A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008

Jasvinder A. Singh, Michael B. Vessely, W. Scott Harmsen, Cathy D. Schleck, L. Joseph Melton, Robert L. Kurland, Daniel J. Berry

Research output: Contribution to journalArticle

126 Citations (Scopus)

Abstract

OBJECTIVE: To study the rates of use of total hip arthroplasty (THA) and total knee arthroplasty (TKA) during the past 4 decades. METHODS: The Rochester Epidemiology Project was used to identify all Olmsted County, Minnesota, residents who underwent THA or TKA from January 1, 1969, through December 31, 2008. We used a population-based approach because few data are available on long-term trends in the use of THA and TKA in the United States. Rates of use were determined by age- and sex-specific person-years at risk. Poisson regression was used to assess temporal trends by sex and age group. RESULTS: The age- and sex-adjusted use of THA increased from 50.2 (95% confidence interval [CI], 40.5-59.8) per 100,000 person-years in 1969-1972 to 145.5 (95% CI, 134.2-156.9) in 2005-2008, whereas TKA increased markedly from 31.2 (95% CI, 25.3-37.1) per 100,000 person-years in 1971-1976 to 220.9 (95% CI, 206.7-235.0) in 2005-2008. For both procedures, use was greater among females, and the rate generally increased with age. CONCLUSION: In this community, TKA and THA use rates have increased steadily since the introduction of the procedures and continue to increase for all age groups. On the basis of these population-based data, the probable need for TKA and THA exceeds current federal agency projections.

Original languageEnglish (US)
Pages (from-to)898-904
Number of pages7
JournalMayo Clinic Proceedings
Volume85
Issue number10
DOIs
StatePublished - 2010

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Knee Replacement Arthroplasties
Arthroplasty
Hip
Confidence Intervals
Population
Age Groups
Epidemiology

ASJC Scopus subject areas

  • Medicine(all)

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Singh, J. A., Vessely, M. B., Harmsen, W. S., Schleck, C. D., Melton, L. J., Kurland, R. L., & Berry, D. J. (2010). A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. Mayo Clinic Proceedings, 85(10), 898-904. https://doi.org/10.4065/mcp.2010.0115

A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. / Singh, Jasvinder A.; Vessely, Michael B.; Harmsen, W. Scott; Schleck, Cathy D.; Melton, L. Joseph; Kurland, Robert L.; Berry, Daniel J.

In: Mayo Clinic Proceedings, Vol. 85, No. 10, 2010, p. 898-904.

Research output: Contribution to journalArticle

Singh, JA, Vessely, MB, Harmsen, WS, Schleck, CD, Melton, LJ, Kurland, RL & Berry, DJ 2010, 'A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008', Mayo Clinic Proceedings, vol. 85, no. 10, pp. 898-904. https://doi.org/10.4065/mcp.2010.0115
Singh, Jasvinder A. ; Vessely, Michael B. ; Harmsen, W. Scott ; Schleck, Cathy D. ; Melton, L. Joseph ; Kurland, Robert L. ; Berry, Daniel J. / A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. In: Mayo Clinic Proceedings. 2010 ; Vol. 85, No. 10. pp. 898-904.
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abstract = "OBJECTIVE: To study the rates of use of total hip arthroplasty (THA) and total knee arthroplasty (TKA) during the past 4 decades. METHODS: The Rochester Epidemiology Project was used to identify all Olmsted County, Minnesota, residents who underwent THA or TKA from January 1, 1969, through December 31, 2008. We used a population-based approach because few data are available on long-term trends in the use of THA and TKA in the United States. Rates of use were determined by age- and sex-specific person-years at risk. Poisson regression was used to assess temporal trends by sex and age group. RESULTS: The age- and sex-adjusted use of THA increased from 50.2 (95{\%} confidence interval [CI], 40.5-59.8) per 100,000 person-years in 1969-1972 to 145.5 (95{\%} CI, 134.2-156.9) in 2005-2008, whereas TKA increased markedly from 31.2 (95{\%} CI, 25.3-37.1) per 100,000 person-years in 1971-1976 to 220.9 (95{\%} CI, 206.7-235.0) in 2005-2008. For both procedures, use was greater among females, and the rate generally increased with age. CONCLUSION: In this community, TKA and THA use rates have increased steadily since the introduction of the procedures and continue to increase for all age groups. On the basis of these population-based data, the probable need for TKA and THA exceeds current federal agency projections.",
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