Declining incidence of acromioplasty in Finland

Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on su...

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Bibliographic Details
Published in:ACTA ORTHOPAEDICA Vol. 86; no. 2; pp. 220 - 224
Main Authors: Paloneva, Juha, Lepola, Vesa, Karppinen, Jaro, Ylinen, Jari, Äärimaa, Ville, Mattila, Ville M
Format: Journal Article Publication
Language:English
Published: England Nordic Orthopaedic Federation 01.04.2015
Informa Healthcare
Subjects:
Acromion - surgery
Adult
Aged
Arthroplasty - trends
Databases, Factual
Female
Finland
Hospitals, Private - statistics & numerical data
Hospitals, Proprietary - statistics & numerical data
Hospitals, Public - statistics & numerical data
Humans
Male
Middle Aged
Orthopedic Procedures - trends
Practice Patterns, Physicians' - trends
Shoulder
Shoulder Impingement Syndrome - surgery
Finland
ISSN:1745-3674, 1745-3682, 1745-3682
Online Access:Get full text
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Summary:Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. Results - The incidence of acromioplasty increased by 117% from 75 to 163 per 105 person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 105 person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics. Interpretation - We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.
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ISSN:1745-3674
1745-3682
1745-3682
DOI:10.3109/17453674.2014.977703