Osteoarthritis

Prognostic factors and the value of radiographic osteoarthritis for persistent complaints after referral for ankle radiography

Semin Arthritis RheumPublished Prospective cohort study

Authors' conclusion

Ankle complaints persist in a considerable proportion of patients 2-3 years after referral for ankle radiography. BMI, chronic complaints and radiographic OA are prognostic factors for persistent complaints, but the additional predictive value of radiographic OA on top of clinical factors is negligible.

Study context

Population
Adults referred for ankle radiography194 responders at follow-up
Participants
893 adults
Outcome
Persistent ankle complaints
Follow-up
2-3 years
Methodological detailsuni- and multivariable logistic regression
  • Uni- and multivariable logistic regression

Main finding

As reported in the abstract

Ankle complaints persisted
71(36.6 %)
Body mass index (BMI), OR
1.08 (95% CI 1.01-1.15)
Stiffness as predominant symptom, OR
1.69 (95% CI 0.89-3.21)
Chronic complaints, OR
2.84 (95% CI 1.45-5.57)
Initial model AUC
0.69
Radiographic osteoarthritis (OA), OR
2.36 (95% CI 1.01-5.50)
Final model AUC (after adding radiographic OA)
0.70

Observational data: associations, not effects.

Original publication

Prognostic factors and the value of radiographic osteoarthritis for persistent complaints after referral for ankle radiography. Semin Arthritis Rheum. Published 3 July 2024. doi:10.1016/j.semarthrit.2024.152487

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