Osteoarthritis

Hysterectomy and risk of osteoarthritis in women: a nationwide nested case–control study

Scand J RheumatolPublished Nested case–control study

Main finding · OA, hysterectomy vs no hysterectomyResult — go to the resultAdjusted odds ratio 1.19 95% CI 1.09–1.30

Authors' conclusion

Our findings indicate that hysterectomy is associated with OA, especially knee OA.

Study context

Population
Women in the Taiwan National Health Insurance programme database, 2000 to 2016
Participants
16,592 vs 66,368
Exposure
Hysterectomy vs no hysterectomy
  • Osteoarthritis (OA)n = 16,592
  • Matched controlsn = 66,368reference
Outcome
Association between hysterectomy and risk of OA
Methodological detailspopulation-based, nationwide, matched controls, multiple conditional logistic regression
  • Population-based
  • Nationwide
  • Matched controls
  • Multiple conditional logistic regression

Main finding

OA, hysterectomy vs no hysterectomy

Adjusted odds ratio

1.19

95% CI 1.09–1.30

Hysterectomyvs No hysterectomy
aOR 1.19 (95% CI 1.09–1.30)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Knee OA, hysterectomyvs no hysterectomy1.25 (1.13–1.38)
OA by oestrogen therapy (ET) and hysterectomy, vs women who did not receive ETET alonevs No ET1.14 (1.07–1.23)
OA by oestrogen therapy (ET) and hysterectomy, vs women who did not receive ETHysterectomy without ETvs No ET1.19 (1.08–1.31)

Original publication

Hysterectomy and risk of osteoarthritis in women: a nationwide nested case–control study. Scand J Rheumatol. Published 16 January 2023. doi:10.1080/03009742.2022.2153985

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