A Population-Based Study of Trends in the Use of Total Hip and Total Knee Arthroplasty, 1969-2008
Mayo Clinic ProceedingsPublished 8 September 2010Open access
Jasvinder A. Singh, Michael B. Vessely, William S. Harmsen, Cathy D. Schleck, L. Joseph Melton, Robert Kurland
Citations209
SJR quartileQ1
SJR score2.00
SNIP2.28
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
In this community, TKA and THA use rates have increased steadily since the introduction of the procedures and continue to increase for all age groups and on the basis of these population-based data, the probable need for TKAand THA exceeds current federal agency projections.
Abstract
In this community, TKA and THA use rates have increased steadily since the introduction of the procedures and continue to increase for all age groups. On the basis of these population-based data, the probable need for TKA and THA exceeds current federal agency projections.
Keywords
Medicine
Journal of Bone and Joint SurgeryProjections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030
6,900 Citations2007Steven M. Kurtz, Kevin Ong +3 more
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.
Journal of Bone and Joint SurgeryProjections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030
5,468 Citations2007Steven M. Kurtz, Kevin Ong +3 more
Mayo Clinic ProceedingsHistory of the Rochester Epidemiology Project
1,453 Citations1996L. Joseph Melton
The Rochester Epidemiology Project is a unique medical records-linkage system that encompasses the care delivered to residents of Rochester and Olmsted County, Minnesota and is able to provide accurate incidence data for almost any serious condition and to support population-based analytic studies of disease causes and outcomes.
Journal of Bone and Joint SurgeryPrevalence of Primary and Revision Total Hip and Knee Arthroplasty in the United States From 1990 Through 2002
1,252 Citations2005Steven M. Kurtz
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.
Arthritis & RheumatismIs the incidence of rheumatoid arthritis rising?: Results from Olmsted County, Minnesota, 1955–2007
804 Citations2010Elena Myasoedova, Cynthia S. Crowson +3 more
The incidence of RA in women appears to have increased during the period of time from 1995 to 2007, although the reasons for this recent increase are unknown, but environmental factors may play a role.
BMC Musculoskeletal DisordersObesity and osteoarthritis in knee, hip and/or hand: An epidemiological study in the general population with 10 years follow-up
601 Citations2008Margreth Grotle, Kåre Birger Hagen +3 more
JAMAA Cost-effectiveness Analysis of Total Hip Arthroplasty for Osteoarthritis of the Hip
529 Citations1996Rowland W. Chang
For persons with hip osteoarthritis associated with significant functional limitation, THA can be cost saving or, at worst, cost-effective in improving QALE when both short- and long-term outcomes are considered and worst-case analysis suggests that THA remains minimally cost- effective for this oldest age category.
New England Journal of MedicineRacial, Ethnic, and Geographic Disparities in Rates of Knee Arthroplasty among Medicare Patients
521 Citations2003Jonathan Skinner, James N. Weinstein +2 more
In the Medicare population, the rate of surgical treatment for osteoarthritis of the knee varies dramatically according to sex, race or ethnic group, and region, which underscores the importance of geography and sex in determining racial or ethnic barriers to health care.
JAMAPatient Outcomes Following Tricompartmental Total Knee Replacement
494 Citations1994Christopher M. Callahan
Tricompartmental knee replacement was a safe and effective procedure for the patients reported in these studies and the knee pathology and the type of prosthesis were significant predictors of outcomes.
Arthritis & RheumatismTrends in incidence and mortality in rheumatoid arthritis in Rochester, Minnesota, over a forty‐year period
480 Citations2002Michele F. Doran, Gregory R. Pond +3 more
The secular trends demonstrated in this study population, including the progressive decline in the incidence of RA over the last 40 years, suggest that an environmental factor may play a role in the etiology of RA.
Journal of Bone and Joint SurgeryFACTORS AFFECTING THE DURABILITY OF PRIMARY TOTAL KNEE PROSTHESES
464 Citations2003James A. Rand, Robert T. Trousdale +2 more
Significant risk factors for failure of total knee arthroplasty were the type of implant, age and gender of the patient, diagnosis, type of fixation, and design of the patellar component.
Journal of Bone and Joint SurgeryEpidemiology of Total Knee Replacement in the United States Medicare Population
378 Citations2005Nizar N. Mahomed
Overall, the rates of postoperative complications during the ninety days following total knee replacement are low, and in the United States, blacks and individuals with low income undergo total knee Replacement less frequently and generally have higher rates of adverse outcomes following primary knee replacement.
Journal of Bone and Joint SurgeryPREVALENCE OF PRIMARY AND REVISION TOTAL HIP AND KNEE ARTHROPLASTY IN THE UNITED STATES FROM 1990 THROUGH 2002
369 Citations2005Steven M. Kurtz, Fionna Mowat +4 more
Medical CareDetermining the Need for Hip and Knee Arthroplasty: The Role of Clinical Severity and Patients??? Preferences
307 Citations2001Gillian Hawker, James G. Wright +6 more
Demonstrable need and willingness were greater in the high-rate area, suggesting these factors explain in part the observed geographic rate variations for this procedure.
New England Journal of MedicineThe Threat to Medical-Records Research
247 Citations1997L. Joseph Melton
The potential for misuse of personal information by insurers and employers has heightened concern about the confidentiality of medical records, and legislation has been passed in Minnesota that restricts access to medical records for research purposes, and similar measures are proposed in some federal legislation.
Arthritis & RheumatismDifferences in expectations of outcome mediate African American/white patient differences in “willingness” to consider joint replacement
204 Citations2002Said A. Ibrahim, Laura A. Siminoff +2 more
African American patients were less likely than white patients to express "willingness" to consider joint replacement if the procedure was needed and recommended, and this difference was explained by differences between the groups in their expectations of hospital course, pain, and function following replacement surgery.
Seminars in Arthritis and RheumatismObesity and osteoarthritis of the knee: Evidence from the national health and nutrition examination survey (NHANES I)
190 Citations1990Maradee A. Davis, Walter H. Ettinger +1 more
Controlling for age, sex, serum cholesterol, serum uric acid, diabetes, body fat distribution, bone density, and blood pressure did not significantly reduce the association between obesity and knee OA.
PubMedDemographic variation in the rate of knee replacement: a multi-year analysis.
188 Citations1996Barry P. Katz, Deborah A. Freund +7 more
The practice variation of knee replacements in the elderly over time from 1985-1990 is described in terms of the number of primary, bilateral, and revision KRs; the extent of large area variation in performance rates; and the degree to which demographic variables are the determinants of area rates.
PubMedNIH Consensus Statement on total knee replacement.
174 Citations2007
The success of primary TKR in most patients is strongly supported by more than 20 years of followup data, and there appears to be rapid and substantial improvement in the patient's pain, functional status, and overall health-related quality of life after TKR.
Medical CareUnderstanding Ethnic Differences in the Utilization of Joint Replacement for Osteoarthritis
159 Citations2002Said A. Ibrahim, Laura A. Siminoff +2 more
Black patients were less likely than white patients to be familiar with joint replacement surgery and more likely to express concerns about postsurgical pain and difficulty walking.
Clinical Orthopaedics and Related ResearchTotal Knee Arthroplasty in Patients 55 Years Old or Younger
157 Citations1998Gavan P. Duffy, Robert T. Trousdale +1 more
Cemented total knee arthroplasty in the young patient is a reliable procedure and has excellent results at 13-year followup with an estimated survivorship of 99% at 10 years.
Acta OrthopaedicaTotal hip arthroplasty for primary osteoarthrosis in younger patients in the Finnish arthroplasty register
140 Citations2005Antti Eskelinen, Ville Remes +4 more
Modern uncemented stems seem to have better resistance to aseptic loosening than cemented stems in younger patients, and when all revisions are taken into account, the survival of modernuncemented cups is no better than that of all-poly cemented cups.
Journal of Bone and Joint SurgeryGeographic variations in the rates of elective total hip and knee arthroplasties among Medicare beneficiaries in the United States.
140 Citations1992Mark G. Peterson, James P. Hollenberg +4 more
The variations in the rates of elective total hip and total knee arthroplasties for 1988 in the United States were analyzed to determine whether the rates correlated with the numbers of surgeons, and both operations were most common in the seventy to seventy-four-year age-group.
PubMedRacial differences in the use of total knee arthroplasty for osteoarthritis among older Americans.
135 Citations1994Wilson Mg, May Ds +1 more
Findings suggest that even though elderly blacks have higher rates of knee osteoarthritis, they do not receive total knee arthroplasty as often as do elderly whites, and inequality in the use of this procedure would likely persist.
Annals of the Rheumatic DiseasesChanges in the rates of joint surgery among patients with rheumatoid arthritis in California, 1983–2007
132 Citations2009Grant H. Louie, Michael M. Ward
Rates of joint surgery in RA peaked in the 1990s and have declined thereafter, suggesting that longterm outcomes of RA are improving.
Journal of Bone and Joint SurgeryTotal hip arthroplasty with cement. A long-term radiographic analysis in patients who are older than fifty and younger than fifty years.
128 Citations1990Augusto Sarmiento, Edward Ebramzadeh +2 more
In the cohort of patients who had osteoarthrosis, the performance of the prosthesis did not differ significantly between older and younger patients; therefore, the differences that were observed were attributed to the disease--that is, to rheumatoid arthritis or avascular necrosis.
PubMedEvaluation of coding data quality of the HCUP National Inpatient Sample.
124 Citations2000Berthelsen Cl
Coding error rates were found to vary widely among states, hospitals within states, geographic location, and hospital characteristics.
Journal of Bone and Joint SurgeryThe Dartmouth Atlas of Musculoskeletal Health Care
116 Citations2001Clement B. Sledge
The figures, largely in the form of maps showing “Health Referral Regions” in the United States, are beautifully reproduced but are something of an eye-test for anyone trying to determine activity at the level of an individual region.
Acta OrthopaedicaKnee replacement: epidemiology, outcomes, and trends in Southern California 17,080 replacements from 1995 through 2004
107 Citations2008Monti Khatod, Maria C. Inacio +5 more
Comparisons of the study population and the underlying general populations of interest indicate that this population can be used to predict the incidences and outcomes of TKA in the general population of California and of the United States as a whole.
Medical CareRacial Disparities in Joint Replacement Use Among Older Adults
105 Citations2003Dorothy D. Dunlop, Jing Song +2 more
These national data document low rates of arthritis-related joint replacement among older Hispanic persons comparable to black persons, and less use among older minorities compared with white persons is not explained by differences in health needs or economic access.
Medical CareDisparity in Total Hip Replacement Affecting Hispanic Medicare Beneficiaries
72 Citations2002Agustín Escalante, Jane Barrett +4 more
Because Medicare covers THR, the findings suggest that under utilization of THR by Hispanic persons cannot be attributed to lack of health insurance alone.
Journal of Bone and Joint SurgeryEPIDEMIOLOGY OF TOTAL KNEE REPLACEMENT IN THE UNITED STATES MEDICARE POPULATION
64 Citations2005Nizar N. Mahomed, Jane Barrett +4 more
Mayo Clinic ProceedingsTotal Knee Arthroplasty: A Population-Based Study
62 Citations1991JEFFREY P. QUAM, Clement J. Michet +5 more
By extrapolating the rates of TKA in Olmsted County to the total 1986 US population, it is estimated that there is a need for at least 143,000 TKAs annually at a direct cost of more than $2.3 billion each year.
Mayo Clinic ProceedingsTrends in the Utilization of Primary Total Hip Arthroplasty, 1969 Through 1990: A Population-Based Study in Olmsted County, Minnesota
59 Citations1993Rajan Madhok, David G. Lewallen +4 more
The KneeTotal knee arthroplasty effectiveness in patients 55 years old and younger: Osteoarthritis vs. rheumatoid arthritis
47 Citations2006Merrill A. Ritter, Joseph D. Lutgring +3 more
Total knee arthroplasty is an effective operation in patients younger then 55 years old and younger using a posterior cruciate-retaining prosthesis and continued over time with an estimated survival rate of 94.8% at 12 years.
Archives of Internal MedicineBreast Biopsy Utilization
40 Citations2005Karthik Ghosh, L. Joseph Melton +7 more
The utilization rate of breast biopsies remained fairly constant throughout the study period despite the introduction of the image-guided, core-needle biopsy procedure in 1992.
Arthritis Care & ResearchClinical appropriateness and not race predicted referral for joint arthroplasty
29 Citations2009Dennis C. Ang, Golda James +1 more
In this sample of primary care clinic patients, African Americans and whites were equally likely to be referred by their physicians to orthopedic surgery, and not race or TJA-specific health beliefs.
Journal of Clinical EpidemiologyTrends in the utilization of silicone breast implants, 1964–1991, and methodology for a population-based study of outcomes
25 Citations1995Sherine E. Gabriel, W. Michael O’Fallon +4 more
An examination of the characteristics of Olmsted County, Minnesota, women who received silicone breast implants between 1964 and 1991 reveals that recent utilization of breast implants has increased more rapidly among rural than among urban women, and that the proportion of women receiving implants for breast cancer mastectomy reconstruction has increased in recent years.
Mayo Clinic ProceedingsDecline in Bilateral Orchiectomy for Prostate Cancer in Olmsted County, Minnesota, 1956–2000
23 Citations2001L. Joseph Melton, Khalid I. Alothman +3 more
The declining incidence of prostate cancer in recent years, combined with a shift to earlier stages and younger ages at diagnosis, and the development of pharmacological approaches to hormonal manipulation have led to a dramatic decline in the utilization of bilateral orchiectomy, while unilateral orchectomy rates have remained unchanged.
International Journal for Quality in Health CareAppropriateness of total hip joint replacement
20 Citations2005José M. Quintana, Antonio Escobar +3 more
Compared with previously, there has been improvement in the use of this technique, although both periods are not methodologically comparable.
Health AffairsThe Case For National Health Data Standards
19 Citations1997Rosanna M. Coffey, J K Ball +4 more
This paper compares statewide inpatient data systems to one standard--the Uniform Bill (UB)--to understand how standards have been used and how they can be improved.
Medical CareUnraveling Gender and Ethnic Variation in the Utilization of Elective Procedures
18 Citations2002María E. Suarez‐Almazor
Although this procedure involves major surgery, it has an excellent outcome for most patients with substantial pain relief and improvement in functional status and quality of life, and the rates for total joint replacement show major geographical variations.
International Journal of Technology Assessment in Health CareEVALUATION OF THE APPROPRIATENESS OF HIP JOINT REPLACEMENT TECHNIQUES
15 Citations2000José M. Quintana, Jesús Azkárate +4 more
The appropriate use of HJR, as measured by the criteria established by the panel, identified a moderate percentage of inappropriate indications, mainly in the osteoarthritis group.
