The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030

Background Comprehensive national joint replacement registries with well-validated data offer unique opportunities for examining the potential future burden of hip and knee osteoarthritis (OA) at a population level. This study aimed to forecast the burden of primary total knee (TKR) and hip replacem...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMC musculoskeletal disorders Jg. 20; H. 1; S. 90 - 10
Hauptverfasser: Ackerman, Ilana N., Bohensky, Megan A., Zomer, Ella, Tacey, Mark, Gorelik, Alexandra, Brand, Caroline A., de Steiger, Richard
Format: Journal Article
Sprache:Englisch
Veröffentlicht: London BioMed Central 23.02.2019
BioMed Central Ltd
Springer Nature B.V
BMC
Schlagworte:
Arthritis
Body mass index
Body weight
Budgets
Care and treatment
Data collection
Economic burden of disease
Epidemiology
Epidemiology of musculoskeletal disorders
Health care costs
Hip
Hip replacement arthroplasty
Internal Medicine
Joint replacement
Joint surgery
Knee
Knee replacement arthroplasty
Labor force
Medical economics
Medicine
Medicine & Public Health
Musculoskeletal diseases
Obesity
Orthopedics
Osteoarthritis
Osteoarthritis - from basic and translational approaches to clinical practice
Overweight
Population forecasting
Population studies
Prostheses and implants
Rehabilitation
Research Article
Rheumatology
Sensitivity analysis
Sports Medicine
Surgery
Total hip replacement
Total knee replacement
Australia
United States > US
Obesity
Economic burden of disease
Total hip replacement
Total knee replacement
Osteoarthritis
ISSN:1471-2474, 1471-2474
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Background Comprehensive national joint replacement registries with well-validated data offer unique opportunities for examining the potential future burden of hip and knee osteoarthritis (OA) at a population level. This study aimed to forecast the burden of primary total knee (TKR) and hip replacements (THR) performed for OA in Australia to the year 2030, and to model the impact of contrasting obesity scenarios on TKR burden. Methods De-identified TKR and THR data for 2003–2013 were obtained from the Australian Orthopaedic Association National Joint Replacement Registry. Population projections and obesity trends were obtained from the Australian Bureau of Statistics, with public and private hospital costs sourced from the National Hospital Cost Data Collection. Procedure rates were projected according to two scenarios: (1) constant rate of surgery from 2013 onwards; and (2) continued growth in surgery rates based on 2003–2013 growth. Sensitivity analyses were used to estimate future TKR burden if: (1) obesity rates continued to increase linearly; or (2) 1–5% of the overweight or obese population attained a normal body mass index. Results Based on recent growth, the incidence of TKR and THR for OA is estimated to rise by 276% and 208%, respectively, by 2030. The total cost to the healthcare system would be $AUD5.32 billion, of which $AUD3.54 billion relates to the private sector. Projected growth in obesity rates would result in 24,707 additional TKRs totalling $AUD521 million. A population-level reduction in obesity could result in up to 8062 fewer procedures and cost savings of up to $AUD170 million. Conclusions If surgery trends for OA continue, Australia faces an unsustainable joint replacement burden by 2030, with significant healthcare budget and health workforce implications. Strategies to reduce national obesity could produce important TKR savings.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-019-2411-9