THU0453 PROGRESSION OF PAIN, NUMBER OF PAINFUL AND SWOLLEN JOINTS AND ULTRASOUND DETECTED CHANGES IN THE GROUP OF 133 PATIENTS WITH HAND OSTEOARTHRITIS OVER THREE YEARS

Olga Sleglova, Olga Růžičková, Karel Pavelka, Ladislav Šenolt
2019 Poster Presentations   unpublished
in Spain, including peripherical (hip, knee and hand) and axial (cervical and lumbar spine) OA. Objectives: To estimate in adult population the prevalence in Spain of symptomatic axial OA (cervical and lumbar spine) and associated factors. Methods: EPISER 2016 study is a cross-sectional, population-based descriptive study. To estimate the OA prevalence, adult population aged 40 or older was selected. The initial recruitment was made through by a call center. Participants who met the premises of
more » ... met the premises of an initial screening based on symptoms were also identified. In a second phase rheumatologists confirmed the diagnosis. The axial OA diagnostic criteria to confirm new diagnosis were both clinical and radiographic criteria. Clinical criteria: mechanical pain longer than 3 months of evolution and stiffness of less than 30 minutes or absence of it; and radiographic criteria: vertebral osteophytes or reduction of intervertebral space with sclerosis of vertebral plate and sclerosis in interapofisary joints. To confirm the diagnosis, it was necessary that both clinical criteria and at least one radiographic criteria were met. Abstract THU0452 - Figure 1 Results: The sample of the EPISER study was 3,336 subjects ! 40, of whom 978 had peripherical or axial OA. The mean age was 64.72 years, 730 were women, 62.6% had basic education, 64,8% were overweight or obese and 83,9% were ex-smokers or non-smokers ( Figure 1 ). The prevalence of global OA (peripheral+axial) was 29.35%. Prevalence of peripherical and axial OA was 19,62% and 19,17% respectively. The characteristics of patients with peripheral and axial OA follow similar patterns. Both types of OA are more frequent in women with basic education levels. Regarding age, there are more patients with axial osteoarthritis between 40-49 years than with peripheral OA. Obesity or overweight are more strongly associated with peripheral OA. Abstract THU0452 - Figure 2
doi:10.1136/annrheumdis-2019-eular.3031 fatcat:b2r2eyqb2bb7pal7zsvjnipn64