Osteoarthritis

Association between popliteal artery wall thickness and structural progression in patients with symptomatic knee osteoarthritis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

The findings support a role for vascular pathology in the progression of knee OA.

Study context

Population
Individuals with symptomatic knee OA in a randomised placebo-controlled trial of atorvastatin
Participants
176 individuals
Exposure
Per 10% increase in popliteal artery wall thickness
Outcome
Association between popliteal artery wall thickness and tibial cartilage volume (MRI)
Follow-up
2-year follow-up
Methodological detailsanalysis of a randomised placebo-controlled trial of atorvastatin, MRI at baseline and 2-year follow-up
  • Analysis of a randomised placebo-controlled trial of atorvastatin
  • MRI at baseline and 2-year follow-up

Main finding

As reported in the abstract

Tibial cartilage volume per 10% increase in popliteal artery wall thickness

Baseline medial tibial cartilage volume, lower by

120.8

mm³; 95% CI 5.4, 236.2P = 0.04

Baseline lateral tibial cartilage volume, lower by

151.9

mm³; 95% CI 12.1, 291.7P = 0.03

Annual rate of medial tibial cartilage volume loss, increased by

1.14%

95% CI 0.09%, 2.20%P = 0.03

Risk of rapid progression (top quartile of loss rate) of medial tibial cartilage loss, fold

2.28

95% CI 1.07, 4.83P = 0.03

Observational data: associations, not effects.

Original publication

Association between popliteal artery wall thickness and structural progression in patients with symptomatic knee osteoarthritis. Rheumatology (Oxford). Published 16 August 2022. doi:10.1093/rheumatology/keac469

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