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Trends in the utilisation rates and acute hospital capacity needs for total hip replacements: results of an analysis of administrative data.

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Název: Trends in the utilisation rates and acute hospital capacity needs for total hip replacements: results of an analysis of administrative data.
Autoři: Bouckaert N, Van Den Heede K, Van De Voorde C
Zdroj: Acta orthopaedica Belgica [Acta Orthop Belg] 2020 Jun; Vol. 86 (2), pp. 253-261.
Způsob vydávání: Journal Article
Jazyk: English
Informace o časopise: Publisher: Acta Medica Belgica Country of Publication: Belgium NLM ID: 2985165R Publication Model: Print Cited Medium: Internet ISSN: 0001-6462 (Print) Linking ISSN: 00016462 NLM ISO Abbreviation: Acta Orthop Belg Subsets: MEDLINE
Imprint Name(s): Publication: Bruxelles : Acta Medica Belgica
Original Publication: Bruxelles.
Výrazy ze slovníku MeSH: Arthroplasty, Replacement, Hip*/economics , Arthroplasty, Replacement, Hip*/methods , Arthroplasty, Replacement, Hip*/statistics & numerical data , Arthroplasty, Replacement, Hip*/trends , Health Planning*/methods , Health Planning*/organization & administration , Procedures and Techniques Utilization*/statistics & numerical data , Procedures and Techniques Utilization*/trends, Aged ; Belgium/epidemiology ; Female ; Forecasting ; Health Services Needs and Demand/organization & administration ; Hospital Bed Capacity/statistics & numerical data ; Hospitalization/statistics & numerical data ; Humans ; Incidence ; Male ; Middle Aged ; Population Dynamics/trends ; Population Forecast/methods
Abstrakt: Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models. The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273). The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age. Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.
Entry Date(s): Date Created: 20210108 Date Completed: 20211008 Latest Revision: 20211008
Update Code: 20250114
PMID: 33418616
Databáze: MEDLINE
Popis
Abstrakt:Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models. The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273). The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age. Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.
ISSN:0001-6462