Osteoarthritis

Classification of patients with osteoarthritis through clusters of comorbidities using 633 330 individuals from Spain

Rheumatology (Oxford)Published Population-based cohort study

Authors' conclusion

Patients with a new diagnosis of OA can be clustered into groups based on their comorbidity profile, with significant differences in 10-year mortality risk.

Study context

Population
Individuals with first incident diagnosis of OA of the hip, knee, ankle/foot, wrist/hand or unspecified site, 2006–2020, SIDIAP primary care database, Catalonia, Spain
Participants
633,330 individuals
Exposure
Comorbidity clusters vs 'low-morbidity' cluster
Outcome
10-year mortality risk for each identified cluster
Follow-up
10 years
Methodological detailslatent class analysis, k-means, Cox proportional hazards
  • Latent class analysis
  • K-means
  • Cox proportional hazards

Main finding

As reported in the abstract

10-year mortality
Each group vs low-morbidityAdjusted hazard ratio (95% CI)
Multimorbidity
2.19(2.15–2.23)
Metabolic syndrome
1.24(1.22–1.27)
Back/neck pain plus mental health
1.12(1.09–1.15)

Observational data: associations, not effects.

Original publication

Classification of patients with osteoarthritis through clusters of comorbidities using 633 330 individuals from Spain. Rheumatology (Oxford). Published 23 January 2023. doi:10.1093/rheumatology/kead038

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