T. Neogi's research while affiliated with Boston University and other places

Publications (108)

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Objective To characterize dual-energy computed tomography (DECT) changes depicting hyaline cartilage changes in gout patients with and without osteoarthritis (OA) and in comparators without gout. Design Patients with suspected crystal-associated arthropathy were enrolled and underwent bilateral DECT scans of the knees. Standardized regions of inte...
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Objective: Osteoarthritis (OA) drug development is hampered by a number of challenges. One of the main challenges is the apparent discordance between pain and structure, which has had a significant impact on drug development programs and has led to hesitance among stakeholders. Since 2017, the Clinical Trials Symposium (CTS) has been hosted under...
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Background Hand osteoarthritis (OA) pain is characterized as heterogeneous and multifactorial. Different pain patterns may be explained by underlying phenotypes, which previously have not been explored. Objectives Using the biopsychosocial framework, we aimed to identify possible hand OA phenotypes and explore the associations with pain intensity...
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Background Pain sensitization is an important component of the pain experience in many persons with osteoarthritis (OA). Knee OA studies have suggested that pain sensitization is associated with functional limitations, but the evidence in hand OA is sparse. Objectives To assess whether pain sensitization is associated with physical function in peo...
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Background: Early-stage knee osteoarthritis (KOA) classification criteria will enable consistent identification and trial recruitment of individuals with knee OA at an earlier stage of disease, when interventions may be more effective. Towards this goal, we identified how early-stage KOA has been defined in the literature. Methods: We performed...
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Objective: To assess whether vascular FDG-PET activity is associated with angiographic change in large-vessel vasculitis (LVV). Methods: Patients with LVV were recruited into a prospective cohort. All patients underwent magnetic resonance (MR) or computed tomography (CT) angiography, FDG-PET, and follow-up studies ≥6 months later per a standardi...
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INTRODUCTION Weight bearing CT (WBCT) technology has been increasingly used in imaging of knee osteoarthritis in recent years because of its ability to assess the weight bearing joint space. However, relatively little is known regarding the extent to which this cone beam technology can provide useful information on peri-articular bone beyond the su...
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INTRODUCTION 3-D joint space width (JSW) measured from weight bearing CT (WBCT) has been suggested to be more sensitive than radiographic 2-D measurement in detecting joint space narrowing (JSN), but its diagnostic value in osteoarthritis is yet to be established. OBJECTIVE To determine the predictive validity of 3-D JSW measurement from baseline...
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INTRODUCTION An important development in osteoarthritis imaging has been the ability to assess joint space width (JSW) from weight bearing CT (WBCT). The value of combining JSW with subchondral bone parameters in disease assessment is less well understood, particularly with respect to disease phenotype. OBJECTIVE To investigate associations of wor...
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Background Hand osteoarthritis (OA) pain is heterogeneous and multifactorial, involving biological, psychological and social aspects extending beyond the OA disease process. Different phenotypes may differ in prognosis and treatments requirements, and thus be of clinical importance. The presence of hand OA phenotypes has not previously been examine...
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Objective To investigate the risks and trajectories of hospital admission for ambulatory care sensitive conditions (HACSCs) in gout. Methods Among individuals aged 35-85 years residing in Skåne, Sweden, in 2005, those with no doctor-diagnosed gout during 1998–2005 (n=576,700) were followed from January 1st 2006 until an HACSC, death, relocation ou...
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Objective The study objective was to determine the relationship of magnetic resonance imaging (MRI)-detected features of patellofemoral joint osteoarthritis to pain and functional outcomes. Methods We sampled 1,099 participants from the 60-month visit of the Multicenter Osteoarthritis Study (mean ± SD age: 66.8 ± 7.5 years; body mass index: 29.6 ±...
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Objective Knee osteoarthritis (OA) is predominantly characterized by pain with weight-bearing activities. Pain at rest also occurs but the mechanisms for this are not clear. We evaluated the relations of nociceptive signal alterations to weight-bearing and non-weight-bearing pain in knee OA. Design We used data from a NIH–funded longitudinal cohor...
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Mindfulness-based stress reduction (MBSR) is an evidence-based non-pharmacological approach for chronic low back pain (cLBP), yet it is not readily available or reimbursable within primary care clinics. Primary care providers (PCPs) who wish to avoid prescribing opioids and other medications typically have few options for their cLBP patients. We pr...
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Background Pain is a hallmark symptom of hand osteoarthritis (OA). A subset of people with hand OA display centrally driven pain characteristics. Pain is driven by person-related factors, but how comorbidities are related to the hand OA pain experience is undetermined. Changes in pain pathophysiology and pain levels by for instants low-grade inflam...
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Background Classification criteria for calcium pyrophosphate deposition disease (CPPD) will facilitate clinical research on this common crystalline arthritis. ACR/EULAR are jointly sponsoring development of CPPD classification criteria using a multi-phase process. Objectives To report preliminary results from the first two phases of a four-phase p...
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Background There are known and established risk factors for gout flares; however, no study has examined the factors specifically associated with a polyarticular gout flare. Objectives Evaluate risk factors of a polyarticular gout flare in a longitudinal study of individuals with gout. Methods We used data from the Boston Online Gout Study, a long...
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Objective: Disagreement exists between rheumatology and primary care societies regarding gout management. This paper describes a formal process for gathering input from stakeholders in the planning of a trial to compare gout management strategies. Methods: We recruited patients, nurses, physician assistants, primary care clinicians, and rheumato...
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Objective Establish the impact of pain severity on the cost-effectiveness of generic duloxetine for knee osteoarthritis (OA) in the United States. Design We used a validated computer simulation of knee OA to compare usual care (UC) - intra-articular injections, opioids, and total knee replacement (TKR) - to UC preceded by duloxetine in those no lo...
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Objective There is an interest in identifying a metabolic OA phenotype. We therefore assessed the relation of diabetes and cardiovascular disease to prevalent and incident radiographic (ROA) and symptomatic knee osteoarthritis (SxOA). Design In two large cohort studies of individuals with or at risk for knee OA, the Multicenter Osteoarthritis Stud...
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Gout is the most common inflammatory arthritis affecting nearly 4% of adults (9.2 millions) in the U.S. Initiation of urate‐lowering therapy (ULT) is strongly recommended for all patients with tophaceous gout, radiographic damage, or frequent gout flares. While allopurinol is the first‐line ULT, some patients do not tolerate or adequately respond t...
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Objective Bone marrow lesions (BMLs) contribute to pain and progression of knee OA. Bisphosphonates may be a potential disease-modifier through amelioration of BMLs. We sought to determine the effect of oral bisphosphonates on BML volume over 12 months. Design Women in the Osteoarthritis Initiative who newly initiated an oral bisphosphonate were p...
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Current management of osteoarthritis (OA) is primarily focused on symptom control. Intra-articular corticosteroid (IACS) injections are often used for pain management of hip and knee OA in patients who have not responded to oral or topical analgesics. Recent case series suggested that negative structural outcomes including accelerated OA progressio...
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Objective To determine the association between dysregulated central pain processing and treatment response in rheumatoid arthritis (RA). Methods One‐hundred and eighty‐two participants with active RA were followed for 12 weeks after initiating a disease‐modifying anti‐rheumatic drug (DMARD). To assess central pain processing, participants underwen...
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Background Pressure pain threshold (PPT) is a measure of pain sensitization; altered pain mechanisms in the peripheral and/or central nervous system causing increased pain sensitivity. PPT testing may be a useful tool to classify pain phenotypes but requires special equipment not available in the clinic. The Doyle index (DI) is a clinical measure o...
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Background Overweight and obesity are well-known risk factors for osteoarthritis (OA) in weight-bearing joints. However, the role of increased body mass index (BMI) and waist circumference in OA of the non-weight-bearing joints is more controversial. Few hand OA studies have explored the associations between increased BMI/waist circumference and pa...
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Background Imaging plays an important role in determining structural disease severity and potential suitability of patients recruited to disease-modifying osteoarthritis drug (DMOAD) trials. It has been suggested that there may be three main structural phenotypes in OA, i.e., inflammation, meniscus/cartilage and subchondral bone. These may progress...
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Importance Prior studies have identified an association between obesity and prescription opioid use in the US. However, the pain conditions that are factors in this association remain unestablished. Objective To investigate the association between obesity and pain diagnoses recorded by primary care clinicians as reasons for prescription of opioids...
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Importance: Monitoring trends in prescription analgesic use among adults with musculoskeletal conditions provides insight into how changing prescribing practices, guidelines, and policy measures may affect those who need pain management. Objective: To evaluate trends in prescription opioid use and nonopioid analgesic use among adults with functi...
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Résumé L’hyperuricémie est une maladie courante qui, chez un certain nombre de patients, peut se compliquer de goutte. L’arthrose est la plus fréquente des arthropathies et coexiste fréquemment avec la goutte chez un même patient. La relation entre ces deux entités doit cependant être clarifiée, en particulier l’impact de l’arthrose sur le développ...
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Objective: Thiazide diuretic use is associated with higher bone mineral density (BMD) and possibly lower serum magnesium levels than loop diuretic use, and both high BMD and low serum magnesium have been linked to high prevalent knee osteoarthritis. This study aimed to compare the risk of a clinically relevant endpoint, knee replacement (KR) surge...
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Objective Pain is a significant burden for rheumatoid arthritis (RA) patients despite advancements in treatment. We examined the independent contribution of pain centralization to the pain experience of patients with active RA. Methods Two hundred and sixty‐three RA patients with active disease underwent quantitative sensory testing (QST) includin...
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The prevalence of obesity has grown rapidly over the past several decades and has been accompanied by an increase in the prevalence of chronic pain and prescription opioid use. Obesity, through its association with pain, may represent an important contributor to the opioid epidemic. This cross-sectional study investigated the relationship between o...
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Objective To update the 1997 OMERACT-OARSI (Outcome Measures in Rheumatology-Osteoarthritis Research Society International) core domain set for clinical trials in hip and/or knee osteoarthritis (OA). Methods An initial review of the COMET database of core outcome sets (COS) was undertaken to identify all domains reported in previous COS including...
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Objective To assess the uptake of the OMERACT-OARSI (Outcome Measures in Rheumatology- Osteoarthritis Research Society International) core outcome set (COS) domains in hip and/or knee osteoarthritis (OA) trials. Methods There were 382 trials of hip and/or knee OA identified from the ClinicalTrial.gov registry from 1997 to 2017. Frequency of COS ad...
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In 1992, the Food and Drug Administration (FDA) instituted the accelerated approval regulations that allow drugs or biologics for serious conditions that fill an unmet medical need to be approved on the basis of a surrogate endpoint or an intermediate clinical endpoint. The current definition of a serious condition includes chronic disabling condit...
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Hyperuricemia is a common condition, and in a subset of patients leads to gout, the most common inflammatory arthritis. Osteoarthritis is the most common form of arthritis overall, and gout and osteoarthritis frequently coexist in the same patient. However, the relationship between the two remains poorly defined. More particularly, the impact of os...
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Background -Hyperuricemia and gout are associated with increased risk of cardiovascular disease (CVD). Xanthine oxidase inhibitors (XOI), allopurinol and febuxostat, are the mainstay of urate lowering treatment for gout and may have different effects on cardiovascular risk in patients with gout. Methods -Using U.S. Medicare claims data (2008-2013)...
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Objective The Patient Reported Outcomes Measurement Information System (PROMIS) is a calibrated item bank used to assess patient reported outcomes across multiple domains. The purpose of this study was to describe the performance of selected PROMIS measures in rheumatoid arthritis (RA) patients with active disease, initiating a disease‐modifying an...
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Background: The aims of this study were to define changes in catastrophizing that occur with initiation of a new disease-modifying antirheumatic drug (DMARD) and to examine the relationship between changes in Clinical Disease Activity Index (CDAI) and changes in catastrophizing. Methods: Participants in an ongoing multisite, prospective observat...
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Calcium pyrophosphate (CPP) crystal deposition (CPPD) is prevalent, and can be associated with synovitis and joint damage. The older‐aged population predominantly affected by CPPD is growing rapidly. Since shortfalls exist in many aspects of CPPD, we conducted an anonymous survey of CPPD unmet needs, prioritized by experts from the Gout, Hyperurice...
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At a time when advancing understanding of osteoarthritis (OA) has created opportunities for new treatments, development of treatments has remained considerably behind advances in other rheumatic diseases. We suggest elements of trial design and measurements that have inhibited success and offer suggestions that may help break the logjam. Among the...
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Background: Patients with gout are at an increased risk of cardiovascular (CV) disease including myocardial infarction (MI), stroke, and heart failure (HF). Objectives: The authors conducted a cohort study to examine comparative CV safety of the 2 gout treatments-probenecid and allopurinol-in patients with gout. Methods: Among gout patients ≥6...
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Background: Gout patients do not routinely achieve optimal outcomes related in part to suboptimal administration of urate lowering therapy (ULT) including first-line xanthine oxidase inhibitors allopurinol or febuxostat. Studies leading to the approval of febuxostat compared this agent to allopurinol in inappropriately low, fixed doses. We will co...
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Osteoarthritis (OA) is the most common form of arthritis, with knee OA itself being among the most common conditions and a leading cause of disability among older adults worldwide. Pain is a key symptom in the decision to seek medical attention, yet available therapies for managing OA are limited with only minimal or moderate efficacy. Current appr...