We identified all residents of Rochester, Minnesota, who sought medical assistance
for the first time in 1985 because of symptomatic osteoarthritis of the hip or knee
that was unrelated to a specific disease. Of these residents, 98 (59 women and 39
men) had 122 symptomatic joints (95 knees and 27 hips), for age- and sex-adjusted
incidence rates of 205 new patients and 255 newly affected joints per 100,000 person-years.
The incidence of osteoarthritis of the hip was greater in women than in men, whereas
the sex ratio for occurrence of osteoarthritis of the knee approached unity. Rates
at both sites increased steadily with aging in men but plateaued after the menopause
in women; similar patterns were seen whether or not grade 1 disease was included.
Projected nationally, these first population-based data indicate that as many as approximately
half a million new symptomatic cases of idiopathic osteoarthritis of the knee and
hip may arise annually in the white population of the United States. With increasing
longevity, osteoarthritis may exact an even greater toll in the future.
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REFERENCES
- Epidemiology of musculoskeletal impairments and associated disability.Am J Public Health. 1984; 74: 574-579
- The impact of musculoskeletal disorders on the population of the United States.J Bone Joint Surg [Am]. 1979; 61: 959-964
- Social and economic impacts of four musculoskeletal conditions: a study using national community-based data.Arthritis Rheum. 1983; 26: 901-907
- The economic impact of the rheumatic diseases in the United States.J Rheumatol. 1989; 16: 867-884
- The Frequency of Occurrence, Impact and Cost of Selected Musculoskeletal Conditions in the United States. American Academy of Orthopaedic Surgeons, Chicago1984
- The relation of symptoms to osteoarthritis.J Chronic Dis. 1957; 5: 197-204
- Osteo-arthrosis: prevalence in the population and relationship between symptoms and x-ray changes.Ann Rheum Dis. 1966; 25: 1-24
- Basic data on arthritis: knee, hip, and sacroiliac joints in adults ages 25-74 years; United States, 1971-1975.Vital Health Stat [11]. 1979; 213: 1-31
- Osteoarthritis: definitions and criteria.Ann Rheum Dis. 1989; 48: 531-532
- The patient record in epidemiology.Sci Am. October 1981; 245: 54-63
- The Epidemiology of Chronic Rheumatism. Vol 2: Atlas of Standard Radiographs of Arthritis. FA Davis Company, Philadelphia1963: 1-32
Schroeder DJ, Offord KP: A SAS Macro which utilizes local and reference population counts appropriate for incidence, prevalence, and mortality rate calculations in Rochester and Olmsted County, Minnesota. Technical Report Series, No. 20, Section of Medical Research Statistics, Mayo Clinic, Rochester, Minnesota, August 1982
Bergstralh EJ, Offord KP: Projected Rochester and Olmsted County populations for 1981-1995. Technical Report Series, No. 38, Section of Biostatis-tics, Mayo Clinic, Rochester, Minnesota, February 1988
- Calculating confidence intervals for rates and ratios: simplified method utilizing tabular values based on the Poisson distribution.Neuroepidemiology. 1983; 2: 257-265
- The prevalence of knee osteoarthritis in the elderly: the Framingham Osteoarthritis Study.Arthritis Rheum. 1987; 30: 914-918
- Incidence of osteoarthritis of the hip (coxarthrosis).Clin Orthop. 1966; 45: 67-72
- Osteoarthritis of the knee: comparison of signs, symptoms and comorbid conditions in those with and without current knee pain (abstract).Arthritis Rheum. 1986; 29: S16
- Osteoarthritis in knees of aged persons: relationship between roentgenograph-ic and clinical manifestations.JAMA. 1975; 233: 168-170
- Rates of total hip arthroplasty: a population-based study.N Engl J Med. 1982; 307: 1242-1245
Quam JP, Michet CJ Jr, Wilson MG, Rand JA, Ilstrup DM, Melton LJ III: Total knee arthroplasty: a population-based study (submitted for publication)
- Cost-effectiveness of total joint arthroplasty in osteoarthritis.Arthritis Rheum. 1986; 29: 937-943
- Osteoarthrosis in a rural South African Negro population.Ann Rheum Dis. 1976; 35: 274-278
- The geography of osteoarthritis.in: Nuki G The Aetiopathogenesis of Osteoarthrosis. Pitman Medical, Kent, England1980: 155-183
- Rheumatic disorders in the South African Negro. Part II. Osteoarthrosis.S Afr Med J. 1975; 49: 1737-1740
- Degenerative joint disease in a Jamaican rural population.Ann Rheum Dis. 1968; 27: 326-332
- Osteoarthritis of the hip and other joints in Southern Chinese in Hong Kong: incidence and related factors.J Bone Joint Surg [Am]. 1973; 55: 545-557
- Osteoarthritis of hip in Indians: an anatomical and clinical study.Indian J Orthop. 1967; 1: 55-62
- Factors associated with osteoarthritis of the knee in the first national health and nutritional examination survey (HANES I): evidence for an association with overweight, race, and physical demands of work.Am J Epidemiol. 1988; 128: 179-189
- Clinical and roentgenologic study of knee joints with osteophytes.Clin Orthop. 1970; 69: 302-312
- Incidence and prognosis of coxarthrosis.Acta Orthop Scand Suppl. 1964; 66: 9-61
- Epidemiology of hip and knee osteoarthritis.Epidemiol Rev. 1988; 10: 1-28
- Etiology of osteoarthritis of the hip.Clin Orthop. 1986; 213: 20-33
- Sex differences in reporting osteoarthritic symptoms: a sociomedical approach.J Health Soc Behav. 1981; 22: 298-310
- Does smoking protect against osteoarthritis?.Arthritis Rheum. 1989; 32: 166-172
- The life expectancy of nonsmoking men and women.Public Health Rep. 1983; 98: 343-349
- Involutional osteoporosis.N Engl J Med. 1986; 314: 1676-1686
- Osteoarthritis of the hip joint and osteoporosis: a radiological study in a random population sample in Jerusalem.Clin Orthop. 1982; 164: 130-135
- Bone mineral in patients with osteoarthrosis of the hip.Acta Orthop Scand. 1975; 46: 709-715
- Bone density, osteoarthrosis of the hip, and fracture of the upper end of the femur.Ann Rheum Dis. 1972; 31: 259-264
- Osteoporosis and osteoarthritis (osteoarthrosis): anthropometric distinctions.JAMA. 1983; 249: 1448-1451
Article Info
Footnotes
This study was supported in part by Research Grant AR 30582 from the National Institutes of Health, Public Health Service, and by a clinical epidemiology training grant from Merck Sharp & Dohme Research Laboratories.
Identification
Copyright
© 1990 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.
