Advanced

Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013 : An international, population-level analysis

Ackerman, I. N.; Bohensky, M. A.; de Steiger, R.; Brand, C. A.; Eskelinen, A.; Fenstad, A. M.; Furnes, O.; Garellick, G.; Graves, S. E. and Haapakoski, J., et al. (2017) In Osteoarthritis and Cartilage 25(4). p.455-461
Abstract

Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the... (More)

Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the highest risk for males (15.4%, 95%CI 15.1-15.6%). Norway had the lowest lifetime risk for females (9.7%, 95%CI 9.5-9.9%) and males (5.8%, 95%CI 5.6-5.9%) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6% to 21.1%; males: from 9.8% to 15.4%). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.

(Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Epidemiology, Health service utilisation, Knee arthroplasty, Knee replacement, Osteoarthritis
in
Osteoarthritis and Cartilage
volume
25
issue
4
pages
455 - 461
publisher
Elsevier
external identifiers
  • scopus:85007256337
  • wos:000401093200008
ISSN
1063-4584
DOI
10.1016/j.joca.2016.11.005
language
English
LU publication?
yes
id
e00be48d-abc4-4ab9-aa82-280e7fce6104
date added to LUP
2017-01-17 16:52:41
date last changed
2018-06-17 05:19:27
@article{e00be48d-abc4-4ab9-aa82-280e7fce6104,
  abstract     = {<p>Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the highest risk for males (15.4%, 95%CI 15.1-15.6%). Norway had the lowest lifetime risk for females (9.7%, 95%CI 9.5-9.9%) and males (5.8%, 95%CI 5.6-5.9%) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6% to 21.1%; males: from 9.8% to 15.4%). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.</p>},
  author       = {Ackerman, I. N. and Bohensky, M. A. and de Steiger, R. and Brand, C. A. and Eskelinen, A. and Fenstad, A. M. and Furnes, O. and Garellick, G. and Graves, S. E. and Haapakoski, J. and Havelin, L. I. and Mäkelä, K. and Mehnert, F. and Pedersen, A. B. and Robertsson, O.},
  issn         = {1063-4584},
  keyword      = {Epidemiology,Health service utilisation,Knee arthroplasty,Knee replacement,Osteoarthritis},
  language     = {eng},
  number       = {4},
  pages        = {455--461},
  publisher    = {Elsevier},
  series       = {Osteoarthritis and Cartilage},
  title        = {Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013 : An international, population-level analysis},
  url          = {http://dx.doi.org/10.1016/j.joca.2016.11.005},
  volume       = {25},
  year         = {2017},
}