Osteoarthritis

Twenty-year trajectories of morbidity in individuals with and without osteoarthritis

RMD OpenPublished Matched cohort study

Authors' conclusion

Our findings suggest that individuals with OA face an almost threefold higher risk of developing severe multimorbidity.

Study context

Population
Individuals aged 40+ years, Skåne region, Sweden (≈1.4 million residents)matched cohort
Participants
9,846 vs 9,846
Exposure
Incident osteoarthritis (OA) vs OA-free matched references
  • OAn = 9,846
  • Referencesn = 9,846reference
Outcome
Morbidity count trajectories (67 common chronic conditions)
Follow-up
1998 to 2019
Methodological detailsprospectively collected healthcare data, matched on birth year, sex, and year of death or moving outside the region, group-based trajectory modelling
  • Prospectively collected healthcare data
  • Matched on birth year, sex, and year of death or moving outside the region
  • Group-based trajectory modelling

Main finding

As reported in the abstract

Adjusted RR of belonging to multimorbidity trajectory class (vs no-chronic-condition class)
Each group vs referencesEstimate (CI)
OA
adjusted relative risk, class 1 1.29(1.12–1.48)
OA
adjusted relative risk, class 4 2.45(2.12–2.83)
No-chronic-condition class (cases and references)
1296

Observational data: associations, not effects.

Further findings

OutcomeClass 1Class 4
Count of chronic conditions at end of follow-up, by classmean 2.9 (SD 1.7)9.6 (SD 2.6)

Original publication

Twenty-year trajectories of morbidity in individuals with and without osteoarthritis. RMD Open. Published 2 July 2024. doi:10.1136/rmdopen-2024-004164

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