Osteoarthritis

Plasma Cartilage Acidic Protein 1 Measured by ELISA Is Associated With the Progression to Total Joint Replacement in Postmenopausal Women

J RheumatolPublished Nested case-control study within a prospective cohort

Main finding · TJR risk per 1 SD increase in plasma CRTAC1Result — go to the resultOdds ratio 1.80 95% CI 1.11–2.92

Authors' conclusion

CRTAC1 is a new risk indicator of TJR for OA in postmenopausal women.

Study context

Population
Postmenopausal women in a prospective cohort; median follow-up 18 years38 total joint replacement (TJR) cases
Participants
478 women
Comparison
Plasma CRTAC1 and incident TJR for osteoarthritis (OA)
  • TJR casesn = 38
Outcome
Incident TJR for OA
Follow-up
Median 18 years
Methodological detailsage- and BMI-matched 1:2, conditional logistic regression
  • Age- and BMI-matched 1:2
  • Conditional logistic regression

Main finding

TJR risk per 1 SD increase in plasma CRTAC1

Odds ratio

1.80

95% CI 1.11–2.92

CRTAC1 per 1 SD increase
OR 1.80 (95% CI 1.11–2.92)

Per 1 SD increase, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

TJR risk with urinary CTX-II

aOR (95% CI)
CTX-II1.83 (1.11–3.00)

CRTAC1 and CTX-II in the same model

Both markers significantly associated with TJR with similar ORs

Original publication

Plasma Cartilage Acidic Protein 1 Measured by ELISA Is Associated With the Progression to Total Joint Replacement in Postmenopausal Women. J Rheumatol. Published 1 November 2023. doi:10.3899/jrheum.2023-0684

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