Osteoporosis & bone health

Incidence of and Risk of Mortality After Hip Fractures in Rheumatoid Arthritis Relative to the General Population

Arthritis Care Res (Hoboken)Published Population-based cohort study

Main finding · Hip fracturesResult — go to the resultIncidence rate ratio 1.28 95% CI 1.20–1.37

Authors' conclusion

People with RA had a greater risk of hip fractures, but no greater risk of mortality post fracture, than the general population.

Study context

Population
Patients with incident rheumatoid arthritis (RA) diagnosed 1997–2009, followed until 2014, and matched general population controls, British Columbia
Participants
37,616 vs 75,213
Exposure
RA vs age- and sex-matched general population controls
  • RAn = 37,616
  • Controlsn = 75,213reference
Outcome
Hip fracture incidence and risk; all-cause mortality after hip fracture
Methodological detailslongitudinal, incident cohort, age-matched and sex-matched general population controls, administrative health data, Cox proportional hazards models
  • Longitudinal
  • Incident cohort
  • Age-matched and sex-matched general population controls
  • Administrative health data
  • Cox proportional hazards models

Main finding

Hip fractures

Incidence rate ratio

1.28

95% CI 1.20–1.37

Events by group

RA

1,314

events

Controls

2,083

events

RAvs Controls
IRR 1.28 (95% CI 1.20–1.37)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mean age at time of fracture

Postfracture all-cause mortality · 1 year and 5 years

Postfracture mortality risk at one-year and five-years did not differ between RA and general population controls

Sensitivity analysis: RA patients who received DMARDs only

Results were similar

Original publication

Incidence of and Risk of Mortality After Hip Fractures in Rheumatoid Arthritis Relative to the General Population. Arthritis Care Res (Hoboken). Published 22 December 2024. doi:10.1002/acr.25466

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