Identifying Patients with Osteoarthritis at Risk of Sarcopenia using the SARC-F

  • Maggie Lovett Dalhousie University, GERAS Centre for Aging Research
  • Ahmed Negm 2GERAS Centre for Aging Research
  • George Ioannidis GERAS Centre for Aging Research, McMaster University
  • Danielle Petrucelli McMaster University
  • Mitchell Winemaker McMaster University
  • Jonathan D. Adachi McMaster University
  • Alexandra Papaioannou GERAS Centre for Aging Research, McMaster University
Keywords: osteoarthritis, sarcopenia, joint replacement, joint arthroplasty, SARC-F, hip, knee

Abstract

Background

Sarcopenia is an important modifiable risk factor in patients being considered for elective knee or hip replacement as it may be associated with a higher risk of post-operative joint re­placement complications. Our objectives are to determine the prevalence of patients with osteoarthritis at risk of sarcopenia by using the SARC-F tool, and whether risk of sarcopenia is associated with referral to an orthopaedic surgeon.

Methods

We conducted a retrospective review of patients who were 60 years or older assessed at four Canadian musculoskeletal assessment centres. Patients completed the SARC-F as part of their assessment. Multivariable logistic regression analy­ses were conducted to determine association between risk of sarcopenia and the odds of referral to an orthopedic surgeon for surgical consultation.

Results

3,697 patients were included and 67.8% (2,508/3,697) were at risk of sarcopenia. Prevalence was highest in those assessed for hip replacement at 72.3% (635/878). Patients at risk of sarcopenia were more likely to be referred to an orthopaedic surgeon (OR 1.299; SD 1.074-1.571).

Conclusions

Patients with osteoarthritis assessed for joint replacement are at high risk of sarcopenia, particularly individuals undergo­ing potential hip replacement. Patients at risk of sarcopenia are more likely to be referred to orthopaedic surgery for surgical consultation.

Author Biographies

Maggie Lovett, Dalhousie University, GERAS Centre for Aging Research

Division of Geriatric Medicine, Department of Medicine

George Ioannidis, GERAS Centre for Aging Research, McMaster University

Division of Geriatric Medicine, Department of Medicine, Division of Rheumatology

Danielle Petrucelli, McMaster University

Division of Orthopaedics, Department of Surgery

Mitchell Winemaker, McMaster University

Division of Orthopaedics, Department of Surgery

Jonathan D. Adachi, McMaster University

Division of Rheumatology, Department of Medicine

Alexandra Papaioannou, GERAS Centre for Aging Research, McMaster University

Division of Geriatric Medicine, Department of Medicine, Department of Health Research Methods, Evidence, and Impact

Published
2021-02-18
How to Cite
Lovett, M., Negm, A., Ioannidis, G., Petrucelli, D., Winemaker, M., Adachi, J. D., & Papaioannou, A. (2021). Identifying Patients with Osteoarthritis at Risk of Sarcopenia using the SARC-F. Canadian Geriatrics Journal, 24(1), 1-7. https://doi.org/10.5770/cgj.24.479
Section
Original Research