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Comparative Study
. 1998 Feb;41(2):361-8.
doi: 10.1002/1529-0131(199802)41:2<361::AID-ART21>3.0.CO;2-2.

Hip osteoarthritis prevalence estimates by three radiographic scoring systems

R Hirsch  1 , R J Fernandes, S R Pillemer, M C Hochberg, N E Lane, R D Altman, D A Bloch, W C Knowler, P H Bennett
Affiliations
Comparative Study

Hip osteoarthritis prevalence estimates by three radiographic scoring systems

R Hirsch et al. Arthritis Rheum. 1998 Feb.

Abstract

Objective: To estimate and compare the age- and sex-specific prevalence of radiographic hip osteoarthritis (RHOA) in a population-based study of the Pima Indians, using 3 atlas-based methods for assessing features of RHOA.

Methods: Pelvic radiographs from 755 Pima Indians age > or = 45 years enrolled in a population-based study were read using the Kellgren/Lawrence (K/L) grading scale (grade 0-4) and 2 validated individual-radiographic-features (IRF) scales (grades 0-3 for narrowing and osteophytes).

Results: The age- and sex-specific prevalence of RHOA among Pima Indians assessed using the K/L scale was < 10% in all age and sex groups. The prevalence of grade > or = 2 osteophytes assessed using the 2 IRF scales were similar to each other in all age and sex groups. However, differences between the 2 IRF scoring systems were found for the prevalence of grade > or = 2 joint space narrowing.

Conclusion: Pima Indians have an age- and sex-specific prevalence of RHOA similar to that found in the US population. Our finding of different joint space narrowing prevalence by the 2 IRF grading scales supports the use of the same atlas-based case definitions for determining disease prevalence for comparative studies.

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