Open AccessAssociation between hip and knee osteoarthritis with falls: A systematic review and meta‐analysis
Author(s) -
Deng Zhenhan,
Xu Jian,
Long Lujue,
Chen Fei,
Chen Kang,
Lu Wei,
Wang Daping,
Peng Liangquan
Publication year - 2021
Publication title -
international journal of clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.756
H-Index - 98
eISSN - 1742-1241
pISSN - 1368-5031
DOI - 10.1111/ijcp.14537
Subject(s) - medicine , osteoarthritis , meta analysis , confidence interval , relative risk , radiological weapon , risk factor , physical therapy , subgroup analysis , surgery , pathology , alternative medicine
Objective To examine the association between hip and knee osteoarthritis (OA) and falls. Potentially relevant articles that examine the association between hip, knee, radiological, and self‐reported OA and falls were retrieved from PubMed, EMBASE, Scopus, and Web of Science up until March of 2020. Methods The pooled risk ratios (RRs) as well as their related 95% confidence intervals (CIs) were calculated. Statistic and subgroup analyses were performed. A total of 21 studies involving 146 965 participants were included. Results No association was found between hip OA and falls. The pooled RRs value suggested a higher prevalence of falls in knee OA patients (RR = 1.35, 95% CI: 1.20 to 1.51, P < .00001) and self‐reported OA (RR = 1.33, 95% CI: 1.23 to 1.45, P < .00001) than in non‐OA subjects. The pooled RR value suggested no difference between prevalence of falls in radiological OA patients compared to non‐OA subjects (RR = 1.82, 95% CI: 0.89 to 3.73, P = .10). Both radiological and self‐reported knee OA seem to be positively associated with falls, while no obvious association was found between hip OA and falls. Conclusions Therefore, knee OA is a risk factor for falls which should be closely monitored.