Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative.

Journal article


Smith, TO, Higson, E, Pearson, M and Mansfield, M (2016). Is there an increased risk of falls and fractures in people with early diagnosed hip and knee osteoarthritis? Data from the Osteoarthritis Initiative. International Journal of Rheumatic Diseases. 21 (6), pp. 1193-1201.
AuthorsSmith, TO, Higson, E, Pearson, M and Mansfield, M
Abstract

AIMS: To assess the probability of individuals with early-diagnosed hip or knee osteoarthritis experiencing a fall and/or fracture compared to a cohort without osteoarthritis. METHODS: Data were analyzed from the Osteoarthritis Initiative dataset. We identified all people who were diagnosed with hip or knee osteoarthritis within a 12 month period, compared to those without osteoarthritis. We determined whether there was a difference in the occurrence of falls, with or without consequential fractures, between people newly diagnosed with hip or knee osteoarthritis compared to those who had not, using odd ratios (OR) and 95% confidence intervals (95% CI). RESULTS: Five hundred and fifty-two individuals with hip osteoarthritis were compared to 4244 individuals without hip osteoarthritis; 1350 individuals with knee osteoarthritis were compared to 3445 individuals without knee osteoarthritis. People with knee osteoarthritis had a 54% greater chance of experiencing a fall compared to those without (OR: 1.54; 95% CI: 1.35-1.77). People with hip osteoarthritis had a 52% greater chance of experiencing a fall compared to those without hip osteoarthritis (OR: 1.52; 95% CI: 1.26-1.84). People with knee and hip osteoarthritis demonstrated over an 80% greater chance of experiencing a fracture in the first 12 months of their diagnosis compared to those without hip or knee osteoarthritis (total knee arthroplasty: OR 1.81; total hip arthroplasty: OR 1.84). CONCLUSIONS: There is an increased risk of falls and fractures in early-diagnosed knee and hip osteoarthritis compared to those without osteoarthritis. International guidelines on the management of hip and knee osteoarthritis should consider the management of falls risk.

Keywordsarthritis; falls; injury; joint degenerative; lower limb; older people; Clinical Sciences; Immunology; Medical Microbiology
Year2016
JournalInternational Journal of Rheumatic Diseases
Journal citation21 (6), pp. 1193-1201
PublisherLondon South Bank University
ISSN1756-185X
Digital Object Identifier (DOI)doi:10.1111/1756-185X.12871
Publication dates
Print06 May 2016
Publication process dates
Deposited25 Jul 2018
Accepted06 May 2016
Accepted author manuscript
License
CC BY 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/87438

  • 2
    total views
  • 22
    total downloads
  • 0
    views this month
  • 1
    downloads this month

Related outputs

Is there an association between metabolic syndrome and rotator cuff related shoulder pain?
Burne, G, Mansfield, M, Gaida, J and Lewis, J (2019). Is there an association between metabolic syndrome and rotator cuff related shoulder pain? Physiotherapy UK 2019. NEC, Birmingham, UK 01 - 02 Nov 2019
Somatosensory Profiling in Cervical Spine and Radicular Pain
Mansfield, M and Thacker, M (2019). Somatosensory Profiling in Cervical Spine and Radicular Pain. Physio First Conference 2019. Nottingham, UK 05 - 06 Apr 2019
Who seeks physiotherapy or exercise treatment for hip and knee osteoarthritis? A cross-sectional analysis of the English Longitudinal Study of Ageing cohort.
Smith, T, Collier, T, Smith, B and Mansfield, M (2019). Who seeks physiotherapy or exercise treatment for hip and knee osteoarthritis? A cross-sectional analysis of the English Longitudinal Study of Ageing cohort. International Journal of Rheumatic Diseases.
Uptake of the OMERACT-OARSI Hip and Knee Osteoarthritis Core Outcome Set: review of randomised controlled trials from 1997 to 2017
Smith, T, Mansfield, M, Hawker, G, Hunter, D, March, L, Boers, M, Shea, B, Christensen, R, Guillemin, F, Terwee, C, Williamson, P, Roos, E, Loeser, R, Schnitzer, T, Kloppenburg, M, Neogi, T, Ladel, C, Kalsi, G, Kaiser, U, Buttel, T, Ashford, A, Mobasheri, A, Arden, N, Tennant, A, Hochberg, M, de Wit, M, Tugwell, P and Conaghan, P (2019). Uptake of the OMERACT-OARSI Hip and Knee Osteoarthritis Core Outcome Set: review of randomised controlled trials from 1997 to 2017. Journal of Rheumatology.
Does physical activity change following hip and knee replacement? Matched case-control study evaluating Physical Activity Scale for the Elderly data from the Osteoarthritis Initiative.
Smith, TO, Mansfield, M, Dainty, J, Hilton, G, Mann, CJV and Sackley, CM (2017). Does physical activity change following hip and knee replacement? Matched case-control study evaluating Physical Activity Scale for the Elderly data from the Osteoarthritis Initiative. Physiotherapy. 104 (1), pp. 80-90.
Factors associated with physical activity participation in adults with chronic cervical spine pain: a systematic review.
Mansfield, M, Thacker, M, Spahr, N and Smith, T (2017). Factors associated with physical activity participation in adults with chronic cervical spine pain: a systematic review. Physiotherapy. 104 (1), pp. 54-60.
Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review
Mansfield, M, Thacker, M and Sandford, F (2017). Psychosocial Risk Factors and the Association With Carpal Tunnel Syndrome: A Systematic Review. Hand.
Effectiveness of acupuncture in the treatment of shoulder pain: A systematic review of published randomised clinical trials
Rubio, A, Mansfield, M and Lewis, J (2017). Effectiveness of acupuncture in the treatment of shoulder pain: A systematic review of published randomised clinical trials. Physiotherapy UK 2017. Birmingham, UK 10 - 11 Nov 2017 London South Bank University.
Factors influencing physical activity participation in adults with chronic cervical spine pain
Mansfield, M, Thacker, M, Spahr, N and Smith, TO (2017). Factors influencing physical activity participation in adults with chronic cervical spine pain. Physiotherapy U.K. 2017. Birmingham, UK 10 - 11 Nov 2017 London South Bank University.
Physical Activity Participation and The Association With Work Related Upper Quadrant Disorders (WRUQDs). A Systematic Review
Mansfield, M, Thacker, M and Smith, TO (2017). Physical Activity Participation and The Association With Work Related Upper Quadrant Disorders (WRUQDs). A Systematic Review. Musculoskeletal Care.