Osteoarthritis

Increased risk of osteoarthritis in patients with atopic disease

Ann Rheum DisPublished Retrospective cohort study

Main finding · Incident OA (Optum CDM, matched)Result — go to the resultAdjusted odds ratio 1.58 95% CI 1.55–1.62

Authors' conclusion

This study demonstrates an increased incidence of OA in patients with atopic disease.

Study context

Population
Adults without pre-existing osteoarthrits (OA) or inflammatory arthritis, Optum Clinformatics Data Mart (CDM) (January 2003 to June 2019) and Stanford Research Repository (STARR) (January 2010 to December 2020)n=1 09,899 per group after matching
Participants
117,346 vs 1,247,196
Exposure
Atopic disease vs matched non-exposed patients
  • Asthma or atopic dermatitisn = 117,346
  • Non-exposedn = 1,247,196reference
Outcome
Incident OA
Methodological detailspropensity score matching, claims data (Optum CDM) and electronic health record data (STARR)
  • Propensity score matching
  • Claims data (Optum CDM) and electronic health record data (STARR)

Main finding

Incident OA (Optum CDM, matched)

Adjusted odds ratio

1.58

95% CI 1.55–1.62

By group

Asthma or atopic dermatitisvs Non-exposed
aOR 1.58 (95% CI 1.55–1.62)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Incident OA, both asthma and atopic dermatitisvs non-exposed (Optum CDM)2.15 (1.93–2.39)
Incident OA, asthmavs chronic obstructive pulmonary disease (Optum CDM)1.83 (1.73–1.95)
Incident OA, replication cohort (STARR, with BMI data)1.42 (1.36–1.48)

Original publication

Increased risk of osteoarthritis in patients with atopic disease. Ann Rheum Dis. Published 27 March 2023. doi:10.1136/ard-2022-223640

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