Evidence map›Paper›PMID 34518262›Full record

Observational studyBMJ open2021

Health status of individuals referred to first-line intervention for hip and knee osteoarthritis compared with the general population: an observational register-based study.

Kristin Gustafsson, Joanna Kvist, Marit Eriksson, Andrea Dell'Isola, Caddie Zhou, Leif E Dahlberg, Ola Rolfson

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03438630 (Health and Risk Factors in Patients With Hip and Knee Osteoarthritis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03438630 completednot on this map

Health and Risk Factors in Patients With Hip and Knee Osteoarthritis

Typeobservational_patient_registrySponsorVastra Gotaland RegionRan2008 to 2020Enrolled288,276ConditionsOsteoarthritis
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kristin GustafssonUnit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden kristin.gustafsson@rjl.se.ORCID 0000-0003-3403-229X
Joanna KvistUnit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0003-3527-5488
Marit ErikssonDepartment of Medical and Health Sciences, Linköping University and Futurum - Academy for Health and Care, Region of Jönköping County, Jönköping, Sweden.ORCID 0000-0002-1766-5899
Andrea Dell'IsolaDepartment of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0000-0002-0319-458X
Caddie ZhouCentre of Registries, Västra Götaland, Gothenburg, Sweden.
Leif E DahlbergDepartment of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, Sweden.ORCID 0000-0001-7838-9464
Ola RolfsonDepartment of Orthopaedicst, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0001-6534-1242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the prevalence of comorbidities in a population referred to standardised first-line intervention (patient education and exercise) for hip and knee osteoarthritis (OA), in comparison with the general population. Furthermore, we aimed to evaluate if eventual differences were associated with socioeconomic inequalities.

designRegister-based study.

settingPrimary healthcare, Sweden.

participantsIndividuals with hip and/or knee OA included in the Better Management for Patients with Osteoarthritis Register between 2008 and 2016 and and an age-matched, sex-matched and residence-matched reference cohort (1:3) from the general Swedish population. OUTCOME MEASURES: Comorbidities were identified with the RxRisk Index, the Elixhauser Comorbidity Index and the Charlson Comorbidity Index, and presented with descriptive statistics as (1) individual diseases, (2) disease categories and (3) scores for each index. The prevalence of comorbidities in the two populations was tested using logistic regression, with separate analyses for age groups and the most affected joint. We then adjusted the analyses for socioeconomic status.

resultsIn this OA population, 85% had ≥1 comorbidity compared with 78% of the reference cohort (OR; 1.62 (95% CI 1.59 to 1.66)). Cardiovascular/blood diseases were the most common comorbidities in both populations (OA, 59%; reference, 54%), with OR; 1.22 (95% CI 1.20 to 1.24) for the OA population. Younger individuals with OA were more comorbid than their matched references overall, and population differences decreased with age (eg, ≥3 comorbidities, aged ≤45 years OR; 1.74 (95% CI 1.52 to 1.98), ≥81 years OR; 0.95 (95% CI 0.87 to 1.04)). Individuals with knee OA were more comorbid than those with hip OA overall. Adjustment for socioeconomic status did not change the estimates.

conclusionComorbidities were more common among individuals with hip and knee OA than among matched references from the general population. The differences could not be explained by socioeconomic status. TRIAL REGISTRATION NUMBER: NCT03438630.

Indexed as

Osteoarthritis, HipOsteoarthritis, KneeCohort StudiesHealth StatusHumansMiddle AgedPrevalenceepidemiologyhipkneemusculoskeletal disorders

Identifiers

PMID34518262
PMCPMC8438840

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.