Osteoarthritis

Occurrence of comorbidity following osteoarthritis diagnosis: a cohort study in the Netherlands

Osteoarthritis CartilagePublished Cohort study

Authors' conclusion

This study showed that many comorbidities were diagnosed more often in patients with knee or hip OA.

Study context

Population
Adults at risk for osteoarthritis (OA) in the Integrated Primary Care Information database (electronic health records), the Netherlands
Participants
1,890,712 adults
Exposure
Exposed vs unexposed patient time
Outcome
Incidence of 58 long-term comorbidities (diagnostic codes, International Classification of Primary Care)
Methodological detailsexposed vs unexposed patient time, age and sex adjusted
  • Exposed vs unexposed patient time
  • Age and sex adjusted

Main finding

As reported in the abstract

Long-term comorbidities after knee or hip OA diagnosis (age- and sex-adjusted HR, exposed vs unexposed patient time)
Knee OA: obesity, HR
2.55 (2.29-2.84) (99.9% CI)
Knee OA: fibromyalgia, HR
2.06 (1.53-2.77) (99.9% CI)
Knee OA: HR < 1 for two conditions; other comorbidities showed no association
2
Hip OA: PMR, HR
1.81 (1.41-2.32) (99.9% CI)
Hip OA: fibromyalgia, HR
1.70 (1.10-2.63) (99.9% CI)

Observational data: associations, not effects.

Original publication

Occurrence of comorbidity following osteoarthritis diagnosis: a cohort study in the Netherlands. Osteoarthritis Cartilage. Published 15 December 2022. doi:10.1016/j.joca.2022.12.003

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