Hip osteoarthritis prevalence estimates by three radiographic scoring systems

Rosemarie Hirsch, Richard J. Fernandes, Stanley R. Pillemer, Marc C. Hochberg, Nancy E Lane, Roy D. Altman, Daniel A. Bloch, William C. Knowler, Peter H. Bennett

Research output: Contribution to journalArticle

33 Scopus citations


Objective. To estimate and compare the age- and sex-specific prevalence of radiographic hip osteoarthritis (RHOA) in a population-based study of the Pima Indians, using 3 atlas-based methods for assessing features of RHOA. Methods. Pelvic radiographs from 755 Pima Indians age ≤45 years enrolled in a population-based study were read using the Kellgren/Lawrence (K/L) grading scale (grade 0-4) and 2 validated individual-radiographic-features (IRF) scales (grades 0-3 for narrowing and osteophytes). Results. The age- and sex- specific prevalence of RHOA among Pima Indians assessed using the K/L scale was < 10% in all age and sex groups. The prevalence of grade ≤2 osteophytes assessed using the 2 IRF scales were similar to each other in all age and sex groups. However, differences between the 2 IRF scoring systems were found for the prevalence of grade ≤2 joint space narrowing. Conclusion. Pima Indians have an age- and sex-specific prevalence of RHOA similar to that found in the US population. Our finding of different joint space narrowing prevalence by the 2 IRF grading scales supports the use of the same atlas-based case definitions for determining disease prevalence for comparative studies.

Original languageEnglish (US)
Pages (from-to)361-368
Number of pages8
JournalArthritis and Rheumatism
Issue number2
StatePublished - Feb 1998
Externally publishedYes


ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this

Hirsch, R., Fernandes, R. J., Pillemer, S. R., Hochberg, M. C., Lane, N. E., Altman, R. D., Bloch, D. A., Knowler, W. C., & Bennett, P. H. (1998). Hip osteoarthritis prevalence estimates by three radiographic scoring systems. Arthritis and Rheumatism, 41(2), 361-368. https://doi.org/10.1002/1529-0131(199802)41:2<361::AID-ART21>3.0.CO;2-2