The longitudinal course of physical function in people with symptomatic knee osteoarthritis: Data from the MOST study and the OAI

Author(s)

Publication date

2016-02-23

Series/Report no

Arthritis care & research;

Publisher

Wiley-Blackwell

Document type

Abstract

Objective Pain and functional decline are hallmarks of knee osteoarthritis (OA). Nevertheless, longitudinal studies unexpectedly reveal stable or improved physical function. The aim of this study was to impute missing and pre–total knee replacement (TKR) values to describe physical function over time among people with symptomatic knee OA. Methods We included participants from the Multicenter Osteoarthritis Study (MOST) and the Osteoarthritis Initiative (OAI) with incident symptomatic knee OA, observed during the first 30 months in MOST and 36 months in OAI. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function (WOMAC-PF), the 5-times sit-to-stand test, and the 20-meter-walk test were assessed at 4 and 5 years in MOST and at 6 years in OAI. We used a multiple imputation method for missing visits, and estimated pre-TKR values close to the time of TKR, using a fitted local regression smoothing curve. In mixed-effect models, we investigated the physical function change over time, using data before and after imputation and calculation of pre-TKR values. Results In MOST, 225 (8%) had incident knee OA, with corresponding 577 (12.7%) in OAI. After adjusting for pre-TKR values and imputing missing values, we found that WOMAC-PF values remained stable or slightly declined over time, and the 20-meter-walk test results changed from stable in nonimputed analyses to worsening using imputed data. Conclusion Data from MOST and OAI showed stable to worsening physical function over time in people with incident symptomatic knee OA after imputing missing values and adjusting pre-TKR values.

Keywords

Version

This is the accepted version of the following article: Øiestad, B. E., White, D. K., Booton, R., Niu, J., Zhang, Y., Torner, J., ... & Felson, D. T. (2015). The longitudinal course of physical function in people with symptomatic knee osteoarthritis: Data from the MOST study and the OAI. Arthritis care & research., which has been published in final form at http://dx.doi.org/10.1002/acr.22674

Permanent URL (for citation purposes)

  • http://hdl.handle.net/10642/3133