Osteoarthritis

Acetabular dysplasia and the risk of developing hip osteoarthritis at 2,5,8, and 10 years follow-up in a prospective nationwide cohort study (CHECK).

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

Baseline AD in individuals between 45 and 65 years is associated with an increased risk of developing RHOA within 2- and 5 years. However, this association seems to weaken after 8 years and disappears after 10 years.

Study context

Population
Individuals aged 45–65 from the prospective Cohort Hip and Cohort Knee (CHECK)
Participants
1,002 individuals
Exposure
Acetabular dysplasia vs no acetabular dysplasia at baseline
Outcome
Incident RHOA (Kellgren & Lawrence (KL) grade ≥2 or total hip replacement (THR)) and end-stage RHOA (KL grade ≥3 or THR)
Follow-up
2, 5, 8 and 10 years
Methodological detailsnationwide, logistic regression with generalized estimating equations
  • Nationwide
  • Logistic regression with generalized estimating equations

Main finding

As reported in the abstract

Incident RHOA · 2, 5 and 8 years
AD vs No ADOdds ratio (95% CI)
2 years
2.46(1.00–6.04)
5 years
2.28(1.20–4.31)
8 years
1.86(1.22–2.83)

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
End-stage RHOA · 5 yearsOnly time point with an association3.75 (1.02–13.77)

Radiographic hip osteoarthritis (RHOA) · 10 years

No statistically significant associations between acetabular dysplasia (AD) and RHOA

Original publication

Acetabular dysplasia and the risk of developing hip osteoarthritis at 2,5,8, and 10 years follow-up in a prospective nationwide cohort study (CHECK). Semin Arthritis Rheum. Published 30 March 2023. doi:10.1016/j.semarthrit.2023.152194

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