Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030

As the incidence of primary total joint arthroplasty rises in the United States, it is important to investigate how this will impact rates of revision arthroplasty. The purpose of this study was to analyze the incidence and future projections of revision total hip arthroplasty (rTHA) and revision to...

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Vydáno v:The Journal of arthroplasty Ročník 35; číslo 6; s. S79 - S85
Hlavní autoři: Schwartz, Andrew M., Farley, Kevin X., Guild, George N., Bradbury, Thomas L.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.06.2020
Témata:
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Humans
incidence
infection
Knee Joint
Periprosthetic Fractures
projections
Reoperation
revision hip arthroplasty
revision knee arthroplasty
United States - epidemiology
United States
projections
infection
revision knee arthroplasty
incidence
revision hip arthroplasty
ISSN:0883-5403, 1532-8406, 1532-8406
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Shrnutí:As the incidence of primary total joint arthroplasty rises in the United States, it is important to investigate how this will impact rates of revision arthroplasty. The purpose of this study was to analyze the incidence and future projections of revision total hip arthroplasty (rTHA) and revision total knee arthroplasty (rTKA) to 2030. Anticipating surgical volume will aid surgeons in designing protocols to efficiently and effectively perform rTHA/rTKA. The national inpatient sample was queried from 2002 to 2014 for all rTHA/rTKA. Using previously validated measures, Poisson and linear regression analyses were performed to project annual incidence of rTHA/rTKA to 2030, with subgroup analyses on modes of failure and age. In 2014, there were 50,220 rTHAs and 72,100 rTKAs. From 2014 to 2030, rTHA incidence is projected to increase by between 43% and 70%, whereas rTKA incidence is projected to increase by between 78% and 182%. The 55-64 and 65-74 age groups increased in revision incidence during the study period, whereas 75-84 age group decreased in incidence. For rTKA, infection and aseptic loosening are the 2 most common modes of failure, whereas periprosthetic fracture and infection are most common for rTHA. The incidence of rTHA/rTKA is projected to increase, particularly in young patients and for infection. Given the known risk factor profiles and advanced costs associated with revision arthroplasty, our projections should encourage institutions to generate revision-specific protocols to promote safe pathways for cost-effective care that is commensurate with current value-based health care trends. IV.
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ISSN:0883-5403
1532-8406
1532-8406
DOI:10.1016/j.arth.2020.02.030