Prevalence of symptomatic hand osteoarthritis in community-dwelling older persons: The ICARe Dicomano study

A. Mannoni, M. P. Briganti, M. Di Bari, L. Ferrucci, U. Serni, G. Masotti, N. Marchionni

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Summary. Objective: To assess whether the American College of Rheumatology (ACR) classification criteria for hand osteoarthritis (OA) may be used successfully to detect hand OA in population-based studies and to estimate the prevalence of hand OA in an elderly italian population. Design: This study was part of a cross-sectional population-based survey on heart failure in the elderly (ICARe Dicomano study). All community-dwelling citizens aged >65 were considered eligible and screened by expert geriatricians for the presence of major chronic conditions, including hip, knee and hand OA, using custom-made algorithms based on standard criteria. Those subjects who screened positively were subsequently assessed by a rheumatologist. Results: Six hundred and ninety-seven subjects (80% of the eligible population) underwent a general examination by a geriatrician. One hundred and thirty-nine of these met the ACR criteria for hand OA at screening: 22 subjects with isolated first carpometacarpal (CMC) joint OA and 117 with generalized nodal OA. 74.2% of the diagnoses were confirmed in the 101 participants re-examined in a second phase by a rheumatologist (19 subjects presented with isolated thumb-base OA and 56 with nodal OA). The estimated prevalence in the cohort was 14.9%. Conclusions: The ACR clinical criteria for hand OA may be used in population studies, especially when the burden of this disease is evaluated.

Original languageEnglish (US)
JournalOsteoarthritis and Cartilage
Issue numberSUPPL. A
StatePublished - Nov 1995
Externally publishedYes


  • Elderly
  • Epidemiology
  • Hand osteoarthritis

ASJC Scopus subject areas

  • Rheumatology
  • Orthopedics and Sports Medicine
  • Biomedical Engineering


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