form of reading photographs also showed a high degree of correlation with the other methods (R(s) 0.56-0.82). High quality hand photographs can be used to diagnose and grade hand osteoarthritis. The method has the advantage of being inexpensive and easy to perform. By using a slightly simplified method of reading, it appears to be highly suitable for use in large studies.en_GB
dc.description.sponsorshipNIH N01-AG-12100 Icelandic Heart Association Althingi (the Icelandic Parliament) Icelandic Osteoarthritis Fund University of Iceland Researchen_GB
dc.language.isoenen
dc.publisherBioMed Centralen_GB
dc.relation.urlhttp://dx.doi.org/10.1186/1471-2474-13-20en_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3293753/en_GB
dc.relation.urlhttp://www.biomedcentral.com/1471-2474/13/20en_GB
dc.rightsArchived with thanks to BMC musculoskeletal disordersen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshCohort Studiesen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHanden_GB
dc.subject.meshHand Jointsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIcelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshOsteoarthritisen_GB
dc.subject.meshPhotographyen_GB
dc.subject.meshRadiographyen_GB
dc.titleThe use of digital photographs for the diagnosis of hand osteoarthritis: the AGES-Reykjavik study.en
dc.typeArticleen
dc.contributor.departmentLandspitalinn University Hospital, University of Iceland, IS-108 Fossvogur, Reykjavik, ICELANDen_GB
dc.identifier.journalBMC musculoskeletal disordersen_GB
dc.rights.accessOpen Access - Opinn aðganguren
dc.type.categoryGigt, Hjartavernd, Röntgenen_GB

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