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Published in: Osteoporosis International 4/2013

01-04-2013 | Original Paper

Risk factors associated with the occurrence of hip fracture in Japanese patients with rheumatoid arthritis: a prospective observational cohort study

Authors: T. Furuya, E. Inoue, T. Hosoi, A. Taniguchi, S. Momohara, H. Yamanaka

Published in: Osteoporosis International | Issue 4/2013

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Abstract

Summary

Risk factors associated with the occurrence of hip fracture in Japanese patients with rheumatoid arthritis (RA) were evaluated in a prospective, observational cohort study. Physical disability, advanced age, history of total knee replacement (TKR), and low body mass index (BMI) appear to be associated with the occurrence of hip fracture.

Introduction

This study seeks to evaluate the association between potential risk factors and the occurrence of hip fractures in Japanese RA patients.

Methods

A total of 9,720 patients (82.1 % female; mean age, 55.7 years) with RA were enrolled in a prospective observational study from 2000 to 2010. Self-reported hip fractures were verified using patient medical records. Cox proportional hazards models were used to analyze independent contributions of various risk factors to hip fracture occurrence.

Results

During a mean follow-up of 5.2 years, 152 patients reported 152 hip fractures. Among these patients, 97 hip fractures in 97 patients (15 males, 82 females) were verified with medical records. Japanese version of the Health Assessment Questionnaire (J-HAQ) disability score [per 1 score, hazard ratio (HR), 2.64; 95 % confidence interval (CI), 1.94–3.58], age (per 10 years; HR, 1.53; 95 % CI, 1.25–1.87), history of TKR (HR, 3.75; 95 % CI, 1.57–8.96), and BMI (per 1 kg/m2, HR, 0.92; 95 % CI, 0.86–0.99) were significantly associated with hip fractures. Among the scores on the eight domains of the J-HAQ, J-HAQ (arising) (HR, 1.74; 95 % CI, 1.28–2.36) and J-HAQ (hygiene) (HR, 1.58; 95 % CI, 1.11–2.24) were significantly correlated with the occurrence of hip fracture.

Conclusions

High J-HAQ disability score, advanced age, history of TKR, and low BMI appear to be associated with the occurrence of hip fractures in Japanese RA patients. Among the eight domains of the J-HAQ, arising and hygiene disabilities appear to be correlated with the occurrence of hip fractures in this patient population.
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Metadata
Title
Risk factors associated with the occurrence of hip fracture in Japanese patients with rheumatoid arthritis: a prospective observational cohort study
Authors
T. Furuya
E. Inoue
T. Hosoi
A. Taniguchi
S. Momohara
H. Yamanaka
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 4/2013
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-012-2080-0

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