Lifetime Risk of Primary Total Hip Replacement Surgery for Osteoarthritis From 2003 to 2013: A Multinational Analysis Using National Registry Data

Ackerman, Ilana N.; Bohensky, Megan; Steiger, Richard de; Brand, Caroline; Eskelinen, Antti; Fenstad, Anne Marie; Furnes, Ove; Haapakoski, Jaason; Mäkelä, Keijo; Mehnert, Frank; Nemes, Szilárd; Overgaard, Søren; Pedersen, Alma B; Garellick, Göran

doi:10.1002/acr.23197

Cited by 59 publications

(42 citation statements)

References 40 publications

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“…Participants included in the analyses were representative of all participants recruited and were predominantly women (85%) and had an average body mass index of approximately 29 kg/ m 2 and a mean ± SD age of 62.4 ± 8.2 years. More than 60% [1][2][3][4][5][6][7][8][9][10][11].The other participants (n = 116) provided only control periods or case periods that were excluded because they are not informative for this particular design and analysis. Fifty-one patients (of 132 [39%]) had at least 1 hip injury.…”

Section: Resultsmentioning

confidence: 99%

“…The lifetime risk of developing hip OA can be up to 25%, with an incidence rate of 13 per 1,000 person-years (2,3). Hip OA is a major public health problem, particularly because it often leads to costly total hip replacement surgery (4). With increasing life expectancy and thus an aging population, the burden of hip OA is expected to worsen (1,5).…”

Section: Introductionmentioning

confidence: 99%

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Role of Hip Injury and Giving Way in Pain Exacerbation in Hip Osteoarthritis: An Internet‐Based Case–Crossover Study

Makovey

Metcalf

et al. 2019

Arthritis Care & Research

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of Hip Injury and Giving Way in Pain Exacerbation in Hip Osteoarthritis: An Internet‐Based Case–Crossover Study

Makovey

Metcalf

et al. 2019

Arthritis Care & Research

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“…OA: osteoarthritis. population vary across countries 27,28 , and this will likely also be the case for risks for those diagnosed with osteoarthritis.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Lifetime risk of knee and hip replacement following a GP diagnosis of osteoarthritis: a real-world cohort study

Burn

Murray

Hawker

et al. 2019

Osteoarthritis and Cartilage

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s u m m a r yObjective: The aim of this study was to estimate lifetime risk of knee and hip replacement following a GP diagnosis of osteoarthritis and assess how this risk varies with patient characteristics. Methods: Routinely collected data from Catalonia, Spain, covering 2006 to 2015, were used. Study participants had a newly recorded GP diagnosis of knee or hip osteoarthritis. Parametric survival models were specified for risk of knee/hip replacement and death following diagnosis. Survival models were combined using a Markov model and lifetime risk estimated for the average patient profile. The effects of age at diagnosis, sex, comorbidities, socioeconomic status, body mass index (BMI), and smoking on risk were assessed. Results: 48,311 individuals diagnosed with knee osteoarthritis were included, of whom 2,561 underwent knee replacement. 15,105 individuals diagnosed with hip osteoarthritis were included, of whom 1,247 underwent hip replacement. The average participant's lifetime risk for knee replacement was 30% (95% CI: 25e36%) and for hip replacement was 14% (10e19%). Notable patient characteristics influencing lifetime risk were age at diagnosis for knee and hip replacement, sex for hip replacement, and BMI for knee replacement. BMI increasing from 25 to 35 was associated with lifetime risk of knee replacement increasing from 24% (20e28%) to 32% (26e37%) for otherwise average patients. Conclusion: Knee and hip replacement are not inevitable after an osteoarthritis diagnosis, with average lifetime risks of less than a third and a sixth, respectively. Patient characteristics, most notably BMI, influence lifetime risks.

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“…Тазостегновий суглоб -найважливіший елемент опори та пересування людини у просторі, що має широкі функціональні можливості, випробовує значні статичні та динамічні навантаження та забезпечує гармонійність рухів людини (Loskutov, 2010). Дегенеративно-дистрофічні захворювання суглобів (остеоартроз, артроз, остеоартрит) належать до найпоширеніших форм ураження опорно-рухового апарату у дорослого населення багатьох країн, включно з Україною (Loskutov, 2010;Nassonova et al, 2011;Zagorodniy, 2011;Ackerman et al, 2017). Остеоартроз посідає провідну позицію серед усіх ревматичних захворювань (60-70%), а його клінічні симптоми спостерігаються у 10-20% дорослого населення (Poulsen et al, 2012;Cho et al, 2015).…”

Section: вступunclassified

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

Спіріна¹,

Феденко²,

Rokutov³

et al. 2017

Regul. Mech. Biosyst.

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The objective of this study is to evaluate the mutual influence of pain syndrome and borderline psychiatric disorders depending on its intensity and tolerability in patients with coxarthrosis who need endoprosthetics. 76 patients with coxarthrosis aged from 25 to 68 who were hospitalized in the Department of Endoprosthetics at Mechnikov Regional Clinical Hospital in Dnipro City in the period from November 2015 to September 2016 were observed. For diagnosis of psychopathological disorders, and for evaluation of the effectiveness of therapeutic interventions, the following methods were used in our research: clinical and psychopathological (technique SCL-90-R), Tаylor anxiety scale, study of the type of attitude to the disease (LOBI), Dembo-Rubinstein self-esteem scale, Leonhard-Schmieschek questionnaire for assessment of accentuation of personality traits, the Luscher 8-colour test and the Toronto alexithymia scale (TAS). Severity of pain syndrome was assessed using a visual analogue scale of pain (VAS). Forms of borderline mental disorders were diagnosed in 51 patients with coxarthrosis, such as depressive disorder (F 32) – 19 (24.8%), neurasthenia (F 48) – 12 (16.2), anxiety and phobic disorders (F 40–41) – 14 (18.1%), and personality disorders (F 60.5, F 60.6, F 60.7) – 6 (7.6%). In 25 (33.3%) patients clinically-defined forms of mental disorders were identified. Leading syndromes in these disorders were depression – 19 (24.8%) patients, anxiety and phobic – 15 (20.0%), asthenic – 10 (12.4%), hypochondriacal – 7 (9.5%) patients. According to the results of the correlation analysis, a close correlation between the severity of pain syndrome and borderline mental disorders (r = 0.779) was established for patients in the preoperative stage. The average level of pain syndrome on the VAS scale in patients with borderline mental disorders was twice as high as in patients without these disorders (63.4 vs. 32.4 points), but it does not depend on the main psychopathological syndrome. The average level of pain on the VAS scale in patients with borderline mental disorders at the preoperative stage was twice as high as in patients without these disorders (63.4 vs 32.4 points), and after surgical intervention the level decreased only by 5.9 points or 9.3%. In patients with coxarthrosis with detected borderline mental disorders (51 people) the therapy had a complex character and was conducted both at the hospital stage for one month, and in the outpatient stage as "maintenance" therapy for 3 months or more. Therapy of the neurotic state with decompensation lasted on average 6 months. Treatment included psycho-educational and therapeutic arrangements (conversations, lectures, autotraining) and psychopharmatherapy (tranquilizers, antidepressants, antipsychotics in small and medium therapeutic doses). The conducting of simultaneous corrective measures for identified borderline mental disorders in patients of the main groups contributed to a significant reduction in the severity of pain within the six-month period of observation and moved them towards the level of the patients in the control group. Borderline mental disorders that take place in patients with chronic somatic diseases, which include, in particular, coxarthrosis, significantly amplify the severity of the condition, reduce the possibility of adaptation, and thus aggravate the course and the outcome of the main disease.

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Lifetime Risk of Primary Total Hip Replacement Surgery for Osteoarthritis From 2003 to 2013: A Multinational Analysis Using National Registry Data

Cited by 59 publications

References 40 publications

Role of Hip Injury and Giving Way in Pain Exacerbation in Hip Osteoarthritis: An Internet‐Based Case–Crossover Study

Role of Hip Injury and Giving Way in Pain Exacerbation in Hip Osteoarthritis: An Internet‐Based Case–Crossover Study

Lifetime risk of knee and hip replacement following a GP diagnosis of osteoarthritis: a real-world cohort study

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

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