Osteoporosis & bone health

Erosive hand osteoarthritis is associated with increased risk of incident osteoporotic fractures in post-menopausal women (QUALYOR cohort)

Osteoarthritis CartilagePublished Prospective cohort study

Main finding · First OP fractureResult — go to the resultHazard ratio 1.9 95% CI 1.09–3.3

Authors' conclusion

ErHOA is a strong independent predictor of osteoporotic fracture in postmenopausal women

Study context

Population
Postmenopausal women ≥50 years (QUALYOR study), followed for 14 years; HOA assessed at the 6-year visit (baseline) by radiographs and AUSCANmean follow-up 4.6 ± 0.9 years
Participants
1,180 women
Exposure
Erosive hand OA vs no hand OA
  • Erosive hand osteoarthritis (ErHOA)n = 141
  • Symptomatic HOA (SHOA)n = 340
  • No HOAn = 364reference
Outcome
Incident OP fractures, medically confirmed
Methodological detailsCox models adjusted for key fracture risk factors, Poisson regression, linear mixed-effects models, exploratory path analysis
  • Cox models adjusted for key fracture risk factors
  • Poisson regression
  • Linear mixed-effects models
  • Exploratory path analysis

Main finding

First OP fracture

Hazard ratio

1.9

95% CI 1.09–3.3

By group

ErHOAvs No HOA
HR 1.9 (95% CI 1.09–3.3)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Incident osteoporotic (OP) fractures overall

Women sustaining incident OP fractures
131 (11.1%)
Incident OP fractures
166
Mean time to event (years)
2.2 ± 1.4

Exploratory path analysis

Association persisted after accounting for bone loss over time
  • Exploratory

Original publication

Erosive hand osteoarthritis is associated with increased risk of incident osteoporotic fractures in post-menopausal women (QUALYOR cohort). Osteoarthritis Cartilage. Published 13 June 2026. doi:10.1016/j.joca.2026.06.003

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