The role of mean corpuscular volume change in progression of osteoarthritis

Aim: The aim of our study was to evaluate the MCV, CRP, WBC changes in OA and to research whether or not any MCV, WBC changespronto detectable by easy complete blood count (CBC), have diagnostic values for the prediction of progression of OA.Material and Methods: Eighty-two OA and sixty-nine control patients were registered in the study. The knee OA was classified byKellgren-Lawrence (K&L) scale. Mean corpuscular volume (MCV), white blood cell (WBC) and C-reactive protein (CRP) levels weremeasured.Results: CRP and MCV levels were higher in OA than the control (p=.034 and p=.022 ). Multivariable regression analysis showed thatincreased age, BMI, and MCV levels are unassisted associated with increased risk of advance OA (OR=1.132, 95% CI:1.026- 1.249,p=.001; OR =1.148, 95% CI:1.062-1.242, p =.014 and OR = 0.492, 95% CI: 0.259-0.937, p =.031, respectively)Conclusion: We are suggesting that instead of any complex, costly methods, easy CBC and routine biochemical parameters at theinitial presentation of OA patients could also be prognostic for the likely progression of OA.

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