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EditorialEditorial

The Current and Future Status of Biomarkers in Osteoarthritis

DAVID T. FELSON
The Journal of Rheumatology May 2014, 41 (5) 834-836; DOI: https://doi.org/10.3899/jrheum.140094
DAVID T. FELSON
Clinical Epidemiology Research and Training Unit at the Boston, University School of Medicine, Boston, Massachusetts, USA; Arthritis Research UK Epidemiology Unit, University of Manchester, Manchester, UK; and UK National Institute for Health Research Manchester Musculoskeletal Biomedical Research Unit, Manchester Academic Health Science Centre, Manchester, UK.
MD, MPH
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  • For correspondence: dfelson{at}bu.edu
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    Table 1.

    Summary of “BIPED” (Burden of disease, Investigative, Prognostic, Efficacy and Diagnostic) biomarker classification for osteoarthritis (OA). Adapted from Bauer, et al. Osteoarthritis Cart 2006;14:723–7; with permission.

    Burden of DiseaseInvestigativePrognosisEfficacy of InterventionDiagnostic
    DefinitionBiomarker associated with extent or severity of OABiomarker not yet meeting criteria for another categoryPredicts onset or progressionIndicative or predictive of treatment efficacyDifferentiates diseased from non-diseased
    SubjectsMust have OANAWith and/or without OAWith OAWith and/or without OA
    DesignCross-sectional, case-controlNALongitudinalControlled trialCross-sectional or case-control
    OutcomesExtent or severity of OANANew or worsening OAAmeliorated OAOA vs no OA
    AnalysisCorrelation of biomarker with burden; percent of variance explainedNASensitivity, specificity to predict poor or good prognosis; if continuous; consider variance explainedRisk or OR with 95% CI among successfully vs unsuccessfully treatedSensitivity, specificity, LR AUC from ROC curve
    CriteriaSignificant association between marker and extent or severity of OANASignificant association between marker and onset or progression of OASignificant association between marker and treatment effectSignificant association between marker and OA diagnosis
    • LR: Likelihood ratio; AUC: area under the curve; ROC: receiver-operating characteristic curve; NA: not applicable.

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The Journal of Rheumatology
Vol. 41, Issue 5
1 May 2014
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The Current and Future Status of Biomarkers in Osteoarthritis
DAVID T. FELSON
The Journal of Rheumatology May 2014, 41 (5) 834-836; DOI: 10.3899/jrheum.140094

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