Abstract

limitation and 17% reported improvement on the transition question at 3 years. Changes in AUSCAN scores in the hand OA group were 0.0 (3.8) for Pain, 0.1 (1.0) for Stiffness and -0.6 (6.1) for Functional limitation with 14% reporting improvement on the transition question at 3 years. Baseline and 3-year AUSCAN scores were consistently higher in the hand OA group compared with the no OA group. Conclusions: Hand OA is thought to have a good prognosis. This study shows high levels of disabling pain at baseline, which do not improve over three years. Only a minority of participants with hand OA report improvement in the medium term. Longer-term follow up can help to determine the burden of hand OA and to assess the impact of this on pain and functional limitation.

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