Summary
Was compared the prevalence of radiographic osteoarthritis (ROA) in two elderly populations, one in Göteborg (Sweden) and one in Zoetermeer (The Netherlands). The comparison was preceded by an inter-observed analysis of 150 films, revealing lower percentage agreements and kappa values when analysing the films on a five-point scale compared to the analysis in a dichotomy of “abnormal” and “normal” films. An intraobserver analysis of 50 films revealed higher percentage agreement and kappa values of well over 0.75, suggesting that radiographs could be read by one observer when different populations are being compared. The prevalence of hand ROA was higher in the Göteborg population, while the prevalence of knee ROA showed no significant differences. No significant increase with age of the cohorts was found for hand ROA in either population and no increase with age for knee ROA was found in the Swedish population. In the Zoetermeer population, knee ROA increased with age in both sexes.
Similar content being viewed by others
References
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteoarthritis. Ann Rheum Dis 16:494–501
Lawrence JS (1969) Generalized osteoarthritis in a population sample. Am J Epidemiol 90:381–389
Kellgren H (1963) The epidemiology of chronic rheumatism. Atlas of standard radiographs of arthritis, vol 2. Blackwell, Oxford
Lawrence RC, Hochberg MC, Kelsey IL et al (1989) Estimates of the prevalence of selected arthritic and muskuloskeletal diseases in the United States. J Rheumatol 16:427–441
Altman RD, Hochberg MC (1983) Clinical trials in rheumatic diseases: a degenerative joint disease. Clin Rheum Dis 9:681–693
Doyle DV, Dieppe PA, Scott J, Hutkinsson EC (1981) An articular index for the assessment of osteoarthritis. Ann Rheum Dis 40:75–78
Altman R, Asch E, Bloch D, Bole G, Borenstein K, Brandt K et al (1986) Development of criteria for the reporting of osteoarthritis. Arthritis Rheum 29:1039–1049
Altman R, Bloch D, Giles G, Bole G Jr, Brandt K, Cook ED et al. (1987) Development of clinical criteria for osteoarthritis. J Rheumatol [Suppl 14] 14:3–6
Claessens AAMC, Schouten JSAG, van den Ooweland FA (1990) Do clinical findings associate with radiographic osteoarthritis of the knee? Ann Rheum Dis 49:771–774
Bergström G, Bjelle A, Sundh V, Svanborg A (1986) Joint disorders at age 70, 75 and 79 years — a cross-sectional comparison. Br J Rheumatol 24:333–341
Bergström G, Bjelle A, Sörensson LB, Sundh V (1986) Prevalence of rheumatoid arthritis, osteoarthritis and gouty arthritis at age 79. Rheumatol 13:527–534
van Saase J, van Romunde L, Cats A, Vandenbrouke JP, Valkenburg HA (1989) Epidemiology of osteoarthritis: Zoetermeer survey, comparison of radiological osteoarthritis in a Dutch population with that in 10 other populations. Ann Rheum Dis 48:271–280
Rinder L, Roupe S, Steen B, Svanborg A (1977) Seventy-year-old people in Gothenburg: a population study in a industrialized Swedish city. I. General presentation of the study. Acta Med Scand 98:397–407
Svanborg A (1977) Seventy-year-old people in Gothenburg: a population study in an industrialized Swedish city. II. General presentation of social and medical conditions. Acta Med Scand [Suppl] 611:5–7
Mantel N (1963) Chi-square tests with one degree of freedom. Extensions of the Mantel-Haenszel procedure. J Stat Assoc 58:690–700
Sackett D, Haynes B, Tugwell P (1984) Clinical epidemiology. A basis science for clinical medicine. Little, Brown, Boston, Mass
Kallman DA, Wigley FR, Scott W Jr, Hochberg MC (1989) New radiographic grading scale for the osteoarthritis of the hand. Reliability for determining prevalence and progression. Arthritis Rheum 32:1583–1590
Kellgren JH, Lawrence JS (1958) Osteoarthritis and disk degeneration in an urban population. Ann Rheum Dis 17:388–397
Achesson RM, Colart AB (1975) New Haven survey of joint diseases. XVII. Relationship between some systemic characteristics and osteoarthrosis in a general population. Ann Rheum Dis 34:379–387
Peyron JG (1986) Osteoarthritis: the epidemiologic viewpoint. Clin Orthop 213:13–19
Hartz AJ, Fischer ME, Bril G et al (1986) The association of obsity with joint pain and osteoarthritis in the HANES data. J Chron Dis 4:311–319
Felson DT, Andersson JJ, Naimark A, Walker AM, Meenan R (1988) Obesity and knee osteoarthritis. The Framingham study. Ann Intern Med 9:18–24
Andersson JJ, Felson DT (1988) Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES 1). Evidence for an association with overweight, race and physical demands of work. Am J Epidemiol 28:179–189
Saase JLCM van, Vandenbroucke JP, Romunde LKJ van, Valkenburg HA (1988) Osteoarthritis and obesity in a general population. J Rheumatol 15:1152–1156
Davis MA, Ettiger WH, Neuhaus JM, Hauck WW (1988) Sex differences in osteoarthritis of the knee. The role of obesity. Am J Epidemiol 127:1019–1029
National Center for Health Statistics (1966) Osteoarthritis in adults by selected demographicharacteristics: United States 1960–1962. Vital Health Stat Ser 11, no 213
Mikkelsen WM, Duff IF, Dodge HD (1970) Age-specific prevalence of radiographic abnormalities of joints of hands, wrists and cervical spine of adult residents of the Thecumseh, Michigan, community health area, 1962–1965. J Chron Dis 123:151–159
Felson DT, Nailmark A, Andersson J, Kazis I, Castellini I, Meenan RF (1987) The prevalence of knee osteoarthritis in the elderly. Arthritis Rheum 30:914–918
Hernborg J, Nilsson B (1973) The natural course of untreated osteoarthritis of the knee. Clin Orthop 23:130–137
Hernborg J, Nilsson B (1974) The relationship between osteophytes in the knee joint, osteoarthritis and aging. Acta Orthop Scand 44:69–74
Ahlbäck S (1968) Osteoarthrosis of the knee. A radiographic investigation (thesis). Acta Radiol [Suppl 277]
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bagge, E., Bjelle, A., Valkenburg, H.A. et al. Prevalence of radiographic osteoarthritis in two elderly European populations. Rheumatol Int 12, 33–38 (1992). https://doi.org/10.1007/BF00246874
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00246874