Department of Physical Therapy, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Minas Gerais, Brazil.
Braz J Phys Ther. 2018 Nov-Dec;22(6):437-451. doi: 10.1016/j.bjpt.2018.03.012. Epub 2018 Apr 4.
Prevalence of knee osteoarthritis in former athletes is still unclear.
To investigate prevalence of knee osteoarthritis in former athletes. Moreover, the secondary aim was to investigate whether poor methodological quality of included studies, different diagnosis criteria for knee osteoarthritis, different sports modality or sex impact on overall estimated prevalence of knee osteoarthritis in former athletes.
Searches on MEDLINE, EMBASE, AMED, SPORTDiscus and CINAHL from the earliest record to February 2018 and hand-searching identified studies investigating prevalence of knee osteoarthritis in former athletes. Meta-analysis was conducted and the GRADE system summarized strength of the current recommendations. Sensitivity analyses investigated whether methodological quality, diagnostic criteria, type of sports or sex impacted on the overall estimated prevalence in former athletes. This review was registered at PROSPERO (CRD42016050903).
Fifteen studies were included and pooling of 3100 participants estimated overall prevalence of knee osteoarthritis in former athletes of 30.0% (95% CI: 20.0 to 40.0%). The strength of the current recommendations was low-quality. Sensitivity analyses suggested that different diagnostic criteria for knee osteoarthritis and type of sports may impact on the overall estimated prevalence.
Prevalence of knee osteoarthritis in former athletes was 30.0%. Researchers, clinicians and policymakers should be careful about potential prevalence differences among type of sports and diagnostic criteria. Current low-quality evidence shows that future high-quality studies are likely to impact on the estimated prevalence.
前运动员膝关节骨关节炎的患病率仍不清楚。
调查前运动员膝关节骨关节炎的患病率。此外，次要目的是调查研究中较差的方法学质量、膝关节骨关节炎的不同诊断标准、不同运动方式或性别是否会影响前运动员膝关节骨关节炎的总体估计患病率。
从最早的记录到 2018 年 2 月，在 MEDLINE、EMBASE、AMED、SPORTDiscus 和 CINAHL 上进行了搜索，以调查前运动员膝关节骨关节炎的患病率。进行了荟萃分析，并使用 GRADE 系统总结了当前建议的强度。敏感性分析调查了方法学质量、诊断标准、运动类型或性别是否会影响前运动员的总体估计患病率。本综述在 PROSPERO（CRD42016050903）上进行了注册。
纳入了 15 项研究，共纳入 3100 名参与者，估计前运动员膝关节骨关节炎的总体患病率为 30.0%（95%CI：20.0 至 40.0%）。当前建议的强度为低质量。敏感性分析表明，膝关节骨关节炎的不同诊断标准和运动类型可能会影响总体估计患病率。
前运动员膝关节骨关节炎的患病率为 30.0%。研究人员、临床医生和决策者应注意不同运动类型和诊断标准之间的潜在患病率差异。目前低质量的证据表明，未来高质量的研究可能会影响估计的患病率。
