Prevalence and predictors of health care use in patients with early hip or knee osteoarthritis: two-year follow-up data from the CHECK cohort

T. J. Hoogeboom*, G. F. Snijders, H. A. Cats, R. A. de Bie, S. M. A. Bierma-Zeinstra, F. H. J. van den Hoogen, P. L. C. M. van Riel, P. J. Emans, J. Wesseling, A. A. den Broeder, C. H. M. van den Ende

*Corresponding author for this work

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Objective: To describe health care utilization (HCU) and predict analgesic use and health professional (HP) contact at baseline and 2 years in individuals with early symptomatic hip and/or knee osteoarthritis (OA). Design: Baseline and two-year data on HCU of the 1002 participants from the multi-centre Cohort Hip & Cohort Knee study were used. Six forms of health care services were described: analgesic use, supplement use, contact with a General Practitioner (GP), contact with a HP, contact in secondary care, and alternative medicine use. Multivariable logistic regression was performed in order to identify predisposing, enabling and disease-related variables that predict analgesic use and HP contact at 2 years; treatment modalities of first choice in early OA. Results: For the hip (n = 170), the knee (n = 414) and the hip and knee (n = 418) group analgesic use (38%, 29% and 47%, respectively), contact with a GP (32%, 38% and 36%, respectively) and contact with a HP (26%, 18% and 20%, respectively), were reported most often at baseline. Contact with a GP significantly decreased, supplement use increased (to about one third), and other treatment modalities remained stable at 2 years. In all three groups, analgesic use at baseline was the strongest predictor for analgesic use at 2 years, whereas contact with a HP at baseline was the strongest predictor of contact with a HP after 2 years. Belonging to a first generation minority was a predisposing risk factor [Odds Ratio (95%-CI), 8.72 (1.55-48.97)] for analgesic use in the hip and knee group. Conclusions: In early OA, familiarity with HCU and other predisposing factors are, apart from disease-related factors strongly associated with HCU at 2 years. Further research is necessary to examine whether our findings reflect sub-optimal management of early OA in terms of efficacy and equity.
Original languageEnglish
Pages (from-to)525-531
JournalOsteoarthritis and Cartilage
Issue number6
Publication statusPublished - Jun 2012


  • Osteoarthritis
  • Health services
  • Analgesics
  • Therapy
  • Cohort studies

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