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MeSH terms and keywords were used to identify studies examining the association between vascular pathology and OA. Two reviewers independently extracted the data and assessed the methodological quality. Qualitative evidence synthesis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Fifteen studies with high (n = 3), fair (n = 3), or low (n = 9) quality were included. Features of vascular pathology included atherosclerosis, vascular stiffness, and endothelial dysfunction in different vascular beds. There was evidence for an association between vascular pathology and risk of hand OA in women but not men, and between vascular pathology and risk of knee OA in both men and women. Only 2 studies examined hip OA showing no association between vascular pathology and risk of hip OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>There is evidence suggesting an association between vascular pathology and risk of hand and knee OA, with a potential causal relationship for knee OA. Based on the limited evidence, it is hard to conclude an association for hip OA. Further stronger evidence is needed to determine whether there is a causal relationship.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.181236","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T18:35:26Z","timestamp":1559414126000},"page":"748-760","source":"Crossref","is-referenced-by-count":45,"title":["Vascular Pathology and Osteoarthritis: A Systematic Review"],"prefix":"10.3899","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7894-2485","authenticated-orcid":false,"given":"Sultana Monira","family":"Hussain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Dawson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-4178","authenticated-orcid":false,"given":"Yuanyuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Tonkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Chou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8024-9049","authenticated-orcid":false,"given":"Anita E.","family":"Wluka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8200-1618","authenticated-orcid":false,"given":"Flavia M.","family":"Cicuttini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2019,6,1]]},"reference":[{"key":"2020050109252813000_47.5.748.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31678-6"},{"key":"2020050109252813000_47.5.748.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-133-8-200010170-00016"},{"key":"2020050109252813000_47.5.748.3","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.joca.2015.01.007","article-title":"Retinal arteriolar narrowing and incidence of knee replacement for osteoarthritis: a prospective cohort study","volume":"23","author":"Hussain","year":"2015","journal-title":"Osteoarthritis Cartilage"},{"key":"2020050109252813000_47.5.748.4","first-page":"1827","article-title":"Serum cholesterol and osteoarthritis. 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