AustralieFrV1, Pmc, Corpus, bibRecord, 000A00

International survey of primary and revision total knee replacement

Identifieur interne : 000A00 ( Pmc/Corpus ); précédent : 000999; suivant : 000A01

International survey of primary and revision total knee replacement

Auteurs : Steven M. Kurtz ; Kevin L. Ong ; Edmund Lau ; Marcel Widmer ; Milka Maravic ; Enrique G Mez-Barrena ; Maria De Fátima De Pina ; Valerio Manno ; Marina Torre ; William L. Walter ; Richard De Steiger ; Rudolph G. T. Geesink ; Mikko Peltola ; Christoph Röder

Source :

International Orthopaedics [ 0341-2695 ] ; 2011.

RBID : PMC:3224613

Abstract

Purpose

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?

Methods

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).

Results

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.

Conclusion

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:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3224613

DOI: 10.1007/s00264-011-1235-5
PubMed: 21404023
PubMed Central: 3224613

Links to Exploration step

PMC:3224613

Le document en format XML

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<author><name sortKey="Kurtz, Steven M" sort="Kurtz, Steven M" uniqKey="Kurtz S" first="Steven M." last="Kurtz">Steven M. Kurtz</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff12">Drexel University, Philadelphia, PA USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ong, Kevin L" sort="Ong, Kevin L" uniqKey="Ong K" first="Kevin L." last="Ong">Kevin L. Ong</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lau, Edmund" sort="Lau, Edmund" uniqKey="Lau E" first="Edmund" last="Lau">Edmund Lau</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Widmer, Marcel" sort="Widmer, Marcel" uniqKey="Widmer M" first="Marcel" last="Widmer">Marcel Widmer</name>
<affiliation><nlm:aff id="Aff2">Swiss Health Observatory, Espace de l’Europe 10, CH-2010 Neuchâtel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maravic, Milka" sort="Maravic, Milka" uniqKey="Maravic M" first="Milka" last="Maravic">Milka Maravic</name>
<affiliation><nlm:aff id="Aff3">Département d’Information Médicale, Höpital Léopold Bellan, Paris, France</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff4">Universidad Autonoma de Madrid, Hospital La Paz, Madrid, Spain</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff5">Faculdade de Medicina and Instituto de Engenharia Biomédica - INEB, Universidade do Porto, Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manno, Valerio" sort="Manno, Valerio" uniqKey="Manno V" first="Valerio" last="Manno">Valerio Manno</name>
<affiliation><nlm:aff id="Aff6">Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torre, Marina" sort="Torre, Marina" uniqKey="Torre M" first="Marina" last="Torre">Marina Torre</name>
<affiliation><nlm:aff id="Aff6">Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Walter, William L" sort="Walter, William L" uniqKey="Walter W" first="William L." last="Walter">William L. Walter</name>
<affiliation><nlm:aff id="Aff7">Mater Clinic, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="De Steiger, Richard" sort="De Steiger, Richard" uniqKey="De Steiger R" first="Richard" last="De Steiger">Richard De Steiger</name>
<affiliation><nlm:aff id="Aff8">Australian Orthopedics Association National Joint Registry, Adelaide, Australia</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff9">University Medical Centre Groningen, Hanzeplein 1, Groningen, 9700RB the Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peltola, Mikko" sort="Peltola, Mikko" uniqKey="Peltola M" first="Mikko" last="Peltola">Mikko Peltola</name>
<affiliation><nlm:aff id="Aff10">Centre for Health and Social Economics, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271 Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Roder, Christoph" sort="Roder, Christoph" uniqKey="Roder C" first="Christoph" last="Röder">Christoph Röder</name>
<affiliation><nlm:aff id="Aff11">Institute for Evaluative Research in Medicine, University of Bern, Stauffacherstrasse 78, 3012 Bern, Switzerland</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">International survey of primary and revision total knee replacement</title>
<author><name sortKey="Kurtz, Steven M" sort="Kurtz, Steven M" uniqKey="Kurtz S" first="Steven M." last="Kurtz">Steven M. Kurtz</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff12">Drexel University, Philadelphia, PA USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ong, Kevin L" sort="Ong, Kevin L" uniqKey="Ong K" first="Kevin L." last="Ong">Kevin L. Ong</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lau, Edmund" sort="Lau, Edmund" uniqKey="Lau E" first="Edmund" last="Lau">Edmund Lau</name>
<affiliation><nlm:aff id="Aff1">Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Widmer, Marcel" sort="Widmer, Marcel" uniqKey="Widmer M" first="Marcel" last="Widmer">Marcel Widmer</name>
<affiliation><nlm:aff id="Aff2">Swiss Health Observatory, Espace de l’Europe 10, CH-2010 Neuchâtel, Switzerland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Maravic, Milka" sort="Maravic, Milka" uniqKey="Maravic M" first="Milka" last="Maravic">Milka Maravic</name>
<affiliation><nlm:aff id="Aff3">Département d’Information Médicale, Höpital Léopold Bellan, Paris, France</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff4">Universidad Autonoma de Madrid, Hospital La Paz, Madrid, Spain</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff5">Faculdade de Medicina and Instituto de Engenharia Biomédica - INEB, Universidade do Porto, Porto, Portugal</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Manno, Valerio" sort="Manno, Valerio" uniqKey="Manno V" first="Valerio" last="Manno">Valerio Manno</name>
<affiliation><nlm:aff id="Aff6">Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Torre, Marina" sort="Torre, Marina" uniqKey="Torre M" first="Marina" last="Torre">Marina Torre</name>
<affiliation><nlm:aff id="Aff6">Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Walter, William L" sort="Walter, William L" uniqKey="Walter W" first="William L." last="Walter">William L. Walter</name>
<affiliation><nlm:aff id="Aff7">Mater Clinic, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author><name sortKey="De Steiger, Richard" sort="De Steiger, Richard" uniqKey="De Steiger R" first="Richard" last="De Steiger">Richard De Steiger</name>
<affiliation><nlm:aff id="Aff8">Australian Orthopedics Association National Joint Registry, Adelaide, Australia</nlm:aff>
</affiliation>
</author>
<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>
<affiliation><nlm:aff id="Aff9">University Medical Centre Groningen, Hanzeplein 1, Groningen, 9700RB the Netherlands</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Peltola, Mikko" sort="Peltola, Mikko" uniqKey="Peltola M" first="Mikko" last="Peltola">Mikko Peltola</name>
<affiliation><nlm:aff id="Aff10">Centre for Health and Social Economics, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271 Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Roder, Christoph" sort="Roder, Christoph" uniqKey="Roder C" first="Christoph" last="Röder">Christoph Röder</name>
<affiliation><nlm:aff id="Aff11">Institute for Evaluative Research in Medicine, University of Bern, Stauffacherstrasse 78, 3012 Bern, Switzerland</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">International Orthopaedics</title>
<idno type="ISSN">0341-2695</idno>
<idno type="eISSN">1432-5195</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<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>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Int Orthop</journal-id>
<journal-title-group><journal-title>International Orthopaedics</journal-title>
</journal-title-group>
<issn pub-type="ppub">0341-2695</issn>
<issn pub-type="epub">1432-5195</issn>
<publisher><publisher-name>Springer-Verlag</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21404023</article-id>
<article-id pub-id-type="pmc">3224613</article-id>
<article-id pub-id-type="publisher-id">1235</article-id>
<article-id pub-id-type="doi">10.1007/s00264-011-1235-5</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject>
</subj-group>
</article-categories>
<title-group><article-title>International survey of primary and revision total knee replacement</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kurtz</surname>
<given-names>Steven M.</given-names>
</name>
<address><phone>+1-215-5948851</phone>
<fax>+1-215-5948898</fax>
<email>skurtz@exponent.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff12">12</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ong</surname>
<given-names>Kevin L.</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lau</surname>
<given-names>Edmund</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Widmer</surname>
<given-names>Marcel</given-names>
</name>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maravic</surname>
<given-names>Milka</given-names>
</name>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Gómez-Barrena</surname>
<given-names>Enrique</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Fátima de Pina</surname>
<given-names>Maria</given-names>
</name>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Manno</surname>
<given-names>Valerio</given-names>
</name>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torre</surname>
<given-names>Marina</given-names>
</name>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Walter</surname>
<given-names>William L.</given-names>
</name>
<xref ref-type="aff" rid="Aff7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Steiger</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="Aff8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Geesink</surname>
<given-names>Rudolph G. T.</given-names>
</name>
<xref ref-type="aff" rid="Aff9">9</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Peltola</surname>
<given-names>Mikko</given-names>
</name>
<xref ref-type="aff" rid="Aff10">10</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Röder</surname>
<given-names>Christoph</given-names>
</name>
<xref ref-type="aff" rid="Aff11">11</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Exponent, Inc., 3401 Market St., Suite 300, Philadelphia, PA 19104 USA</aff>
<aff id="Aff2"><label>2</label>
Swiss Health Observatory, Espace de l’Europe 10, CH-2010 Neuchâtel, Switzerland</aff>
<aff id="Aff3"><label>3</label>
Département d’Information Médicale, Höpital Léopold Bellan, Paris, France</aff>
<aff id="Aff4"><label>4</label>
Universidad Autonoma de Madrid, Hospital La Paz, Madrid, Spain</aff>
<aff id="Aff5"><label>5</label>
Faculdade de Medicina and Instituto de Engenharia Biomédica - INEB, Universidade do Porto, Porto, Portugal</aff>
<aff id="Aff6"><label>6</label>
Istituto Superiore di Sanità, Rome, Italy</aff>
<aff id="Aff7"><label>7</label>
Mater Clinic, Sydney, Australia</aff>
<aff id="Aff8"><label>8</label>
Australian Orthopedics Association National Joint Registry, Adelaide, Australia</aff>
<aff id="Aff9"><label>9</label>
University Medical Centre Groningen, Hanzeplein 1, Groningen, 9700RB the Netherlands</aff>
<aff id="Aff10"><label>10</label>
Centre for Health and Social Economics, National Institute for Health and Welfare (THL), P.O. Box 30, FI-00271 Helsinki, Finland</aff>
<aff id="Aff11"><label>11</label>
Institute for Evaluative Research in Medicine, University of Bern, Stauffacherstrasse 78, 3012 Bern, Switzerland</aff>
<aff id="Aff12"><label>12</label>
Drexel University, Philadelphia, PA USA</aff>
</contrib-group>
<pub-date pub-type="epub"><day>15</day>
<month>3</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>12</month>
<year>2011</year>
</pub-date>
<volume>35</volume>
<issue>12</issue>
<fpage>1783</fpage>
<lpage>1789</lpage>
<history><date date-type="received"><day>14</day>
<month>1</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>17</day>
<month>2</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© Springer-Verlag 2011</copyright-statement>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag 2011</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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International survey of primary and revision total knee replacement

International survey of primary and revision total knee replacement

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