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Few studies in HOA are from underdeveloped regions. We intend to contribute to fill this gap presenting clinical characteristics of our low-income HOA cohort (LIHOA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data from 119 patients with a HOA diagnosis fulfilling ACR criteria seen between August 2019 and May 2023 in Fortaleza\/Brazil. Evaluations included pain (VAS, visual analogue scale), X-ray (KL, Kellgren-Lawrence), grip and pinch strength (KgF), Cochin hand functional scale (CHFS), FIHOA, and SF-12 scores. Social data included monthly (&lt;1, 1\u2265\/&lt;3, \u22653\u00a0MW) minimum wage earnings, occupation, and literacy [&lt;\/\u2265 9 school-years (SY)].<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>107 out of the 119 patients were included. Mean age was 61.9 (\u00b110.3) years with 94 (92%) women. Systemic arterial hypertension (48%), metabolic syndrome (42.8%), dyslipidemia (28.4%), and obesity (25%) were the most common comorbidities. Mean disease duration was 7.5\u2009\u00b1\u20097.1 years. Median VAS values at rest and activity were 3 (3\u20135) and 8 (5\u20139), respectively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Fifty-seven (56.4%) patients had \u22654 symptomatic joints with a median of 4 (2\u20138) painful joints at activity. The 2nd distal interphalangeal (IF), joint was the most symptomatic (21; 23.3%) and most had &gt;4 IF nodes. OA in other joints: 37 (36.2%) spine, 28 (29.4%) knee, 21 (20.5%) bunions. Functional impairment was mild [8 (5\u201314) median FIHOA]. Median serum CRP was 0.2\u00a0mg\/dL (0.1\u20130.4) with 14 (20%) patients above reference value. Mean total KL score was 27.6\u2009\u00b1\u200913.6 with 21 (23%), 38 (41.7%), and 33 (36.2%) KL2, KL3, and KL4, respectively; 51 (54.8%) and 42 (45.2%) patients declared &lt;\/\u22653\u00a0MW earnings, respectively. Most declared &gt;9SY including 37.2% with a university degree. Individuals earning &lt;3\u00a0MW had lower pinch (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.004) and grip strength (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), and higher FIHOA scores (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.007), as compared to \u22653\u00a0MW earning group. Literacy or occupation did not impact outcome. SYSADOA were used by 13 (12.7%), 6 used oral and 3 topical anti-inflammatory drugs and 2 used 5\u00a0mg\/d prednisone.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Clinical characteristics in our LIHOA cohort mirror those reported in affluent regions. Socioeconomic disparities influenced functional outcome in LIHOA cohort.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s42358-024-00420-9","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T09:01:57Z","timestamp":1728032517000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Social conditions impact functional outcome in patients with hand osteoarthritis: the low-income hand osteoarthritis (LIHOA) cohort"],"prefix":"10.1186","volume":"64","author":[{"given":"Francisco Vileimar Andrade","family":"de Azevedo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Pedro Sobreira","family":"Borges","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio Matos","family":"de Souza Filho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos Godeiro Costa","family":"Junior","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e1udio R\u00e9gis Sampaio","family":"Silveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4370-3294","authenticated-orcid":false,"given":"Francisco Airton Castro","family":"Rocha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"issue":"11","key":"420_CR1","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1038\/s41584-018-0095-4","volume":"14","author":"M Marshall","year":"2018","unstructured":"Marshall M, Watt FE, Vincent TL, Dziedzic K. 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