BMJ  2005;330 (21 May), doi:10.1136/bmj.330.7501.0-b

Hip x rays help to predict worsening of osteoarthritis

A radiograph has strong additional value in predicting progression of osteoarthritis. In their population based cohort study, Reijman and colleagues (p 1183) included 1904 participants aged 55 and older who at baseline had radiographic osteoarthritic signs of grade 1 or greater as defined by Kellgren and Lawrence. Multivariate logistic regression models showed that the Kellgren and Lawrence score was the best predictor of progression, but x ray films were a strong additional predictor (odds ratio 5.8), especially for patients with hip pain at baseline (odds ratio 24.3).

Credit: MEDISCAN


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Relevant Article

Role of radiography in predicting progression of osteoarthritis of the hip: prospective cohort study
Max Reijman, J M W Hazes, H.A.P Pols, R M D Bernsen, B W Koes, and S M A Bierma-Zeinstra
BMJ 2005 330: 1183. [Abstract] [Full Text] [PDF]

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