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

Authors

  • 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

DOI:

https://doi.org/10.5770/cgj.24.479

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.

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Published

2021-02-18

How to Cite

1.
Lovett M, Negm A, Ioannidis G, Petrucelli D, Winemaker M, Adachi JD, Papaioannou A. Identifying Patients with Osteoarthritis at Risk of Sarcopenia using the SARC-F. Can Geriatr J [Internet]. 2021 Feb. 18 [cited 2022 Nov. 26];24(1):1-7. Available from: https://cgjonline.ca/index.php/cgj/article/view/479

Issue

Section

Original Research