Journal ArticleDOI
Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030.
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TLDR
These large projected increases in demand for total hip and knee arthroplasties provide a quantitative basis for future policy decisions related to the numbers of orthopaedic surgeons needed to perform these procedures and the deployment of appropriate resources to serve this need.Abstract:
Background: Over the past decade, there has been an increase in the number of revision total hip and knee arthroplasties performed in the United States. The purpose of this study was to formulate projections for the number of primary and revision total hip and knee arthroplasties that will be performed in the United States through 2030.
Methods: The Nationwide Inpatient Sample (1990 to 2003) was used in conjunction with United States Census Bureau data to quantify primary and revision arthroplasty rates as a function of age, gender, race and/or ethnicity, and census region. Projections were performed with use of Poisson regression on historical procedure rates in combination with population projections from 2005 to 2030.
Results: By 2030, the demand for primary total hip arthroplasties is estimated to grow by 174% to 572,000. The demand for primary total knee arthroplasties is projected to grow by 673% to 3.48 million procedures. The demand for hip revision procedures is projected to double by the year 2026, while the demand for knee revisions is expected to double by 2015. Although hip revisions are currently more frequently performed than knee revisions, the demand for knee revisions is expected to surpass the demand for hip revisions after 2007. Overall, total hip and total knee revisions are projected to grow by 137% and 601%, respectively, between 2005 and 2030.
Conclusions: These large projected increases in demand for total hip and knee arthroplasties provide a quantitative basis for future policy decisions related to the numbers of orthopaedic surgeons needed to perform these procedures and the deployment of appropriate resources to serve this need.read more
Citations
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References
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Journal ArticleDOI
Prevalence of Primary and Revision Total Hip and Knee Arthroplasty in the United States From 1990 Through 2002
TL;DR: The number and prevalence of primary hip and knee replacements increased substantially in the United States between 1990 and 2002, but the trend was considerably more pronounced for primary total knee arthroplasty.
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The Swedish total hip replacement register
TL;DR: The hypothesis for the project is that feedback of analyzed data stimulates the individual clinic to reflect and improve according to the principle of the good example.
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Rates and outcomes of primary and revision total hip replacement in the United States medicare population.
Nizar N. Mahomed,Jane Barrett,Jeffrey N. Katz,Charlotte B. Phillips,Elena Losina,Robert A. Lew,Edward Guadagnoli,William H. Harris,Robert Poss,John A. Baron +9 more
TL;DR: Analysis of United States Medicare population data showed that the rates of total hip replacement increased with age up to the age of seventy-five to seventy-nine years and that blacks had a significantly lower rate of total hips replacement than whites.
Journal ArticleDOI
Hospital resource utilization for primary and revision total hip arthroplasty.
Kevin J. Bozic,Patricia P. Katz,Miriam G. Cisternas,Linda Ono,Michael D. Ries,Jonathan Showstack +5 more
TL;DR: Preoperative femoral and ace-tabular bone loss and a diagnosis of periprosthetic fracture were predictive of higher resource utilization associated with revision procedures and appropriate reimbursement formulas should be developed to accurately reflect the true costs of caring for patients with a failed total hip arthroplasty.
Journal ArticleDOI
Economic Burden of Revision Hip and Knee Arthroplasty in Medicare Enrollees
TL;DR: Unless some limiting mechanism is implemented to reduce the incidence of revision surgeries, the diverging trends in reimbursements and charges for total hip and knee arthroplasties indicate that the economic impact to the Medicare population and healthcare system will continue to increase.