Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis
Main Author: | |
---|---|
Publication Date: | 2015 |
Other Authors: | , , , , , , , , , , , , , , , |
Format: | Article |
Language: | eng |
Source: | Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
Download full: | http://hdl.handle.net/10362/145223 |
Summary: | Publisher Copyright: © 2015, The Author(s). |
id |
RCAP_f842e727a89d233ff13031f8e0811d50 |
---|---|
oai_identifier_str |
oai:run.unl.pt:10362/145223 |
network_acronym_str |
RCAP |
network_name_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
repository_id_str |
https://opendoar.ac.uk/repository/7160 |
spelling |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of OsteoarthritisGeriatrics and GerontologyPharmacology (medical)SDG 3 - Good Health and Well-beingPublisher Copyright: © 2015, The Author(s).Osteoarthritis is a syndrome affecting a variety of patient profiles. A European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis and the European Union Geriatric Medicine Society working meeting explored the possibility of identifying different patient profiles in osteoarthritis. The risk factors for the development of osteoarthritis include systemic factors (e.g., age, sex, obesity, genetics, race, and bone density) and local biomechanical factors (e.g., obesity, sport, joint injury, and muscle weakness); most also predict disease progression, particularly joint injury, malalignment, and synovitis/effusion. The characterization of patient profiles should help to better orientate research, facilitate trial design, and define which patients are the most likely to benefit from treatment. There are a number of profile candidates. Generalized, polyarticular osteoarthritis and local, monoarticular osteoarthritis appear to be two different profiles; the former is a feature of osteoarthritis co-morbid with inflammation or the metabolic syndrome, while the latter is more typical of post-trauma osteoarthritis, especially in cases with severe malalignment. Other biomechanical factors may also define profiles, such as joint malalignment, loss of meniscal function, and ligament injury. Early- and late-stage osteoarthritis appear as separate profiles, notably in terms of treatment response. Finally, there is evidence that there are two separate profiles related to lesions in the subchondral bone, which may determine benefit from bone-active treatments. Decisions on appropriate therapy should be made considering clinical presentation, underlying pathophysiology, and stage of disease. Identification of patient profiles may lead to more personalized healthcare, with more targeted treatment for osteoarthritis.Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNBruyère, OlivierCooper, CyrusArden, NigelBranco, JaimeBrandi, Maria LuisaHerrero-Beaumont, GabrielBerenbaum, FrancisDennison, ElaineDevogelaer, Jean PierreHochberg, MarcKanis, JohnLaslop, AndreaMcAlindon, TimReiter, SusanneRichette, PascalRizzoli, RenéReginster, Jean Yves2022-11-03T22:14:13Z2015-03-202015-03-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/pdfhttp://hdl.handle.net/10362/145223eng1170-229XPURE: 47545626https://doi.org/10.1007/s40266-015-0243-3info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:06:24Zoai:run.unl.pt:10362/145223Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:37:00.854848Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse |
dc.title.none.fl_str_mv |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
title |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
spellingShingle |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis Bruyère, Olivier Geriatrics and Gerontology Pharmacology (medical) SDG 3 - Good Health and Well-being |
title_short |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
title_full |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
title_fullStr |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
title_full_unstemmed |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
title_sort |
Can We Identify Patients with High Risk of Osteoarthritis Progression Who Will Respond to Treatment? A Focus on Epidemiology and Phenotype of Osteoarthritis |
author |
Bruyère, Olivier |
author_facet |
Bruyère, Olivier Cooper, Cyrus Arden, Nigel Branco, Jaime Brandi, Maria Luisa Herrero-Beaumont, Gabriel Berenbaum, Francis Dennison, Elaine Devogelaer, Jean Pierre Hochberg, Marc Kanis, John Laslop, Andrea McAlindon, Tim Reiter, Susanne Richette, Pascal Rizzoli, René Reginster, Jean Yves |
author_role |
author |
author2 |
Cooper, Cyrus Arden, Nigel Branco, Jaime Brandi, Maria Luisa Herrero-Beaumont, Gabriel Berenbaum, Francis Dennison, Elaine Devogelaer, Jean Pierre Hochberg, Marc Kanis, John Laslop, Andrea McAlindon, Tim Reiter, Susanne Richette, Pascal Rizzoli, René Reginster, Jean Yves |
author2_role |
author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Centro de Estudos de Doenças Crónicas (CEDOC) NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) RUN |
dc.contributor.author.fl_str_mv |
Bruyère, Olivier Cooper, Cyrus Arden, Nigel Branco, Jaime Brandi, Maria Luisa Herrero-Beaumont, Gabriel Berenbaum, Francis Dennison, Elaine Devogelaer, Jean Pierre Hochberg, Marc Kanis, John Laslop, Andrea McAlindon, Tim Reiter, Susanne Richette, Pascal Rizzoli, René Reginster, Jean Yves |
dc.subject.por.fl_str_mv |
Geriatrics and Gerontology Pharmacology (medical) SDG 3 - Good Health and Well-being |
topic |
Geriatrics and Gerontology Pharmacology (medical) SDG 3 - Good Health and Well-being |
description |
Publisher Copyright: © 2015, The Author(s). |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-20 2015-03-20T00:00:00Z 2022-11-03T22:14:13Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/145223 |
url |
http://hdl.handle.net/10362/145223 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1170-229X PURE: 47545626 https://doi.org/10.1007/s40266-015-0243-3 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
9 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia instacron:RCAAP |
instname_str |
FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
collection |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) |
repository.name.fl_str_mv |
Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia |
repository.mail.fl_str_mv |
info@rcaap.pt |
_version_ |
1833596836066099200 |