Skip to main content
Log in

Prevalence of symptoms of knee or hip joints in older adults from the general population

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Background and aims: The prevalence of knee and hip symptoms varies from study to study, or is unknown. The goals of this study were to determine the prevalence of these symptoms, of diagnosed osteoarthritis and the use of prostheses, by age and gender, in a sample of the general older population. Methods: We mailed a questionnaire to 11,002 people aged 60 to 90 years who were selected by stratified random sampling. The questionnaire included questions on pain, functional limitations, diagnosed osteoarthritis, previous operations on either or both joints, and sociodemographic data. Descriptive statistics were performed. Results: From 10,150 people who fulfilled the selection criteria, 74.6% answered the questionnaire. Up to 49.2% of the subjects reported pain in either knee or hip or both, with pain in the knee reported more frequently (38.3%) than the hip (23.8%). Functional limitations were present in 51.6% of respondents, with 42.5% having limitations in the knees and 27.7% in the hips. The symptoms increased with age and were more prevalent in women. About 6.6% of respondents reported that they had already had prosthesis implant (hip 3.9%; knee 2.6%). The presence of a hip prosthesis was slightly lower in women than in men and more women had a knee prosthesis. Physicians had already diagnosed osteoarthritis in 38.5% of the sample, 19.4% of the hip and 31% of the knee. Conclusions: The prevalence of pain symptoms is relatively high among older people, more often in the knee and, in both pints, more often in women, but the rate of prosthetic surgeries was low, which means that additional studies are necessary to gain insight into the healthcare needs of the population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Picavet HS, Hazes JM. Prevalence of self reported musculoskeletal diseases is high. Ann Rheum Dis 2003; 62: 644–50.

    Article  PubMed  CAS  Google Scholar 

  2. Dawson J, Linsell L, Zondervan K, et al. Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology (Oxf) 2004; 43: 497–504.

    Article  CAS  Google Scholar 

  3. D’Ambrosia RD. Epidemiology of osteoarthritis. Orthopedics 2005; 28 (Suppl): s201–5.

    PubMed  Google Scholar 

  4. Quintana JM, Escobar A, Arostegui I, et al. Health-related quality of life and appropriateness of knee or hip joint replacement. Arch Intern Med 2006; 166: 220–6.

    Article  PubMed  Google Scholar 

  5. Peat G, McCarney R, Croft P. Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Ann Rheum Dis 2001; 60: 91–7.

    Article  PubMed  CAS  Google Scholar 

  6. Juni P, Dieppe P, Donovan J, et al. Population requirement for primary knee replacement surgery: a cross-sectional study [comment]. Rheumatology 2003; 42: 516–21.

    Article  PubMed  CAS  Google Scholar 

  7. Christmas C, Crespo CJ, Franckowiak SC, Bathon JM, Bartlett SJ, Andersen RE. How common is hip pain among older adults? Results from the Third National Health and Nutrition Examination Survey. J Fam Pract 2002; 51: 345–8.

    PubMed  Google Scholar 

  8. McAlindon TE, Cooper C, Kirwan JR, Dieppe PA. Knee pain and disability in the community. Br J Rheumatol 1992; 31: 189–92.

    Article  PubMed  CAS  Google Scholar 

  9. Linsell L, Dawson J, Zondervan K, et al. Population survey comparing older adults with hip versus knee pain in primary care. Br J Gen Pract 2005; 55: 192–8.

    PubMed  Google Scholar 

  10. Holland R, Harvey I. Population needs assessment and knee replacement surgery. Rheumatology (Oxf) 2003; 42: 503–6.

    Article  CAS  Google Scholar 

  11. Frankel S, Eachus J, Pearson N, et al. Population requirement for primary hip-replacement surgery: a cross-sectional study. Lancet 1999; 353: 1304–9.

    Article  PubMed  CAS  Google Scholar 

  12. Fear J, Hillman M, Chamberlain MA, Tennant A. Prevalence of hip problems in the population aged 55 years and over: access to specialist care and future demand for hip arthroplasty. Br J Rheumatol 1997; 36: 74–6.

    Article  PubMed  CAS  Google Scholar 

  13. Tennant A, Fear J, Pickering A, Hillman M, Cutts A, Chamberlain MA. Prevalence of knee problems in the population aged 55 years and over: identifying the need for knee arthroplasty. BMJ 1995; 310: 1291–3.

    Article  PubMed  CAS  Google Scholar 

  14. Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients’ preferences. Med Care 2001; 39: 206–16.

    Article  PubMed  CAS  Google Scholar 

  15. LaValley M, McAlindon TE, Evans S, Chaisson CE, Felson DT. Problems in the development and validation of questionnaire-based screening instruments for ascertaining cases with symptomatic knee osteoarthritis: the Framingham Study. Arthritis Rheum 2001; 44: 1105–13.

    Article  PubMed  CAS  Google Scholar 

  16. Issa SN, Sharma L. Epidemiology of osteoarthritis: an update. Curr Rheumatol Rep 2006; 8: 7–15.

    Article  PubMed  Google Scholar 

  17. Hoaglund FT, Steinbach LS, Hoaglund FT, Steinbach LS. Primary osteoarthritis of the hip: etiology and epidemiology [Review]. J Am Acad Orthop Surg 2001; 9: 320–7.

    PubMed  CAS  Google Scholar 

  18. Urwin M, Symmons D, Allison T, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 1998; 57: 649–55.

    Article  PubMed  CAS  Google Scholar 

  19. O’Reilly SC, Muir KR, Doherty M. Knee pain and disability in the Nottingham community: association with poor health status and psychological distress. Br J Rheumatol 1998; 37: 870–3.

    Article  PubMed  Google Scholar 

  20. Thomas E, Peat G, Harris L, Wilkie R, Croft PR. The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain 2004; 110: 361–8.

    Article  PubMed  Google Scholar 

  21. Thomas E, Wilkie R, Peat G, Hill S, Dziedzic K, Croft P. The North Staffordshire Osteoarthritis Project—NorStOP: prospective, 3-year study of the epidemiology and management of clinical osteoarthritis in a general population of older adults. BMC Musculoskelet Disord 2004; 5: 2.

    Article  PubMed  Google Scholar 

  22. Jinks C, Jordan K, Ong BN, Croft P. A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over. Rheumatology (Oxf) 2004; 43: 55–61.

    CAS  Google Scholar 

  23. Adamson J, Ebrahim S, Dieppe P, Hunt K. Prevalence and risk factors for joint pain among men and women in the West of Scotland Twenty-07 study. Ann Rheum Dis 2006; 65: 520–4.

    Article  PubMed  CAS  Google Scholar 

  24. Mitchell HL, Carr AJ, Scott DL. The management of knee pain in primary care: factors associated with consulting the GP and referrals to secondary care. Rheumatology (Oxf) 2006; 45: 771–6.

    Article  CAS  Google Scholar 

  25. Andersen RE, Crespo CJ, Ling SM, Bathon JM, Bartlett SJ. Prevalence of significant knee pain among older Americans: results from the Third National Health and Nutrition Examination Survey. J Am Geriatr Soc 1999; 47: 1435–8.

    PubMed  CAS  Google Scholar 

  26. Quintana JM, Azkarate J, Goenaga JI, Arostegui I, Beldarrain I, Villar JM. Evaluation of the appropriateness of hip joint replacement techniques. Int J Technol Assess Health Care 2000; 16: 165–77.

    Article  PubMed  CAS  Google Scholar 

  27. Escobar A, Quintana JM, Arostegui I, et al. Development of explicit criteria for total knee replacement. Int J Technol Assess Health Care 2003; 19: 57–70.

    Article  PubMed  Google Scholar 

  28. Steel N, Melzer D, Gardener E, McWilliams B. Need for and receipt of hip and knee replacement—a national population survey. Rheumatology (Oxf) 2006; 45: 1437–41.

    Article  CAS  Google Scholar 

  29. Melzer D, Guralnik JM, Brock D. Prevalence and distribution of hip and knee joint replacements and hip implants in older Americans by the end of life. Aging Clin Exp Res 2003; 15: 60–6.

    Article  PubMed  Google Scholar 

  30. Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am 2005; 87: 1487–97.

    Article  PubMed  Google Scholar 

  31. Sanders C, Donovan JL, Dieppe PA. Unmet need for joint replacement: a qualitative investigation of barriers to treatment among individuals with severe pain and disability of the hip and knee. Rheumatology (Oxf) 2004; 43: 353–7.

    Article  CAS  Google Scholar 

  32. Escobar A, Gonzalez N, Quintana JM, Las Hayas C. Priorizadón de pacientes en lista de espera para prótesis de rodilla y cadera: la opinión de los pacientes. Gac Sanit 2005; 19: 379–85.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to José Ma Quintana MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Quintana, J.M., Escobar, A., Arostegui, I. et al. Prevalence of symptoms of knee or hip joints in older adults from the general population. Aging Clin Exp Res 20, 329–336 (2008). https://doi.org/10.1007/BF03324864

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03324864

Key words

Navigation