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Threefold increased risk of hip fractures with rheumatoid arthritis in Central Finland

T M Huusko1, M Korpela, P Karppi

  • 1Department of Rehabilitation, Division of Geriatrics, Central Hospital of Central Finland, Jyväskylä, Finland. tiina.huusko@espoo.fi

Annals of the Rheumatic Diseases
|April 17, 2001
PubMed

Insights

Rheumatoid arthritis (RA) significantly increases the risk of hip fractures. Patients with RA have a 3.26 times higher risk of experiencing osteoporotic hip fractures.

Area of Science:

  • Rheumatology
  • Orthopedics
  • Epidemiology

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory disease.
  • Hip fractures are a common and serious complication in elderly populations.

Purpose of the Study:

  • To investigate the association between rheumatoid arthritis and the incidence of hip fractures.
  • To quantify the risk of hip fractures in patients diagnosed with RA.

Main Methods:

  • Retrospective study of 517 hip fracture patients admitted to Jyväskylä Central Hospital (1991-1993).
  • RA diagnosis confirmed using American Rheumatism Association criteria.
  • Prevalence of RA in hip fracture patients compared to a general population sample from Tampere.

Main Results:

  • RA was identified in 5.6% of hip fracture patients.
  • Patients with RA exhibited a 3.26-fold increased risk of hip fractures (95% CI 2.26 to 4.70).
  • The increased risk remained significant after adjusting for age and sex.

Conclusions:

  • Rheumatoid arthritis is a significant risk factor for osteoporotic hip fractures.
  • Early identification and management of RA may help mitigate fracture risk.
Abstract

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