Validation of HAND OA US inflammatory and structural damage score (HOUSE) for thumb base joints: Systematic review on truth & discrimination.

Autor:	Kortekaas MC; Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands., Vanhaverbeke T; Department of Rheumatology, Ghent University Hospital, Ghent University, Ghent, Belgium.; VIB Center for Inflammation Research, Ghent University, Ghent, Belgium., Keen HI; School of Medicine, University of Western Australia, Perth, Western Australia, Australia., Terslev L; Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup.; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark., Hammer HB; Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.; Faculty of Medicine, University of Oslo, Oslo, Norway., D'Agostino MA; Rheumatology Division Fondazione Policlinico Universitario Agostino Gemelli, IRCSS, Università Cattolica del sacro Cuore, Rome, Italy., Wittoek R; Department of Rheumatology, Ghent University Hospital, Ghent University, Ghent, Belgium.
Jazyk:	angličtina
Zdroj:	Rheumatology (Oxford, England) [Rheumatology (Oxford)] 2024 Aug 08. Date of Electronic Publication: 2024 Aug 08.
DOI:	10.1093/rheumatology/keae417
Abstrakt:	Objectives: Recently, the HAND osteoarthritis (OA) ULTRASOUND (US) Examination (HOUSE) inflammatory and structural damage scores were developed by the OMERACT US working group. However, the thumb base was not or only partly included. This systematic review examines US scoring methods and scanning techniques assessing thumb base OA, alongside existing evidence on validity, reliability, and responsiveness. Methods: A comprehensive search strategy in three different databases identified 30 eligible studies. Results: In general, studies predominantly focused on US assessment of the carpometacarpal (CMC) 1 joint, with fewer investigating the scaphotrapeziotrapezoid (STT) joint. Most studies utilized a semiquantitative scale for scoring structural and inflammatory features, aligning with the HOUSE scoring system. Validity was supported by a limited number of studies, with one demonstrating a positive association between US structural damage and radiographic damage, and another showing a similar association with function. Associations between US inflammatory features and pain were observed, albeit with some variability. Reliability was from moderate to good for the CMC1 joint but limited for STT joint. Responsiveness varied across studies. The methodological quality of included studies varied, indicating areas for future research improvement. Conclusion: While promising, additional research is necessary to validate the HOUSE scoring system and improve its clinical utility for thumb base OA assessment. Future research should concentrate on optimal scanning positions and on the reliability and responsiveness of the HOUSE scoring system. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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