Skip to main content

Research Repository

Advanced Search

Reliability of Assessing Hand Osteoarthritis on Digital Photographs and Associations With Radiographic and Clinical Findings.

Marshall, Michelle; Jonsson, Helgi; Helgadottir, Gudrun P.; Nicholls, Elaine; Van Der Windt, Danielle; Myers, Helen; Dziedzic, Krysia

Authors

Helgi Jonsson

Gudrun P. Helgadottir

Helen Myers



Abstract

OBJECTIVE: To investigate the reliability and construct validity of an atlas for grading hand osteoarthritis (OA) on photographs in a separate younger community-dwelling population than the development cohort. METHODS: Participants were community-dwelling adults (ages =50 years) in North Staffordshire, UK with hand pain or hand problems in the last year who attended a research clinic. High-quality photographs were taken in a standardized position. A photographic atlas was used to score hand joints (second and third distal interphalangeal [DIP], second and third proximal interphalangeal [PIP], and first carpometacarpal [CMC] joints) and joint groups (DIP, PIP, and CMC joints) for OA on a 0-3 scale. Hand radiographs were graded for OA using the Kellgren/Lawrence (K/L) grading system. Clinical features (nodes, bony enlargement, and deformity) were determined by physical examination. Associations of photographic hand OA grades with radiographic OA and clinical features were determined to assess construct validity. RESULTS: In total, 558 participants (mean age 64 years, 62% women) were included in the analyses. Reliability for scoring OA on the photographs was good (mean intrarater intraclass correlation coefficient [ICC] 0.77 and mean interrater ICC 0.71). At the joint level, photographic hand OA grade was positively associated with radiographic OA grade (Spearman's ? = 0.19-0.57, P < 0.001) and the number of clinical features (Spearman's ? = 0.36-0.59, P < 0.001). At the person level, individuals with higher global photographic OA scores had higher summed K/L scores and higher percentages meeting the American College of Rheumatology clinical hand OA criteria. CONCLUSION: This photographic scoring system was reliable and a good indicator of hand OA in a separate younger community-dwelling population than the development cohort. This method of data collection offers researchers a feasible alternative to physical examination and radiography.

Citation

Marshall, M., Jonsson, H., Helgadottir, G. P., Nicholls, E., Van Der Windt, D., Myers, H., & Dziedzic, K. (2014). Reliability of Assessing Hand Osteoarthritis on Digital Photographs and Associations With Radiographic and Clinical Findings. Arthritis Care & Research, 66(6), 828 - 836. https://doi.org/10.1002/acr.22225

Journal Article Type Article
Acceptance Date Oct 22, 2013
Online Publication Date Oct 31, 2013
Publication Date Jun 1, 2014
Publicly Available Date Jun 29, 2023
Journal Arthritis Care Res (Hoboken)
Print ISSN 2151-464X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 66
Issue 6
Pages 828 - 836
DOI https://doi.org/10.1002/acr.22225
Keywords Age Factors, Aged, Aged, 80 and over, England, Feasibility Studies, Female, Hand Joints, Humans, Male, Middle Aged, Observer Variation, Osteoarthritis, Photography, Physical Examination, Predictive Value of Tests, Prevalence, Prospective Studies, Radiogra
Publisher URL https://onlinelibrary.wiley.com/doi/full/10.1002/acr.22225

Files






You might also like



Downloadable Citations