Table 3.
Survival models with parametric Weibull regression was completed stepwise for each incident musculoskeletal outcome to examine the effects of incremental adjustment on the exposure variable (SCI).
| Model 1 | Model 2 | Model 3 | Model 4 | |
|---|---|---|---|---|
| Any Musculoskeletal | 2.96 (2.83, 3.09)*** | 2.76 (2.63, 2.88)*** | 2.42 (2.32, 2.54)*** | 2.41 (2.30, 2.52)*** |
| Osteoarthritis | 2.46 (2.37, 2.56)*** | 1.58 (1.52, 1.65)*** | 1.31 (1.26, 1.36)*** | 1.31 (1.26, 1.36)*** |
| Osteoporosis | 3.89 (3.69, 4.09)*** | 2.41 (2.29, 2.54)*** | 2.20 (2.09, 2.32)*** | 2.19 (2.08, 2.30)*** |
| Pathological fracture | 13.28 (12.42, 14.20)*** | 8.58 (8.04, 9.15)*** | 7.09 (6.65, 7.56)*** | 7.02 (6.58, 7.49)*** |
| Disorders of muscle, joint, ligaments, tendons, and connective tissues | 2.68 (2.58, 2.78)*** | 2.25 (2.17, 2.33)*** | 1.94 (1.87, 2.02)*** | 1.93 (1.86, 2.01)*** |
| Sarcopenia and weakness | 5.80 (5.56, 6.05)*** | 3.53 (3.39, 3.68)*** | 2.68 (2.57, 2.80)*** | 2.66 (2.55, 2.77)*** |
| Myalgia | 1.92 (1.82, 2.03)*** | 1.82 (1.72, 1.93)*** | 1.47 (1.39, 1.55)*** | 1.46 (1.38, 1.55)*** |
| Rheumatoid arthritis, myositis, and musculoskeletal infections | 2.30 (2.08, 2.54)*** | 1.62 (1.46, 1.79)*** | 1.25 (1.13, 1.38)*** | 1.26 (1.14, 1.39)*** |
Model 1: Unadjusted
Model 2: Model 1 + Demographic variables (age, sex, race, geographic region).
Model 3: Model 1 + Model 2 + Modified Elixhauser Comorbidity Index
Model 4: Model 1 + Model 2 + Model 3 + Education + Income
As with incidence estimates (Table 2), all survival models used cases (SCI) and control cohorts consistent with Table 2, which required a one-year clean period with no evidence of the condition being measured
P-value < 0.001