TY  - JOUR
AU  - Dabare, C
AU  - Le Marshall, K
AU  - Leung, A
AU  - Page, CJ
AU  - Choong, PF
AU  - Lim, KK
Y2  - 2021/02/04
Y1  - 2017/10/01
SN  - 1756-1841
UR  - http://hdl.handle.net/11343/259336
AB  - AIM: To describe the natural progression and the rates of arthroplasty of a cohort of hip and knee osteoarthritis (OA) patients. METHODS: An observational study of 247 consecutive patients who attended an OA clinic between May 2008 and August 2009. Follow-up survey was conducted from July 2014 to December 2014, with the primary end point being joint replacement surgery. RESULTS: One hundred and sixty-seven patients had knee OA and 80 patients had hip OA. When adjusted for other variables (age, gender, body mass index, Kellgren-Lawrence stage, symptom duration, presence of OA elsewhere and pain score), patients with hip OA demonstrated 86% increased hazard of surgery compared to knee OA patients (95% CI increase of 19% to 193%). At 6 years after initial consultation, 67% of patients with knee OA did not require a knee replacement surgery, while 40% (30, 51) of hip OA patients did not undergo surgery (95% CI: 59-74%). Overall at 6 years, 58% of patients (95% CI: 51-64%) did not undergo joint replacement surgery. CONCLUSION: Knee and hip OA patients appear to behave differently, with hip OA patients more likely to undergo arthroplasty. There is a significant number of both hip OA and knee OA patients who did not require arthroplasty at the end of 6 years, suggesting a major role for conservative therapy.
LA  - English
PB  - WILEY
T1  - Differences in presentation, progression and rates of arthroplasty between hip and knee osteoarthritis: Observations from an osteoarthritis cohort study-a clear role for conservative management
DO  - 10.1111/1756-185X.13083
IS  - International Journal of Rheumatic Diseases
VL  - 20
IS  - 10
SP  - 1350-1360
L1  - /bitstream/handle/11343/259336/PMC5655735.pdf?sequence=1&isAllowed=y
ER  -