Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization

Objective. To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallon Community Health Plan, a health maintenance organization located in central Massachusetts. Methods. Incident OA was defined as the first evidence of OA by radiography (grade ≥2 on...

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Veröffentlicht in:Arthritis and rheumatism 1995-08, Vol.38 (8), p.1134-1141
Hauptverfasser: Oliveria, Susan A., Felson, David T., Reed, John I., Cirillo, Priscilla A., Walker, Alexander M.
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container_end_page 1141
container_issue 8
container_start_page 1134
container_title Arthritis and rheumatism
container_volume 38
creator Oliveria, Susan A.
Felson, David T.
Reed, John I.
Cirillo, Priscilla A.
Walker, Alexander M.
description Objective. To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallon Community Health Plan, a health maintenance organization located in central Massachusetts. Methods. Incident OA was defined as the first evidence of OA by radiography (grade ≥2 on the Kellgren‐Lawrence scale of 0–4) plus joint symptoms at the time the radiograph was obtained or up to 1 year before the radiograph was obtained. Results. The age‐ and sex‐standardized incidence rate for hand OA was 100/100,000 person‐years (95% confidence interval [95% CI] 86, 115), for hip OA 88/100,000 person‐years (95% CI 75, 101), and for knee OA 240/100,000 person‐years (95% CI 218, 262). The incidence of hand, hip, and knee OA increased with age, and women had higher rates than men, especially after age 50. A leveling off or decline occurred for both groups around the age of 80. Conclusion. In a large study of symptomatic OA we observed incidence rates that increased with age. In women ages 70‐89, the incidence of knee OA approached 1% per year.and women had higher rates than men, especially after age 50. A leveling off or decline occurred for both groups around the age of 80.
doi_str_mv 10.1002/art.1780380817
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To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallon Community Health Plan, a health maintenance organization located in central Massachusetts. Methods. Incident OA was defined as the first evidence of OA by radiography (grade ≥2 on the Kellgren‐Lawrence scale of 0–4) plus joint symptoms at the time the radiograph was obtained or up to 1 year before the radiograph was obtained. Results. The age‐ and sex‐standardized incidence rate for hand OA was 100/100,000 person‐years (95% confidence interval [95% CI] 86, 115), for hip OA 88/100,000 person‐years (95% CI 75, 101), and for knee OA 240/100,000 person‐years (95% CI 218, 262). The incidence of hand, hip, and knee OA increased with age, and women had higher rates than men, especially after age 50. A leveling off or decline occurred for both groups around the age of 80. Conclusion. In a large study of symptomatic OA we observed incidence rates that increased with age. In women ages 70‐89, the incidence of knee OA approached 1% per year.and women had higher rates than men, especially after age 50. 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To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallon Community Health Plan, a health maintenance organization located in central Massachusetts. Methods. Incident OA was defined as the first evidence of OA by radiography (grade ≥2 on the Kellgren‐Lawrence scale of 0–4) plus joint symptoms at the time the radiograph was obtained or up to 1 year before the radiograph was obtained. Results. The age‐ and sex‐standardized incidence rate for hand OA was 100/100,000 person‐years (95% confidence interval [95% CI] 86, 115), for hip OA 88/100,000 person‐years (95% CI 75, 101), and for knee OA 240/100,000 person‐years (95% CI 218, 262). The incidence of hand, hip, and knee OA increased with age, and women had higher rates than men, especially after age 50. A leveling off or decline occurred for both groups around the age of 80. Conclusion. In a large study of symptomatic OA we observed incidence rates that increased with age. In women ages 70‐89, the incidence of knee OA approached 1% per year.and women had higher rates than men, especially after age 50. 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To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallon Community Health Plan, a health maintenance organization located in central Massachusetts. Methods. Incident OA was defined as the first evidence of OA by radiography (grade ≥2 on the Kellgren‐Lawrence scale of 0–4) plus joint symptoms at the time the radiograph was obtained or up to 1 year before the radiograph was obtained. Results. The age‐ and sex‐standardized incidence rate for hand OA was 100/100,000 person‐years (95% confidence interval [95% CI] 86, 115), for hip OA 88/100,000 person‐years (95% CI 75, 101), and for knee OA 240/100,000 person‐years (95% CI 218, 262). The incidence of hand, hip, and knee OA increased with age, and women had higher rates than men, especially after age 50. A leveling off or decline occurred for both groups around the age of 80. Conclusion. In a large study of symptomatic OA we observed incidence rates that increased with age. 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source Wiley Online Library - AutoHoldings Journals; MEDLINE; Alma/SFX Local Collection
subjects Adult
Age Distribution
Aged
Aged, 80 and over
Biological and medical sciences
Diseases of the osteoarticular system
Female
Finger Joint - diagnostic imaging
Hand - diagnostic imaging
Health Maintenance Organizations
Hip Joint - diagnostic imaging
Humans
Incidence
Knee Joint - diagnostic imaging
Male
Medical sciences
Middle Aged
Osteoarthritis
Osteoarthritis - diagnostic imaging
Osteoarthritis - epidemiology
Osteoarthritis, Hip - diagnostic imaging
Osteoarthritis, Hip - epidemiology
Radiography
Sex Distribution
title Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization
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