Joint space narrowing and Kellgren–Lawrence progression in knee osteoarthritis: an analytic literature synthesis  P.S. Emrani, B.S., J.N. Katz, M.D.,

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Joint space narrowing and Kellgren–Lawrence progression in knee osteoarthritis: an analytic literature synthesis  P.S. Emrani, B.S., J.N. Katz, M.D., M.S., C.L. Kessler, B.A., W.M. Reichmann, M.A., E.A. Wright, Ph.D., T.E. McAlindon, M.D., M.P.H., Chief, E. Losina, Ph.D.  Osteoarthritis and Cartilage  Volume 16, Issue 8, Pages 873-882 (August 2008) DOI: 10.1016/j.joca.2007.12.004 Copyright © 2007 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Manuscript search and selection process. Osteoarthritis and Cartilage 2008 16, 873-882DOI: (10.1016/j.joca.2007.12.004) Copyright © 2007 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 Annual JSN stratified by study design and radiographic approach. Circles represent individual mean JSN estimates. Circle area is proportional to sample size of corresponding cohort. Means within study design and radiographic approach sub-categories are depicted in gray. Overall means within each study design category and the overall mean for all estimates are depicted in black. The means are displayed above corresponding circles, with error bars representing 95% CIs. Each study reference is denoted next the circle, representing the corresponding manuscript from which the progression estimate was derived. An estimate of 0.7mm/year29 (RCT, full extension) is not shown for scaling purposes. Osteoarthritis and Cartilage 2008 16, 873-882DOI: (10.1016/j.joca.2007.12.004) Copyright © 2007 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Annual risk of K–L progression stratified by cohort composition. Circles represent individual estimates of the proportion of the cohort that progressed by at least one K–L grade per year of follow-up time. Circle area is proportional to sample size of corresponding cohort. Means within each cohort composition category are depicted in gray. Overall mean for all reviewed K–L studies is depicted in black. The means are displayed above corresponding circles, with error bars representing 95% CIs. Each study reference is denoted next the circle, representing the corresponding manuscript from which the progression estimate was derived. Osteoarthritis and Cartilage 2008 16, 873-882DOI: (10.1016/j.joca.2007.12.004) Copyright © 2007 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 Association of OA progression [JSN (A) and K–L (B)] and study duration. Circles represent individual estimates of the proportion of the cohort that progressed by at least one K–L grade per year of follow-up time. Circle area is proportional to sample size of corresponding cohort. Regression line for follow-up time is weighted for sample size and adjusted for radiographic approach (A and B), OA definition (B), and cohort composition (B). Osteoarthritis and Cartilage 2008 16, 873-882DOI: (10.1016/j.joca.2007.12.004) Copyright © 2007 Osteoarthritis Research Society International Terms and Conditions