International survey of primary and revision total knee replacement
Identifieur interne : 006112 ( Main/Exploration ); précédent : 006111; suivant : 006113International survey of primary and revision total knee replacement
Auteurs : Steven M. Kurtz [États-Unis] ; Kevin L. Ong [États-Unis] ; Edmund Lau [États-Unis] ; Marcel Widmer [Suisse] ; Milka Maravic [France] ; Enrique G Mez-Barrena [Espagne] ; Maria De Fátima De Pina [Portugal] ; Valerio Manno [Italie] ; Marina Torre [Italie] ; William L. Walter [Australie] ; Richard De Steiger [Australie] ; Rudolph G. T. Geesink [Pays-Bas] ; Mikko Peltola [Finlande] ; Christoph Röder [Suisse]Source :
- International Orthopaedics [ 0341-2695 ] ; 2011.
Abstract
Total knee arthroplasty (TKA) is currently the international standard of care for treating degenerative and rheumatologic knee joint disease, as well as certain knee joint fractures. We sought to answer the following three research questions: (1) What is the international variance in primary and revision TKA rates around the world? (2) How do patient demographics (e.g., age, gender) vary internationally? (3) How have the rates of TKA utilization changed over time?
The survey included 18 countries with a total population of 755 million, and an estimated 1,324,000 annual primary and revision total knee procedures. Ten national inpatient databases were queried for this study from Canada, the United States, Finland, France, Germany, Italy, the Netherlands, Portugal, Spain, and Switzerland. Inpatient data were also compared with published registry data for eight countries with operating arthroplasty registers (Denmark, England & Wales, Norway, Romania, Scotland, Sweden, Australia, and New Zealand).
The average and median rate of primary and revision (combined) total knee replacement was 175 and 149 procedures/100,000 population, respectively, and ranged between 8.8 and 234 procedures/100,000 population. We observed that the procedure rate significantly increased over time for the countries in which historical data were available. The compound annual growth in the incidence of TKA ranged by country from 5.3% (France) to 17% (Portugal). We observed a nearly 27-fold range of TKA utilization rates between the 18 different countries included in the survey.
It is apparent from the results of this study that the demand for TKA has risen substantially over the past decade in countries around the world.
Url:
DOI: 10.1007/s00264-011-1235-5
PubMed: 21404023
PubMed Central: 3224613
Affiliations:
- Australie, Espagne, Finlande, France, Italie, Pays-Bas, Portugal, Suisse, États-Unis
- Canton de Berne, Communauté de Madrid, Groningue (province), Latium, Nouvelle-Galles du Sud, Pennsylvanie, Île-de-France
- Berne, Groningue, Madrid, Paris, Rome, Sydney
- Université de Berne
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Le document en format XML
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<author><name sortKey="G Mez Barrena, Enrique" sort="G Mez Barrena, Enrique" uniqKey="G Mez Barrena E" first="Enrique" last="G Mez-Barrena">Enrique G Mez-Barrena</name>
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<author><name sortKey="De Fatima De Pina, Maria" sort="De Fatima De Pina, Maria" uniqKey="De Fatima De Pina M" first="Maria" last="De Fátima De Pina">Maria De Fátima De Pina</name>
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<author><name sortKey="Geesink, Rudolph G T" sort="Geesink, Rudolph G T" uniqKey="Geesink R" first="Rudolph G. T." last="Geesink">Rudolph G. T. Geesink</name>
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<author><name sortKey="Roder, Christoph" sort="Roder, Christoph" uniqKey="Roder C" first="Christoph" last="Röder">Christoph Röder</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>Total knee arthroplasty (TKA) is currently the international standard of care for treating degenerative and rheumatologic knee joint disease, as well as certain knee joint fractures. We sought to answer the following three research questions: (1) What is the international variance in primary and revision TKA rates around the world? (2) How do patient demographics (e.g., age, gender) vary internationally? (3) How have the rates of TKA utilization changed over time?</p>
</sec>
<sec><title>Methods</title>
<p>The survey included 18 countries with a total population of 755 million, and an estimated 1,324,000 annual primary and revision total knee procedures. Ten national inpatient databases were queried for this study from Canada, the United States, Finland, France, Germany, Italy, the Netherlands, Portugal, Spain, and Switzerland. Inpatient data were also compared with published registry data for eight countries with operating arthroplasty registers (Denmark, England & Wales, Norway, Romania, Scotland, Sweden, Australia, and New Zealand).</p>
</sec>
<sec><title>Results</title>
<p>The average and median rate of primary and revision (combined) total knee replacement was 175 and 149 procedures/100,000 population, respectively, and ranged between 8.8 and 234 procedures/100,000 population. We observed that the procedure rate significantly increased over time for the countries in which historical data were available. The compound annual growth in the incidence of TKA ranged by country from 5.3% (France) to 17% (Portugal). We observed a nearly 27-fold range of TKA utilization rates between the 18 different countries included in the survey.</p>
</sec>
<sec><title>Conclusion</title>
<p>It is apparent from the results of this study that the demand for TKA has risen substantially over the past decade in countries around the world.</p>
</sec>
</div>
</front>
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<name sortKey="Kurtz, Steven M" sort="Kurtz, Steven M" uniqKey="Kurtz S" first="Steven M." last="Kurtz">Steven M. Kurtz</name>
<name sortKey="Lau, Edmund" sort="Lau, Edmund" uniqKey="Lau E" first="Edmund" last="Lau">Edmund Lau</name>
<name sortKey="Ong, Kevin L" sort="Ong, Kevin L" uniqKey="Ong K" first="Kevin L." last="Ong">Kevin L. Ong</name>
</country>
<country name="Suisse"><noRegion><name sortKey="Widmer, Marcel" sort="Widmer, Marcel" uniqKey="Widmer M" first="Marcel" last="Widmer">Marcel Widmer</name>
</noRegion>
<name sortKey="Roder, Christoph" sort="Roder, Christoph" uniqKey="Roder C" first="Christoph" last="Röder">Christoph Röder</name>
</country>
<country name="France"><region name="Île-de-France"><name sortKey="Maravic, Milka" sort="Maravic, Milka" uniqKey="Maravic M" first="Milka" last="Maravic">Milka Maravic</name>
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<country name="Espagne"><region name="Communauté de Madrid"><name sortKey="G Mez Barrena, Enrique" sort="G Mez Barrena, Enrique" uniqKey="G Mez Barrena E" first="Enrique" last="G Mez-Barrena">Enrique G Mez-Barrena</name>
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<country name="Portugal"><noRegion><name sortKey="De Fatima De Pina, Maria" sort="De Fatima De Pina, Maria" uniqKey="De Fatima De Pina M" first="Maria" last="De Fátima De Pina">Maria De Fátima De Pina</name>
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</country>
<country name="Italie"><region name="Latium"><name sortKey="Manno, Valerio" sort="Manno, Valerio" uniqKey="Manno V" first="Valerio" last="Manno">Valerio Manno</name>
</region>
<name sortKey="Torre, Marina" sort="Torre, Marina" uniqKey="Torre M" first="Marina" last="Torre">Marina Torre</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Walter, William L" sort="Walter, William L" uniqKey="Walter W" first="William L." last="Walter">William L. Walter</name>
</region>
<name sortKey="De Steiger, Richard" sort="De Steiger, Richard" uniqKey="De Steiger R" first="Richard" last="De Steiger">Richard De Steiger</name>
</country>
<country name="Pays-Bas"><region name="Groningue (province)"><name sortKey="Geesink, Rudolph G T" sort="Geesink, Rudolph G T" uniqKey="Geesink R" first="Rudolph G. T." last="Geesink">Rudolph G. T. Geesink</name>
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</country>
<country name="Finlande"><noRegion><name sortKey="Peltola, Mikko" sort="Peltola, Mikko" uniqKey="Peltola M" first="Mikko" last="Peltola">Mikko Peltola</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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