Journal article
The Use of Hyaluronic Acid and Corticosteroid Injections Among Medicare Patients With Knee Osteoarthritis
The Journal of arthroplasty, v 31(2), pp 351-355
Feb 2016
PMID: 26421601
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Hyaluronic acid (HA) and corticosteroid (CS) injections are frequently used in the management of osteoarthritis (OA) of the knee, despite a lack of strong evidence supporting their efficacy in the literature. The purpose of this study is to evaluate trends in HA and CS usage in Medicare patients over the past 15 years.
The Medicare 5% national sample database was used to identify 581,022 patients (representing an estimated 11.6 million) with a diagnosis of knee OA between 1999 and 2013.
The percentage of newly diagnosed knee OA patients who received any injection trended from 39% in 1999 to 47% in 2006 and then declined to 37.5% in 2013. However, the mean number of injections per newly diagnosed OA patient nearly doubled from 0.27 to 0.45 for CS and from 0.18 to 0.36 for HA. Among those having both HA and CS injections, 69% had CS as first-line treatment, whereas 31% had HA first.
The percentage of newly diagnosed knee OA patients receiving injections peaked in 2007 and then decreased steadily through 2013, as did the proportion of patients receiving HA injections as first-line therapy. However, the number of injections per patient has increased significantly over the past 15 years in both groups.
Metrics
Details
- Title
- The Use of Hyaluronic Acid and Corticosteroid Injections Among Medicare Patients With Knee Osteoarthritis
- Creators
- Karl M. Koenig - Dartmouth–Hitchcock Medical CenterKevin L. Ong - Exponent (United States)Edmund C. Lau - ExponentThomas P. Vail - University of California, San FranciscoDaniel J. Berry - Mayo ClinicHarry E. Rubash - Massachusetts General HospitalSteven Kurtz - Exponent (United States)Kevin J. Bozic - The University of Texas at Austin
- Publication Details
- The Journal of arthroplasty, v 31(2), pp 351-355
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000370662700002
- Scopus ID
- 2-s2.0-84957841419
- Other Identifier
- 991019176648904721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Orthopedics