Association between acenocoumarol use and risk of OA incidence and progression in RSI and RSII
Overall osteoarthritis progression | Overall progression of knee osteoarthritis | Overall progression of hip osteoarthritis | ||||||||||||||
Joints N* | Incidence/Progression N (%) | OR adj.† | 95% CI | P value | Joints N* | Incidence/Progression N (%) | OR adj.† | 95% CI | P value | Joints N* | Incidence/Progression N (%) | OR adj.† | 95% CI | P value | ||
Non-users | 12 594 | 506 (4.0%) | 1 | – | – | 6162 | 329 (5.3%) | 1 | 6432 | 177 (2.8%) | 1 | – | – | |||
Users | 863 | 94 (10.9%) | 2.5 | 1.94 to 3.20 | >0.001 | 426 | 55 (12.9%) | 2.34 | 1.69 to 3.22 | >0.001 | 437 | 39 (8.9%) | 2.74 | 1.82 to 4.11 | >0.001 | |
Duration of acenocoumarol usage | ||||||||||||||||
Non users | 12 594 | 506 (4.0%) | 1 | – | – | 6162 | 329 (5.3%) | 1 | – | – | 6432 | 177 (2.8%) | 1 | – | – | |
≤180 days | 279 | 35 (12.5%) | 2.82 | 1.90 to 4.20 | >0.001 | 144 | 15 (10.4%) | 1.78 | 1.01 to 3.18 | 4.8×10–02 | 135 | 20 (14.8%) | 4.84 | 2.73 to 8.56 | >0.001 | |
>180 days and ≤556 days | 285 | 36 (12.6%) | 2.94 | 2.00 to 4.32 | >0.001 | 135 | 20 (14.8%) | 2.69 | 1.62 to 4.46 | >0.001 | 150 | 16 (10.7%) | 3.33 | 1.79 to 6.18 | >0.001 | |
>556 days | 299 | 23 (7.7%) | 1.74 | 1.10 to 2.76 | 1.9×10–02 | 147 | 20 (13.6%) | 2.65 | 1.57 to 4.46 | >0.001 | 152 | 3 (2.0%) | 0.27 | 0.18 to 1.85 | 0.35 |
Incidence and progression of osteoarthritis (OA) in RS-I and RS-II within the follow-up time associated with acenocoumarol use. Model used is a GEE (generalised estimated equations) multivariate logistic regression model including acenocoumarol use and adjusted for age, sex, BMI, smoking, time between baseline and follow-up visit, baseline OA severity in Kellgren-Lawrence score, joint modelled, femoral neck BMD, HDL/total cholesterol ratio, physical activity, education level, hypertension, diabetes mellitus and Rotterdam Study cohort.
Progression: number of joints showing overall progression of either hip or knee joints or both. Acenocoumarol usage examined by tertiles: first: ≤180 days, second: >180 and ≤556 days, third: >556 days of acenocoumarol use.
*Number of individual knee and/or hip joints studied from RSI and RSII (online supplemental figure S1 for exclusions).
†Unadjusted (raw) ORs are reported in online supplemental table S2.
BMI, body mass index; HDL, high-density lipoprotein; RS, Rotterdam Study.