Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study

F. Birrell, M. Lunt, Gary John MacFarlane, A. J. Silman

Research output: Contribution to journalEditorial

51 Citations (Scopus)

Abstract

Objectives. The relationship between hip pain and radiographic change in the population is unclear due to lack of agreed definition for hip pain and difficulties in obtaining radiographs from asymptomatic random samples. Our objective was to assess the relationship between hip pain and radiographic change in osteoarthritis (OA) in a population sample aged over 45.

Methods. One thousand and seventy-one responders to a postal questionnaire using a recently validated approach to defining hip pain were stratified into hip pain-positive and -negative groups and samples of each were X-rayed and scored for OA using both minimum joint space and the Croft score. The association between pain and X-ray score was estimated, weighting back to the age and gender distribution of the original population.

Results. Hip pain prevalence was 7% in males and 10% in females. Severe OA was present in 16% of those with and 3% of those without pain. Adjusting for age and gender, there was a very strong association of pain with severe OA [odds ratio (OR) 17.4, 95% confidence interval (CI) 3.0-102], but no association with mild/moderate OA (OR 1.4, 95% CI 0.4-4.7). By contrast, only 22% of men aged 45-54 with severe OA had current pain, though in older age groups the proportions with pain were higher (54-70%).

Conclusions. Hip pain is relatively infrequent in the general population compared with the published reports of other regional pain syndromes. Mild/moderate radiographic change is very frequent and not related to pain, whereas severe change is rare but strongly related. In younger males, severe radiographic change is much less likely to be associated with pain.

Original languageEnglish
Pages (from-to)337-341
Number of pages4
JournalRheumatology
Volume44
DOIs
Publication statusPublished - 2005

Keywords

  • KNEE PAIN
  • HEALTH-STATUS
  • EPIDEMIOLOGY
  • DISABILITY
  • COMMUNITY

Cite this

Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study. / Birrell, F.; Lunt, M.; MacFarlane, Gary John; Silman, A. J.

In: Rheumatology, Vol. 44, 2005, p. 337-341.

Research output: Contribution to journalEditorial

@article{6ec3f592ee444cc49399d75cf857bf59,
title = "Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study",
abstract = "Objectives. The relationship between hip pain and radiographic change in the population is unclear due to lack of agreed definition for hip pain and difficulties in obtaining radiographs from asymptomatic random samples. Our objective was to assess the relationship between hip pain and radiographic change in osteoarthritis (OA) in a population sample aged over 45.Methods. One thousand and seventy-one responders to a postal questionnaire using a recently validated approach to defining hip pain were stratified into hip pain-positive and -negative groups and samples of each were X-rayed and scored for OA using both minimum joint space and the Croft score. The association between pain and X-ray score was estimated, weighting back to the age and gender distribution of the original population.Results. Hip pain prevalence was 7{\%} in males and 10{\%} in females. Severe OA was present in 16{\%} of those with and 3{\%} of those without pain. Adjusting for age and gender, there was a very strong association of pain with severe OA [odds ratio (OR) 17.4, 95{\%} confidence interval (CI) 3.0-102], but no association with mild/moderate OA (OR 1.4, 95{\%} CI 0.4-4.7). By contrast, only 22{\%} of men aged 45-54 with severe OA had current pain, though in older age groups the proportions with pain were higher (54-70{\%}).Conclusions. Hip pain is relatively infrequent in the general population compared with the published reports of other regional pain syndromes. Mild/moderate radiographic change is very frequent and not related to pain, whereas severe change is rare but strongly related. In younger males, severe radiographic change is much less likely to be associated with pain.",
keywords = "KNEE PAIN, HEALTH-STATUS, EPIDEMIOLOGY, DISABILITY, COMMUNITY",
author = "F. Birrell and M. Lunt and MacFarlane, {Gary John} and Silman, {A. J.}",
year = "2005",
doi = "10.1093/rheumatology/keh458",
language = "English",
volume = "44",
pages = "337--341",
journal = "Rheumatology",
issn = "1462-0324",
publisher = "OXFORD UNIV PRESS INC",

}

TY - JOUR

T1 - Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study

AU - Birrell, F.

AU - Lunt, M.

AU - MacFarlane, Gary John

AU - Silman, A. J.

PY - 2005

Y1 - 2005

N2 - Objectives. The relationship between hip pain and radiographic change in the population is unclear due to lack of agreed definition for hip pain and difficulties in obtaining radiographs from asymptomatic random samples. Our objective was to assess the relationship between hip pain and radiographic change in osteoarthritis (OA) in a population sample aged over 45.Methods. One thousand and seventy-one responders to a postal questionnaire using a recently validated approach to defining hip pain were stratified into hip pain-positive and -negative groups and samples of each were X-rayed and scored for OA using both minimum joint space and the Croft score. The association between pain and X-ray score was estimated, weighting back to the age and gender distribution of the original population.Results. Hip pain prevalence was 7% in males and 10% in females. Severe OA was present in 16% of those with and 3% of those without pain. Adjusting for age and gender, there was a very strong association of pain with severe OA [odds ratio (OR) 17.4, 95% confidence interval (CI) 3.0-102], but no association with mild/moderate OA (OR 1.4, 95% CI 0.4-4.7). By contrast, only 22% of men aged 45-54 with severe OA had current pain, though in older age groups the proportions with pain were higher (54-70%).Conclusions. Hip pain is relatively infrequent in the general population compared with the published reports of other regional pain syndromes. Mild/moderate radiographic change is very frequent and not related to pain, whereas severe change is rare but strongly related. In younger males, severe radiographic change is much less likely to be associated with pain.

AB - Objectives. The relationship between hip pain and radiographic change in the population is unclear due to lack of agreed definition for hip pain and difficulties in obtaining radiographs from asymptomatic random samples. Our objective was to assess the relationship between hip pain and radiographic change in osteoarthritis (OA) in a population sample aged over 45.Methods. One thousand and seventy-one responders to a postal questionnaire using a recently validated approach to defining hip pain were stratified into hip pain-positive and -negative groups and samples of each were X-rayed and scored for OA using both minimum joint space and the Croft score. The association between pain and X-ray score was estimated, weighting back to the age and gender distribution of the original population.Results. Hip pain prevalence was 7% in males and 10% in females. Severe OA was present in 16% of those with and 3% of those without pain. Adjusting for age and gender, there was a very strong association of pain with severe OA [odds ratio (OR) 17.4, 95% confidence interval (CI) 3.0-102], but no association with mild/moderate OA (OR 1.4, 95% CI 0.4-4.7). By contrast, only 22% of men aged 45-54 with severe OA had current pain, though in older age groups the proportions with pain were higher (54-70%).Conclusions. Hip pain is relatively infrequent in the general population compared with the published reports of other regional pain syndromes. Mild/moderate radiographic change is very frequent and not related to pain, whereas severe change is rare but strongly related. In younger males, severe radiographic change is much less likely to be associated with pain.

KW - KNEE PAIN

KW - HEALTH-STATUS

KW - EPIDEMIOLOGY

KW - DISABILITY

KW - COMMUNITY

U2 - 10.1093/rheumatology/keh458

DO - 10.1093/rheumatology/keh458

M3 - Editorial

VL - 44

SP - 337

EP - 341

JO - Rheumatology

JF - Rheumatology

SN - 1462-0324

ER -