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4. Diagnosis of early stage knee osteoarthritis based on early clinical course: data from the CHECK cohort

Author

Wang, Qiuke, Runhaar, Jos, Kloppenburg, Margreet, Boers, Maarten, Bijlsma, Johannes W. J., Bierma-Zeinstra, Sita M. A., Aerts-Lankhorst, N. E., Agricola, R., Bastick, A. N., van Bentveld, R. D. W., van den Berg, P. J., Bijsterbosch, J., de Boer, A., Boers, M., Bohnen, A. M., Boonen, A. E. R. C. H., Bos, P. K., Boymans, T. A. E. J., Breedveldt-Boer, H. P., Brouwer, R. W., Colaris, J. W., Damen, J., Elshout, G., Emans, P. J., Enthoven, W. T. M., Frölke, E. J. M., Glijsteen, R., van der Heide, H. J. C., Huisman, A. M., van Ingen, R. D., Jacobs, M. L., Janssen, R. P. A., Kevenaar, P. M., van Koningsbrugge, M. A., Krastman, P., Kuchuk, N. O., Landsmeer, M. L. A., Lems, W. F., van der Linden, H. M. J., van Linschoten, R., Mahler, E. A. M., van Meer, B. L., Meuffels, D. E., der Laan, W. H. Noort-van, van Ochten, J. M., van Oldenrijk, J., Pols, G. H. J., Piscaer, T. M., Vis, M., de Vries, A., Orthopaedic Biomechanics, Epidemiology and Data Science, AII - Inflammatory diseases, APH - Methodology, Rheumatology, AMS - Musculoskeletal Health, AMS - Tissue Function & Regeneration, Cardiology, ACS - Atherosclerosis & ischemic syndromes, ACS - Pulmonary hypertension & thrombosis, APH - Aging & Later Life, General Practice, and Orthopedics and Sports Medicine

Subjects
medicine.medical_specialty, Diseases of the musculoskeletal system, Osteoarthritis, Early clinical course, Cohort Studies, Internal medicine, medicine, Humans, Stage (cooking), Generalized estimating equation, CHECK cohort, Receiver operating characteristic, business.industry, Osteoarthritis, Knee, medicine.disease, Knee/diagnostic imaging, Rheumatology, Confidence interval, Osteoarthritis, Knee/diagnostic imaging, Early Diagnosis, RC925-935, ROC Curve, Cohort, Orthopedic surgery, Disease Progression, Knee osteoarthritis, business, Research Article
Abstract

Background Early diagnosis of knee osteoarthritis (OA) is important in managing this disease, but such an early diagnostic tool is still lacking in clinical practice. The purpose of this study was to develop diagnostic models for early stage knee OA based on the first 2-year clinical course after the patient’s initial presentation in primary care and to identify whether these course factors had additive discriminative value over baseline factors. Methods We extracted eligible patients’ clinical and radiographic data from the CHECK cohort and formed the first 2-year course factors according to the factors’ changes over the 2 years. Clinical expert consensus-based diagnosis, which was made via evaluating patients’ 5- to 10-year follow-up data, was used as the outcome factor. Four models were developed: model 1, included clinical course factors only; model 2, included clinical and radiographic course factors; model 3, clinical baseline factors + clinical course factors; and model 4, clinical and radiographic baseline factors + clinical and radiographic course factors. All the models were built by a generalized estimating equation with a backward selection method. Area under the receiver operating characteristic curve (AUC) and its 95% confidence interval (CI) were calculated for assessing model discrimination. Delong’s method compared AUCs. Results Seven hundred sixty-one patients with 1185 symptomatic knees were included in this study. Thirty-seven percent knees were diagnosed as OA at follow-up. Model 1 contained 6 clinical course factors; model 2: 6 clinical and 3 radiographic course factors; model 3: 6 baseline clinical factors combined with 5 clinical course factors; and model 4: 4 clinical and 1 radiographic baseline factors combined with 5 clinical and 3 radiographic course factors. Model discriminations are as follows: model 1, AUC 0.70 (95% CI 0.67–0.74); model 2, 0.74 (95% CI 0.71–0.77); model 3, 0.77 (95% CI 0.74–0.80); and model 4, 0.80 (95% CI 0.77–0.82). AUCs of model 3 and model 4 were slightly but significantly higher than corresponding baseline-factor models (model 3 0.77 vs 0.75, p = 0.031; model 4 0.80 vs 0.76, p = 0.003). Conclusions Four diagnostic models were developed with “fair” to “good” discriminations. First 2-year course factors had additive discriminative value over baseline factors.

Published
2021

6. Stikstofeffecten van criteria ten behoeve van de Landelijke Beëindigingsregeling Veehouderijlocaties

Author

Bleeker, A, Wilmot, MJ, and Bijsterbosch, J

Subjects
RIVM rapport 2020-0199
Abstract

Een van de regelingen die moeten bijdragen aan een structurele oplossing van de stikstofproblematiek is de Landelijke Beëindigingsregeling Veehouderijlocaties (Lbv). Het ministerie van Landbouw, Natuur en Voedselkwaliteit (LNV) wil hiermee de uitstoot van stikstof door landbouwbedrijven verminderen, en daarmee de neerslag van stikstof op stikstofgevoelige Natura 2000-gebieden. Landbouwbedrijven (melkvee-, varkens- en pluimveehouders) kunnen zich vrijwillig aanmelden om met subsidie hun bedrijf te beëindigen. LNV werkt nog uit welke bedrijven voor de regeling in aanmerking komen. Het is hierbij van belang in welke volgorde de aanmeldingen worden geselecteerd. Hiervoor wil het ministerie weten wat het effect van verschillende opties om bedrijven te selecteren is op de uitstoot en neerslag van stikstof in Nederland. Het RIVM heeft het effect van vier opties uitgerekend. Ook is gekeken wat de kosten per gereduceerde hoeveelheid neerslag voor de verschillende opties zijn. LNV wil bovendien een ‘drempelwaarde’ instellen voor de grootte en het type landbouwbedrijf dat zich kan aanmelden. Hiervoor heeft het RIVM enkele drempelwaarden doorgerekend. De eerste optie kijkt naar de totale uitstoot van stikstof van een bedrijf. Het idee is dat de totale uitstoot in Nederland kan afnemen door bedrijven die veel stikstof uitstoten te sluiten. Bij de tweede optie wordt niet naar de uitstoot gekeken, maar naar de hoeveelheid stikstof die op de bodem neerslaat. De derde optie kijkt naast de uitstoot en neerslag naar het effect van een lagere neerslag op het aantal overschrijdingen van de zogeheten kritische depositiewaarde (KDW) in een natuurgebied. Deze waarden geven aan hoeveel stikstof er maximaal in een natuurgebied mag neerslaan zonder de natuur te schaden. Ten slotte is gekeken op welke plekken in Nederland er grote behoefte is aan bouwprojecten die stikstof uitstoten, zoals de aanleg van woningen en wegen. Vanuit die gedachte wordt gekeken in hoeverre de beëindiging van bedrijven dat mogelijk kan maken. De resultaten van de opties zijn niet alleen in absolute zin met elkaar vergeleken, maar ook ruimtelijk. Voor de tweede optie wordt in alle opzichten de grootste reductie in de neerslag van stikstof bereikt, en dan met name regionaal. Dit hoeven echter niet de regio’s te zijn waarbij met die reductie de overbelasting van de KDW in belangrijke mate wordt teruggebracht. Daar zit dan ook met name het verschil met de derde optie. Daar wordt namelijk een beperktere extra depositiereductie gerealiseerd, maar dat wel in Natura2000-gebieden waarin de overbelaste situatie sneller oplosbaar is. Voor de vierde optie is er landelijk weliswaar een lagere reductie dan bij de tweede optie, maar wordt de depositiereductie dan wel gerealiseerd op locaties waar behoefte is aan stikstofruimte ten behoeve van economische ontwikkeling.

Published
2021

7. Exploring Associations Between Social Appearance Anxiety, External Shame and Body Dissatisfaction

Author

Sorensen, C.A.C., Bijsterbosch, J. (Thesis Advisor), Sorensen, C.A.C., and Bijsterbosch, J. (Thesis Advisor)

Abstract

Body dissatisfaction (BD) is a subjective dissatisfaction of the shape or size of one’s own body and is well supported as a risk factor for many adverse outcomes such as depression, eating disorders and reduced quality of life. Social appearance anxiety (SAA) is a negative social evaluative fear which is concerned specifically regarding one’s physical appearance. SAA has been positively associated with BD in previous research, however the mechanism by which this relationship operates has been unclear. The current study aimed to explore this relationship further and investigate if external shame – or judgement of oneself as perceived to be seen through the eyes of others – may mediate this association, as shame has been associated with both SAA and BD. N = 243 multinational participants, including 70 males and 173 females, aged ranging from 18 to 72 years old were recruited from the general population through snowball sampling methods and social media. Participants completed an online questionnaire assessing measures of social appearance anxiety, body dissatisfaction and external shame. Results indicated that higher SAA is associated with more BD; higher SAA is associated with more external shame; external shame does not mediate the SAA-BD relationship, but has a slight suppressing effect on BD. Suggestions for further research include exploring gender differences in the SAA-ES-BD effect, and testing longitudinal models involving adolescents and social physique anxiety as a variable.

Published
2021

10. Challenges and future directions for representations of functional brain organization

Author

Bijsterbosch, J., Harrison, S.J., Jbabdi, S., Woolrich, M., Beckmann, C.F., Smith, S., Duff, E.P., Bijsterbosch, J., Harrison, S.J., Jbabdi, S., Woolrich, M., Beckmann, C.F., Smith, S., and Duff, E.P.

Abstract

Contains fulltext : 229125.pdf (Publisher’s version ) (Closed access), A key principle of brain organization is the functional integration of brain regions into interconnected networks. Functional MRI scans acquired at rest offer insights into functional integration via patterns of coherent fluctuations in spontaneous activity, known as functional connectivity. These patterns have been studied intensively and have been linked to cognition and disease. However, the field is fractionated. Diverging analysis approaches have segregated the community into research silos, limiting the replication and clinical translation of findings. A primary source of this fractionation is the diversity of approaches used to reduce complex brain data into a lower-dimensional set of features for analysis and interpretation, which we refer to as brain representations. In this Primer, we provide an overview of different brain representations, lay out the challenges that have led to the fractionation of the field and that continue to form obstacles for convergence, and propose concrete guidelines to unite the field.

Published
2020

11. “To Your Eyes my Body is Perfect, but I Want to Disappear”. The Effect of Body Image Shame on the Relation Between Perfectionistic Self-Presentation and Body Checking-Avoidance After Recovery From Eating Disorders.

Author

Bucci, A., Bijsterbosch, J. (Thesis Advisor), Sternheim, L., Bucci, A., Bijsterbosch, J. (Thesis Advisor), and Sternheim, L.

Abstract

Eating disorders (EDs) are severe psychopathologies associated with higher relapse rates, compared to other DSM-5 diagnoses. Body image disturbances play an important role in the maintenance of EDs. These manifest in behavioural and psychological symptoms following recovery, such as body checking-avoidance and perfectionistic self-presentation. However, the mechanisms by which these variables operate after recovery are unclear. Therefore, the present research aimed to test a mediation model for ED symptoms involving perfectionistic-self presentation, body checking avoidance, and the mediator body image shame. Fifty-three women recovered from EDs (MBMI = 21.88; SD = 2.88), aged between 18 and 50 years completed self-report measures via an online survey which included standardized measures of eating pathologies, perfectionistic self-presentation, shame and body checking-avoidance. Findings indicate that perfectionistic self-presentation and shame are strongly associated with body checking-avoidance. In line with the hypothesis, results also show that body image shame is a significant mediator in the relation between perfectionistic self-presentation and body checking-avoidance and thus, constitutes a key maintaining factor of body checking-avoidance behaviours. Overall, these findings have important implications for clinical practice since they point toward the need to revise the current first-line intervention programmes to include modules that besides focusing on healthy BMI restoration also address the psychological and behavioural factors that maintain EDs.

Published
2020

12. Body checking, body avoidance and social behavior: The factorial structure of the Dutch translation of the Body Checking and Avoiding Questionnaire in a healthy female college sample

Author

Bos, R.D., Goetze, L. (Thesis Advisor), Bijsterbosch, J., Bos, R.D., Goetze, L. (Thesis Advisor), and Bijsterbosch, J.

Abstract

Body checking and body avoidance are the two main components of the behavioral aspect of body image disturbances (BID), which is a core feature of multiple eating disorders (ED). The behavioral component of BID has not gotten as much attention as other components, partly because the assessment has been lacking in quality. This study looked at the internal structure of a new measure which aspires to measure the behavioral aspect of BID, the Body Checking and Avoidance Questionnaire (BCAQ). An online survey with N=69 healthy female students showed that the BCAQ consists of a three-factorial structure, is internally reliable and the factors correlate with each other. This study is the beginning of the validation of the Dutch version of the BCAQ. Further research into this measure should confirm the factorial structure and look extensively into the external validity as well as the internal validity within an ED sample. Further research should focus on a clinical sample, different measures and stability over time.

Published
2020

13. The Interacting Role of Emotion Regulation and Trait Anger on Eating Pathology

Author

Herber, C.C.L.M., Sternheim, L. (Thesis Advisor), Bijsterbosch, J., Herber, C.C.L.M., Sternheim, L. (Thesis Advisor), and Bijsterbosch, J.

Abstract

People with eating disorders (ED) have difficulty managing their anger levels and regulating their emotions. One hundred and seven University students were divided in displaying general eating pathology (20) and healthy controls (87) based on the Eating Disorder Examination Questionnaire (EDE-Q). The subjects were assessed with the State Trait Anger Inventory II (STAXI-II) and the Difficulties in Emotion Regulation Scale (DERS). The subjects in the eating pathology group displayed significantly higher levels of trait anger and anger suppression than the control group. They also scored significantly higher on lack of emotional regulation and lack of emotional clarity and non-significantly higher on lack of emotional awareness. Analysing the moderating effect of trait anger on the relation between emotional regulation and eating pathology showed no significance. Results are consistent with previous research and illustrate the implications of anger and deficits in emotional processing in individuals with disordered eating. These findings underscore the importance of highlighting anger and emotional processing strategies in therapeutic and preventative interventions.

Published
2020

26. Stratifying patients with affective disorders by resting limbic connectivity predicts cognitive bias

Author

Bijsterbosch, J, Ansari, T, Smith, S, Gauld, O, Zika, O, Boessenkool, S, Browning, M, Reinecke, A, and Bishop, S

Abstract

Patients with Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD) show between-group comorbidity and symptom overlap, and within-group heterogeneity. Resting state functional connectivity might provide an alternate, biologically informed means by which to stratify patients with GAD or MDD. Resting state functional magnetic resonance imaging data were acquired from 23 adults with GAD, 21 adults with MDD, and 27 healthy adult control participants. We investigated whether within- or between-network connectivity indices from five resting state networks predicted scores on continuous measures of depression and anxiety. Successful predictors were used to stratify participants into two new groups. We examined whether this stratification predicted attentional bias towards threat and whether this varied between patients and controls. Depression scores were linked to elevated connectivity within a limbic network including the amygdala, hippocampus, VMPFC and subgenual ACC. Patients with GAD or MDD with high limbic connectivity showed poorer performance on an attention-to-threat task than patients with low limbic connectivity. No parallel effect was observed for control participants, resulting in an interaction of clinical status by resting state group. Our findings provide initial evidence for the external validity of stratification of MDD and GAD patients by functional connectivity markers. This stratification cuts across diagnostic boundaries and might valuably inform future intervention studies. Our findings also highlight that biomarkers of interest can have different cognitive correlates in individuals with versus without clinically significant symptomatology. This might reflect protective influences leading to resilience in some individuals but not others.

Published
2018

30. Hand classification of fMRI ICA noise components

Author

Griffanti, L., Douaud, G., Bijsterbosch, J., Evangelisti, S., Alfaro-Almagro, F., Glasser, M.F., Duff, E.P., Fitzgibbon, S., Westphal, R., Carone, D., Beckmann, C.F., Smith, S.M., Griffanti, L., Douaud, G., Bijsterbosch, J., Evangelisti, S., Alfaro-Almagro, F., Glasser, M.F., Duff, E.P., Fitzgibbon, S., Westphal, R., Carone, D., Beckmann, C.F., and Smith, S.M.

Abstract

Contains fulltext : 175042.pdf (Publisher’s version ) (Open Access), We present a practical "how-to" guide to help determine whether single-subject fMRI independent components (ICs) characterise structured noise or not. Manual identification of signal and noise after ICA decomposition is required for efficient data denoising: to train supervised algorithms, to check the results of unsupervised ones or to manually clean the data. In this paper we describe the main spatial and temporal features of ICs and provide general guidelines on how to evaluate these. Examples of signal and noise components are provided from a wide range of datasets (3T data, including examples from the UK Biobank and the Human Connectome Project, and 7T data), together with practical guidelines for their identification. Finally, we discuss how the data quality, data type and preprocessing can influence the characteristics of the ICs and present examples of particularly challenging datasets.

Published
2017

32. Hand osteoarthritis : natural course and determinants of outcome

Author

Bijsterbosch, J., Kloppenburg, M., Huizinga, T.W.J., Rosendaal, F.R., and Leiden University

Subjects
Epidemiology, Osteoarthritis, Outcomes, Disease course, Hand
Abstract

We investigated the clinical and radiographic disease course of hand osteoarthritis as well as determinants of poor clinical outcome and radiographic progression over a period of six years in 289 patients with hand osteoarthritis. Because these patients had osteoarthritis at multiple joints this enabled us to not only assess the association between progression of osteoarhtiritis in different hand joints groups but also between progression of hand osteoarthritis and osteoarthritis change at the knee. In addition, genetic factors in hand osteoarthritis progression were investigated as well as the influence of illness perceptions. The hand osteoarthritis subsets erosive osteoarthritis and thumb base osteoarthritis are further characterised. In the last part of the thesis the clinimetric properties of a pain score for osteoarthritis and radiographic outcome measures for hand osteoarthritis are evaluated.

Published
2013

36. Thumb base involvement in symptomatic hand osteoarthritis is associated with more pain and functional disability

Author

Bijsterbosch, J., Visser, W., Kroon, H.M., Stamm, T., Meulenbelt, I., Huizinga, T.W.J., and Kloppenburg, M.

Subjects
task-force prevalence joint recommendations hypermobility index
Abstract

OBJECTIVE: /st> To assess the impact of different subsets of symptomatic hand osteoarthritis (OA) on pain and disability. METHODS: /st> From 308 patients with hand OA a group with carpometacarpal joint (CMCJ) symptoms only (group I, n=20) was identified as well as groups with symptoms at the interphalangeal joints (IPJs) only (group II, n=138), and symptoms at both sites (group III, n=150). Hand pain and function, assessed with the AUSCAN, were compared between groups using linear mixed models. Radiological OA was assessed using the Kellgren-Lawrence grading scale. RESULTS: /st> Mean (SD) AUSCAN scores for groups I, II and III were 23.1 (11.7), 18.3 (11.9) and 26.4 (12.5), respectively. After adjustment for age, gender, body mass index, family effects and number of symptomatic hand joints, significant differences in AUSCAN scores of 7.4 (95% CI 1.8 to 13.0) between groups I and II, and 5.7 (95% CI 2.7 to 8.6) between groups II and III were found. AUSCAN scores were 5.8 (95% CI 3.1 to 8.6) higher for patients with versus patients without CMCJ symptoms. Kellgren-Lawrence scores did not differ between groups. CONCLUSION: /st> In symptomatic hand OA, CMCJ OA contributes more to pain and disability than IPJ OA. Hence, treatment of CMCJ OA should be emphasised, even if it coincides with IPJ OA.

Published
2010

37. Study protocol: the Whitehall II imaging sub-study

Author

Filippini, N, Zsoldos, E, Haapakoski, R, Sexton, CE, Mahmood, A, Allan, CL, Topiwala, A, Valkanova, V, Brunner, EJ, Shipley, MJ, Auerbach, E, Moeller, S, Ugurbil, K, Xu, J, Yacoub, E, Andersson, J, Bijsterbosch, J, Clare, S, Griffanti, L, Hess, AT, Jenkinson, M, Miller, KL, Salimi-Khorshidi, G, Sotiropoulos, SN, Voets, NL, Smith, SM, Geddes, JR, Singh-Manoux, A, Mackay, CE, Kivimaeki, M, Ebmeier, KP, Filippini, N, Zsoldos, E, Haapakoski, R, Sexton, CE, Mahmood, A, Allan, CL, Topiwala, A, Valkanova, V, Brunner, EJ, Shipley, MJ, Auerbach, E, Moeller, S, Ugurbil, K, Xu, J, Yacoub, E, Andersson, J, Bijsterbosch, J, Clare, S, Griffanti, L, Hess, AT, Jenkinson, M, Miller, KL, Salimi-Khorshidi, G, Sotiropoulos, SN, Voets, NL, Smith, SM, Geddes, JR, Singh-Manoux, A, Mackay, CE, Kivimaeki, M, and Ebmeier, KP

Abstract

BACKGROUND: The Whitehall II (WHII) study of British civil servants provides a unique source of longitudinal data to investigate key factors hypothesized to affect brain health and cognitive ageing. This paper introduces the multi-modal magnetic resonance imaging (MRI) protocol and cognitive assessment designed to investigate brain health in a random sample of 800 members of the WHII study. METHODS/DESIGN: A total of 6035 civil servants participated in the WHII Phase 11 clinical examination in 2012-2013. A random sample of these participants was included in a sub-study comprising an MRI brain scan, a detailed clinical and cognitive assessment, and collection of blood and buccal mucosal samples for the characterisation of immune function and associated measures. Data collection for this sub-study started in 2012 and will be completed by 2016. The participants, for whom social and health records have been collected since 1985, were between 60-85 years of age at the time the MRI study started. Here, we describe the pre-specified clinical and cognitive assessment protocols, the state-of-the-art MRI sequences and latest pipelines for analyses of this sub-study. DISCUSSION: The integration of cutting-edge MRI techniques, clinical and cognitive tests in combination with retrospective data on social, behavioural and biological variables during the preceding 25 years from a well-established longitudinal epidemiological study (WHII cohort) will provide a unique opportunity to examine brain structure and function in relation to age-related diseases and the modifiable and non-modifiable factors affecting resilience against and vulnerability to adverse brain changes.

Published
2014

38. Thumb base involvement in symptomatic hand osteoarthritis is associated with more pain and functional disability

Author

Bijsterbosch, J., Visser, W., and Kroon, H.M.

Abstract

OBJECTIVE: To assess the impact of different subsets of symptomatic hand osteoarthritis (OA) on pain and disability. METHODS: From 308 hand OA patients a group with CMCJ symptoms only (group I, n=20) was identified as well as groups with symptoms at the interphalangeal joints (IPJs) only (group II, n=138), and symptoms at both sites (group III, n=150). Hand pain and function, assessed with the AUSCAN, were compared between groups using linear mixed models. Radiological OA was assessed using the Kellgren-Lawrence grading scale. RESULTS: Mean (SD) AUSCAN scores for group I, II and III were 23.1 (11.7), 18.3 (11.9) and 26.4 (12.5), respectively. After adjustment for age, gender, BMI, family effects and number of symptomatic hand joints, significant differences in AUSCAN scores of 7.4 (95% CI 1.8-13.0) between group I and II, and 5.7 (95% CI 2.7-8.6) between group II and III were found. AUSCAN scores were 5.8 (95% CI 3.1-8.6) higher for patients with versus patients without CMCJ symptoms. Kellgren-Lawrence scores did not differ between groups. CONCLUSION: In symptomatic hand OA, CMCJ OA contributes more to pain and disability than IPJ OA. Hence, treatment of CMCJ OA should be emphasized, even if it coincides with IPJ OA.

Published
2009

42. Resting-state fMRI in the Human Connectome Project

Author

Smith, S.M., Beckmann, C.F., Andersson, J., Auerbach, E.J., Bijsterbosch, J., Douaud, G., Duff, E., Feinberg, D.A., Griffanti, L., Harms, M.P., Kelly, M., Laumann, T., Miller, K.L., Moeller, S., Petersen, S., Power, J., Salimi-Khorshidi, G., Snyder, A.Z., Vu, A.T., Woolrich, M.W., Xu, J., Yacoub, E., Ugurbil, K., Essen, D.C. van, Glasser, M.F., Smith, S.M., Beckmann, C.F., Andersson, J., Auerbach, E.J., Bijsterbosch, J., Douaud, G., Duff, E., Feinberg, D.A., Griffanti, L., Harms, M.P., Kelly, M., Laumann, T., Miller, K.L., Moeller, S., Petersen, S., Power, J., Salimi-Khorshidi, G., Snyder, A.Z., Vu, A.T., Woolrich, M.W., Xu, J., Yacoub, E., Ugurbil, K., Essen, D.C. van, and Glasser, M.F.

Abstract

Item does not contain fulltext

Published
2013

43. Relationship between the functional exon 3 deleted growth hormone receptor polymorphism and symptomatic osteoarthritis in women

Author

Claessen, K M J A, primary, Kloppenburg, M, additional, Kroon, H M, additional, Bijsterbosch, J, additional, Pereira, A M, additional, Romijn, J A, additional, van der Straaten, T, additional, Nelissen, R G H H, additional, Hofman, A, additional, Uitterlinden, A G, additional, Duijnisveld, B J, additional, Lakenberg, N, additional, Beekman, M, additional, van Meurs, J B, additional, Slagboom, P E, additional, Biermasz, N R, additional, and Meulenbelt, I, additional

Published
2013
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