INCIDENCE OF SYMPTOMATIC HAND, HIP, AND KNEE OSTEOARTHRITIS AMONG PATIENTS IN A HEALTH MAINTENANCE ORGANIZATION
INCIDENCE OF SYMPTOMATIC HAND, HIP, AND KNEE OSTEOARTHRITIS AMONG PATIENTS IN A HEALTH MAINTENANCE ORGANIZATION
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DOI：
10.1002/art.1780380817
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发表时间：
1995-08-01
影响因子：
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通讯作者：
WALKER, AM
中科院分区：
文献类型：
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作者：
OLIVERIA, SA;FELSON, DT;WALKER, AM
目标。为了量化位于马萨诸塞州中部的健康维护组织Fallen Community Health Plan成员中症状性手、髋关节和膝关节骨关节炎（OA）的发生率，方法。偶发性骨性关节炎被定义为影像学上骨性关节炎的第一个证据（Kellgren-Lawrence评分0-4的分级大于或等于2级），在获得x线片时或获得x线片前1年内出现关节症状。手部OA的年龄和性别标准化发病率为100/100,000人年（95%可信区间[95% CI] 86115），髋部OA为88/100,000人年（95% CI75,101），膝关节OA为240/100,000人年（95% CI 218,262）。手、髋和膝关节OA的发病率随着年龄的增长而增加，女性的发病率高于男性，尤其是在50岁以后，两组在80岁左右均趋于平稳或下降。在一项对症状性OA的大型研究中，我们观察到发病率随着年龄的增长而增加，在70-89岁的女性中，膝关节OA的发病率接近每年1%。
Objective. To quantify the incidence of symptomatic hand, hip, and knee osteoarthritis (OA) among members of the Fallen 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 greater than or equal to 2 on the Kellgren-Lawrence scale of 0-4) pins 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% CI75,101), 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.