Abstract :
[en] Objective: Statins have several pleiotropic effects, but the literature regarding the possible
relationship between statins use and outcomes in knee osteoarthritis (OA) is limited. We
investigated whether statins use is associated with lower risk of radiographic (ROA),
radiographic symptomatic knee OA (SxOA) and pain in North American people.
Methods: A total of 4,448 community-dwelling adults from the Osteoarthritis Initiative were
followed-up for 4 years. Statins use (including the time from baseline and the type) was
defined through self-report information and confirmed by a trained interviewer. Knee OA
outcomes included incident (1) ROA, (2) SxOA, as the new onset of a combination of a
painful knee and ROA, (3) knee pain worsening, i.e. a Western Ontario and McMaster
Universities Osteoarthritis Index difference between baseline and each annual exam ≥14%.
Results: At baseline, 1,127 participants (=25.3%) used statins. Based on a multivariable
Poisson regression analysis with robust variance estimators, any statins use was not
associated with lower risk of pain worsening (relative risk, RR=0.97; 95%CI, confidence
intervals: 0.93-1.02), incident ROA or SxOA. However, statins use > 5 years (RR=0.91;
95%CI: 0.83-0.997) and atorvastatin use (RR=0.95; 95%CI: 0.91-0.996) were associated with
a reduced risk of developing pain, whilst rosuvastatin to a higher risk (RR=1.18; 95%CI:
1.12-1.24). The adjustment for the propensity score confirmed these findings.
Conclusion: The effect of statins use on knee OA outcomes remains unclear, although in our
study those using statins for over five years and those using atorvastatin reported a significant
lower risk of developing knee pain.
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