Document Detail


Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery.
MedLine Citation:
PMID:  19605374     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: Although clinicians recognize hip involvement, which frequently leads to hip replacement surgery, as an important feature of AS, data on the epidemiology, nature of the disease and therapeutic strategies are scarce. We aimed to describe the epidemiology of clinical and radiological hip involvement and define the risk factors for the hip replacement surgery in AS patients. METHODS: Data from 3 datasets were merged, including 847 Belgian (ASPECT database), 1405 Spanish (REGISPONSER database) and 466 Ibero-American (RESPONDIA database) AS patients. The ASPECT and REGISPONSER database (Dataset A) are used for exploratory analysis; the RESPONDIA database (Dataset B) is used for confirmative analysis. Factors associated with hip involvement and the hip replacement surgery were analysed. RESULTS: Twenty four (REGISPONSER) to 36% (RESPONDIA) of AS patients under rheumatologist's care presented clinical hip involvement, including the 5% (Dataset A) of AS patients who needed hip replacement surgery. Patients with hip involvement had significantly worse overall Bath Ankylosing Spondylitis Functional Index (BASFI) scores compared with patients without hip involvement (mean difference = 1.6, P < 0.001) (Dataset A, confirmed in B). Corrected for disease duration, patients with early disease onset, enthesial and axial disease needed most frequently hip replacement surgery (Dataset A, confirmed in B). CONCLUSION: Hip involvement is commonly recognized by rheumatologists in AS patients, and involves about one out of the three to four patients with AS and is associated with impaired functioning reflected by higher overall BASFI scores. Early onset of disease, axial and enthesial disease are associated with the hip replacement surgery in AS.
Authors:
Bert Vander Cruyssen; Elisa Muñoz-Gomariz; Pilar Font; Juan Mulero; Kurt de Vlam; Annelies Boonen; Janitzia Vazquez-Mellado; Diana Flores; Nathan Vastesaeger; Eduardo Collantes;
Related Documents :
17403794 - Early results of conversion of a failed femoral component in hip resurfacing arthroplasty.
12571294 - Total hip arthroplasty in adult patients who had childhood infection of the hip.
9521514 - Is suction drainage necessary after total joint arthroplasty? a prospective study.
20346614 - Conversion of hip arthrodesis to total hip arthroplasty: survivorship and clinical outc...
19525794 - Drooping of apical convex rib-vertebral angle in adolescent idiopathic scoliosis of mor...
25436194 - Effect of adding oral calcium dobesilate to laser photocoagulation on the macular thick...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-07-14
Journal Detail:
Title:  Rheumatology (Oxford, England)     Volume:  49     ISSN:  1462-0332     ISO Abbreviation:  Rheumatology (Oxford)     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883501     Medline TA:  Rheumatology (Oxford)     Country:  England    
Other Details:
Languages:  eng     Pagination:  73-81     Citation Subset:  AIM; IM    
Affiliation:
Department of Rheumatology, Ghent University Hospital, B-9000 Gent, Belgium. bert.vandercruyssen@ugent.be
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Investigator
Investigator/Affiliation:
Christine Ackerman / ; Valérie Badot / ; Pierre Bastien / ; Hubert Berghs / ; Valérie Bonnet / ; Bernard Bouchez / ; Yves Boutsen / ; Jean-Pierre Brasseur / ; Etienne Coigne / ; Marleen Coppens / ; Luk Corluy / ; Thiry Françoise Cornet / ; Patrick Coutellier / ; Stéphane Daens / ; Armellina Silvano Dall' / ; Florence Daumerie / ; Griet De Brabanter / ; Valérie De Decker / ; Kathleen Declerck / ; Eric Dhondt / ; Silvana Di Romana / ; Christian Docquier / ; Rançoise Duckerts / ; Laurence Dujardin / ; Jean-Paul Engelbeen / ; Fernandez-Lopez / ; Danielle Focan-Henrard / ; Marie-Anne Fontaine / ; Dominique François / ; Piet Geusens / ; Geert Ghyselen / ; Stefan Goemaere / ; Lieve Gyselbrecht / ; Robert Halleux / ; Elisabeth Heuse / ; Alain Heylen / ; Anne-Marie Huynen-Jeugmans / ; Carlos Immesoete / ; Xavier Janssens / ; Dimitri Jardinet / ; Rik Joos / ; Elli Kruithof / ; Christine Langenaken / ; Catherine Leens / ; Daniel Lefèbvre / ; Sophie Lefèbvre / ; Jan Lenaerts / ; Frank Luyten / ; Kristin Maenaut / ; Martin Maertens / ; Beatrix Maeyaert / ; Herman Mielants / ; Alain Mindlin / ; Muriel Moris / ; Adrien Nzeusseu / ; Christian Pater / ; Anne Peretz / ; Johan Praet / ; Jiangang Qu / ; Frank Raeman / ; Ruth Reychler / ; Isabelle Ronsmans / ; Nathalie Sarlet / ; Godelieve Schatteman / ; Anne Sileghem / ; Geert Stappaerts / ; Pierre Stasse / ; Veerle Taelman / ; Laure Tant / ; Francis Toussaint / ; Nancy Van Den Bossche / ; Xavier Van Mullen / ; Paul Van Wanghe / ; Marc Vanden Berghe / ; Marthe Vanden Berghe / ; Johan Vanhoof / ; Ann Verbruggen / ; Léon Verbruggen / ; Wilfried Verdickt / ; Pascale Volders / ; Philippe Vroninks / ; René Westhovens / ; Luc Williame / ; Micheline Wouters / ; Hans Georg Zmierczak / ; Eduardo Collantes Estévez / ; Hu Reina Sofía / ; Pedro Zarco Montejo / ; Carlos González Fernández / ; H Gregorio Marañón / ; Juan Mulero Mendoza / ; Juan Carlos Torre Alonso / ; H Monte Naranco / ; Jose Luis Fernández Sueiro / ; Hu Juan Canalejo / ; Jordi Gratacós Masmitjá / ; H Parc Taulí / ; Xavier Juanola Roura / ; H Bellvitge / ; Enrique Batlle Gualda / ; Hu Alicante / ; Pilar Fernández Dapica / ; H Doce De Octubre / ; Luis F Linares / ; Ferrando / ; H Virgen De La Arrixaca / ; M Elia Brito Brito / ; H Ramón Y Cajal / ; Eduardo Cuende Quintana / ; Hu Príncipe De Asturias / ; Carlos Vázquez Galeano / ; H G San Jorge / ; Enrique Calero Secall / ; Hu Carlos Haya / ; Manuel J Romero Ramos / ; H sta Naría Del Rosell / ; Eugenio Jiménez Ubeda / ; Hu Miguel Servet / ; Carlos Rodríguez Lozano / ; H Negrín / ; Alicia García López / ; H Virgen Del Rocío / ; Manuel Fernández Prada / ; Hu De Guadalajara / ; Rubén Queiro Silva / ; Estefanía Moreno Ruzafa / ; H San Rafael / ; Enrique Judez Navarro / ; H Virgen Del Perpetuo Socorro / ; Antonio Juan Más / ; Cristina Medrano Le Quement / ; Enrique Ornilla / ; Hu Navarra / ; Carlos Montilla Morales / ; Hu Virgen De La Vega / ; Manuel Pujol Busquets / ; H Mutua De Terrass / ; Teresa Clavaguera Poch / ; H De Palamós / ; M Cruz Fernández Espartero / ; H De Móstoles / ; Diana Flores / ; Ruben Burgos / ; Helena Santos / ; Jose Chavez / ; Elsa Sousa / ; Daniel Palleiro / ; Jose Maldonado Cocco / ; Fernando Pimentel / ; Miguel Guttierrez / ; Alejandro Nitsche / ; Ysabel Granados / ; Ricardo Saenz / ; Oscar Neira / ; Jorge Saavedra / ; Sergio Paira / ; Alejandro Alvarellos / ; Juan Carlos Barreira / ; Alberto Berman / ; Jesus Espinoza / ; Carlos Fuentealba / ; Gabriela Huerta / ; Ivan Stekman / ; M Hercilia Esteva / ; Mariio Moreno / ; Oscar Luis Rillo / ; Anabela Barcelos / ; Hugo Scherbarth / ; Romulo Wong / ; Cesar Graf / ; Rossana Marchetti / ; Gustavo Christian Casado /
Comments/Corrections
Comment In:
Rheumatology (Oxford). 2010 Jan;49(1):3-4   [PMID:  19755506 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Improvements of muscle strength predicted benefits in HRQOL and postural balance in women with fibro...
Next Document:  Distinct mesenchymal progenitor cell subsets in the adult human synovium.