Increasing trend of radiographic features of knee osteoarthritis in rheumatoid arthritis patients before total knee arthroplasty

Takeda, Ryutaro; Matsumoto, Takumi; Maenohara, Yuji; Omata, Yasunori; Inui, Hiroshi; Nagase, Yuichi; Nishikawa, Takuji; Tanaka, Sakae

doi:10.1038/s41598-022-14440-2

Cited by 7 publications

(3 citation statements)

References 39 publications

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“…[26][27][28] Studies have reported more osteoarthritic than rheumatic knee wear patterns in rheumatoid arthritis patients treated with disease-modifying rheumatic drugs. 29 The implications of disease-modifying medications on conditions such as osteoporosis, rheumatoid arthritis, and ankylosing spondylitis are unknown and should be further explored.…”

Section: Discussionmentioning

confidence: 99%

Trends in Indications and Contraindications for Cervical Disk Arthroplasty from 2009 to 2019

Shafi,

Du,

Blackburn

et al. 2024

Clinical Spine Surgery

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Study Design: Cross-sectional study. Objective: Assess trends of indications and contraindications for the use of Cervical Disk Arthroplasty (CDA) Summary of Background Data: As spine surgeons become more familiar with CDA, there have been expansions in indications. Methods: The Medicare Provider Analysis and Review Limited Data Sets for 2009, 2014, and 2019 were utilized. Patients undergoing elective CDA were included. Diagnosis for index surgery and “contraindications” as defined by original CDA Investigative Device Exemption (IDE) criteria were assessed. Variables were identified by the International Classification of Diseases (ICD)-9 or ICD-10 diagnosis and procedural codes. Results: A total of 1067 elective CDA patients were included. There were 230 patients in 2009, 300 patients in 2014, and 537 patients in 2019. The proportion of patients aged >65 increased from 35% to 51% (P<0.001). Incidence of CDA for radiculopathy increased from 57% to 69% (P<0.001), myelopathy increased from 23% to 78% (P<0.001), and spondylosis without radiculopathy or myelopathy decreased from 19% to 3% (P<0.001). There were increased incidences of ankylosing spondylitis (0.4% to 2.8%, P=0.007), long-term steroid use (1% to 2%, P=0.039), morbid obesity (2% to 6%, P=0.019), and osteoporosis (1% to 5%, P=0.014). The incidence of hybrid CDA and anterior cervical discectomy and fusion (ACDF) decreased from 28% to 23% (P=0.007). Conclusion: From 2009 to 2019, the number of CDA performed in older patients increased. An increase in the use of CDA for the treatment of myelopathy and radiculopathy and a decrease in the treatment of isolated cervical spondylosis was observed. The proportion of CDA performed in patients with original IDE trial “contraindications” increased. Further research into the efficacy of CDA for patients with contraindications is warranted.

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Section: Discussionmentioning

confidence: 99%

Trends in Indications and Contraindications for Cervical Disk Arthroplasty from 2009 to 2019

Shafi,

Du,

Blackburn

et al. 2024

Clinical Spine Surgery

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“…This association is not limited to static measures of weight but extends to dynamic changes in weight over time. For instance, an increasing trend of knee radiographs with OA-like features has been observed in rheumatoid arthritis (RA) patients in recent decades, with a higher BMI identified as an independent factor for such manifestations ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Relationship of weight change patterns from young to middle adulthood with incident rheumatoid arthritis and osteoarthritis: a retrospective cohort study

Nan,

Zhang,

et al. 2024

Front. Endocrinol.

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BackgroundThe relationship between weight change patterns and arthritis onset, specifically rheumatoid arthritis (RA) and osteoarthritis (OA), is unclear. We examined the association between weight changes from young adulthood to midlife and arthritis onset.MethodsUsing data from NHANES 1999–2018, participants with self-reported arthritis were selected. Age at diagnosis determined arthritis onset. Weight change patterns were based on BMI at age 25 and 10 years before the survey. Patterns were categorized as stable non-obese, non-obese to obese, obese to non-obese, and stable obese. Cox regression models and restricted cubic spline (RCS) analysis were employed, calculating hazard ratios (HRs) and 95% confidence intervals (CIs) considering covariates.ResultsOut of 20,859 participants (male 11,017, 52.82%), 4922 developed arthritis over a mean 8.66-year follow-up. Compared to stable non-obese individuals, the HRs for arthritis were 1.55 (95% CI=1.45 to 1.66, P < 0.0001) for non-obese to obese and 1.74 (95% CI=1.56 to 1.95, P < 0.0001) for stable obese. Those gaining 10-20 kg had a HR of 1.33 (95% CI=1.22 to 1.46, P < 0.0001), and gains >20 kg had a HR of 1.56 (95% CI=1.42 to 1.71, P < 0.0001), compared to stable weight (change within 2.5 kg). Identical results observed for OA and RA. RCS showed a nonlinear relationship between weight change and arthritis (all P < 0.01).ConclusionsStable obesity and weight gain during adulthood increase arthritis risk. Maintaining a non-obese weight throughout adult years might reduce arthritis risk in later life.

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“…Total knee arthroplasty (TKA) is considered one of the most utilized and successful procedures available to resolve end-stage knee disease and can significantly improve patients’ quality of life and knee function postoperatively [ 1 , 2 ]. With progressive global aging, the annual worldwide rate of TKA has increased steadily over the past two decades [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta-analysis comparing outcomes following total knee arthroplasty for rheumatoid arthritis versus for osteoarthritis

Qiao¹,

Feng

Zhang

et al. 2023

BMC Musculoskelet Disord

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Purpose Total knee arthroplasty (TKA) in patients with osteoarthritis (OA) are considered to be a successful procedure, but with little being known about outcomes in patients with rheumatoid arthritis (RA). The aim of this study was to compare the outcomes of TKA in patients with RA versus OA. Methods Data were obtained from PubMed, Cochrane Library, EBSCO and Scopus for all available studies comparing the outcomes of THA in RA and OA patients (From January 1, 2000 to October 15, 2022). Outcomes of interest included infection, revision, venous thromboembolism (VTE), mortality, periprosthetic fractures, prosthetic loosening, length of stay, and satisfaction. Two reviewers independently assessed each study for quality and extracted data. The quality of the studies was scored using the Newcastle-Ottawa scale (NOS). Results Twenty-four articles with a total 8,033,554 patients were included in this review. The results found strong evidence for increased risk of overall infection (OR = 1.61, 95% CI, 1.24–2.07; P = 0.0003), deep infection (OR = 2.06, 95% CI, 1.37–3.09; P = 0.0005), VTE (OR = 0.76, 95% CI, 0.61–0.93; P = 0.008), pulmonary embolism (PE) (OR = 0.84, 95% CI, 0.78–0.90; P<0.00001), periprosthetic fractures (OR = 1.87, 95% CI, 1.60–2.17; P<0.00001); and reasonable evidence for increased risk of deep venous thrombosis (DVT) (OR = 0.74, 95% CI, 0.54–0.99; P = 0.05), and length of stay (OR = 0.07, 95% CI, 0.01–0.14; P = 0.03) after TKA in patients with RA versus OA. There were no significant differences in superficial site infection (OR = 0.84,95% CI, 0.47–1.52; P = 0.57), revision (OR = 1.33,95% CI, 0.79–2.23; P = 0.28), mortality (OR = 1.16,95% CI, 0.87–1.55; P = 0.32), and prosthetic loosening (OR = 1.75, 95% CI, 0.56–5.48; P = 0.34) between the groups. Conclusion Our study demonstrated that patients with RA have a higher risk of postoperative infection, VTE, periprosthetic fracture, and lengths of stay, but did not increase revision rate, prosthetic loosening and mortality compared to patients with OA following TKA. In conclusion, despite RA increased incidence of postoperative complications, TKA should continue to be presented as an effective surgical procedure for patients whose conditions are intractable to conservative and medical management of RA.

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Increasing trend of radiographic features of knee osteoarthritis in rheumatoid arthritis patients before total knee arthroplasty

Cited by 7 publications

References 39 publications

Trends in Indications and Contraindications for Cervical Disk Arthroplasty from 2009 to 2019

Trends in Indications and Contraindications for Cervical Disk Arthroplasty from 2009 to 2019

Relationship of weight change patterns from young to middle adulthood with incident rheumatoid arthritis and osteoarthritis: a retrospective cohort study

A systematic review and meta-analysis comparing outcomes following total knee arthroplasty for rheumatoid arthritis versus for osteoarthritis

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