Journal article
International survey of primary and revision total knee replacement
International orthopaedics, v 35(12), pp 1783-1789
01 Dec 2011
PMID: 21404023
Featured in Collection : UN Sustainable Development Goals @ Drexel
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.
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Details
- Title
- International survey of primary and revision total knee replacement
- Creators
- Steven M. Kurtz - Drexel UniversityKevin L. Ong - Exponent (United States)Edmund Lau - ExponentMarcel Widmer - Swiss Health ObservatoryMilka Maravic - Hôpital Albert MichallonEnrique Gomez-Barrena - Autonomous University of MadridMaria de Fatima de Pina - Univ Porto, Fac Med, P-4100 Oporto, PortugalValerio Manno - Istituto Superiore di SanitàMarina Torre - Istituto Superiore di SanitàWilliam L. Walter - Mater Health ServicesRichard de Steiger - Australian Orthoped Assoc, Natl Joint Registry, Adelaide, SA, AustraliaRudolph G. T. Geesink - University Medical Center GroningenMikko Peltola - Finnish Institute for Health and WelfareChristoph Roeder - Univ Bern, Inst Evaluat Res Med, CH-3012 Bern, Switzerland
- Publication Details
- International orthopaedics, v 35(12), pp 1783-1789
- Publisher
- Springer Nature
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000297477000006
- Scopus ID
- 2-s2.0-82955198601
- Other Identifier
- 991019167322904721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Orthopedics