Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013

An international, population-level analysis

I. N. Ackerman, M. A. Bohensky, R. de Steiger, C. A. Brand, A. Eskelinen, A. M. Fenstad, O. Furnes, G. Garellick, S. E. Graves, J. Haapakoski, L. I. Havelin, K. Mäkelä, F. Mehnert, A. B. Pedersen, O. Robertsson

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)

Abstract

Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the highest risk for males (15.4%, 95%CI 15.1-15.6%). Norway had the lowest lifetime risk for females (9.7%, 95%CI 9.5-9.9%) and males (5.8%, 95%CI 5.6-5.9%) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6% to 21.1%; males: from 9.8% to 15.4%). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.

Original languageEnglish
Pages (from-to)455-461
Number of pages7
JournalOsteoarthritis and Cartilage
Volume25
Issue number4
DOIs
Publication statusPublished - Apr 2017

Keywords

  • Epidemiology
  • Health service utilisation
  • Knee arthroplasty
  • Knee replacement
  • Osteoarthritis

Cite this

Ackerman, I. N. ; Bohensky, M. A. ; de Steiger, R. ; Brand, C. A. ; Eskelinen, A. ; Fenstad, A. M. ; Furnes, O. ; Garellick, G. ; Graves, S. E. ; Haapakoski, J. ; Havelin, L. I. ; Mäkelä, K. ; Mehnert, F. ; Pedersen, A. B. ; Robertsson, O. / Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013 : An international, population-level analysis. In: Osteoarthritis and Cartilage. 2017 ; Vol. 25, No. 4. pp. 455-461.
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title = "Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013: An international, population-level analysis",
abstract = "Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8{\%}, 95{\%}CI 22.5-23.1{\%}) and Australia had the highest risk for males (15.4{\%}, 95{\%}CI 15.1-15.6{\%}). Norway had the lowest lifetime risk for females (9.7{\%}, 95{\%}CI 9.5-9.9{\%}) and males (5.8{\%}, 95{\%}CI 5.6-5.9{\%}) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6{\%} to 21.1{\%}; males: from 9.8{\%} to 15.4{\%}). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.",
keywords = "Epidemiology, Health service utilisation, Knee arthroplasty, Knee replacement, Osteoarthritis",
author = "Ackerman, {I. N.} and Bohensky, {M. A.} and {de Steiger}, R. and Brand, {C. A.} and A. Eskelinen and Fenstad, {A. M.} and O. Furnes and G. Garellick and Graves, {S. E.} and J. Haapakoski and Havelin, {L. I.} and K. M{\"a}kel{\"a} and F. Mehnert and Pedersen, {A. B.} and O. Robertsson",
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Ackerman, IN, Bohensky, MA, de Steiger, R, Brand, CA, Eskelinen, A, Fenstad, AM, Furnes, O, Garellick, G, Graves, SE, Haapakoski, J, Havelin, LI, Mäkelä, K, Mehnert, F, Pedersen, AB & Robertsson, O 2017, 'Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013: An international, population-level analysis', Osteoarthritis and Cartilage, vol. 25, no. 4, pp. 455-461. https://doi.org/10.1016/j.joca.2016.11.005

Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013 : An international, population-level analysis. / Ackerman, I. N.; Bohensky, M. A.; de Steiger, R.; Brand, C. A.; Eskelinen, A.; Fenstad, A. M.; Furnes, O.; Garellick, G.; Graves, S. E.; Haapakoski, J.; Havelin, L. I.; Mäkelä, K.; Mehnert, F.; Pedersen, A. B.; Robertsson, O.

In: Osteoarthritis and Cartilage, Vol. 25, No. 4, 04.2017, p. 455-461.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Substantial rise in the lifetime risk of primary total knee replacement surgery for osteoarthritis from 2003 to 2013

T2 - An international, population-level analysis

AU - Ackerman, I. N.

AU - Bohensky, M. A.

AU - de Steiger, R.

AU - Brand, C. A.

AU - Eskelinen, A.

AU - Fenstad, A. M.

AU - Furnes, O.

AU - Garellick, G.

AU - Graves, S. E.

AU - Haapakoski, J.

AU - Havelin, L. I.

AU - Mäkelä, K.

AU - Mehnert, F.

AU - Pedersen, A. B.

AU - Robertsson, O.

PY - 2017/4

Y1 - 2017/4

N2 - Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the highest risk for males (15.4%, 95%CI 15.1-15.6%). Norway had the lowest lifetime risk for females (9.7%, 95%CI 9.5-9.9%) and males (5.8%, 95%CI 5.6-5.9%) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6% to 21.1%; males: from 9.8% to 15.4%). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.

AB - Objective: To estimate and compare the lifetime risk of total knee replacement surgery (TKR) for osteoarthritis (OA) between countries, and over time. Method: Data on primary TKR procedures performed for OA in 2003 and 2013 were extracted from national arthroplasty registries in Australia, Denmark, Finland, Norway and Sweden. Life tables and population data were also obtained for each country. Lifetime risk of TKR was calculated for 2003 and 2013 using registry, life table and population data. Results: Marked international variation in lifetime risk of TKR was evident, with females consistently demonstrating the greatest risk. In 2013, Finland had the highest lifetime risk for females (22.8%, 95%CI 22.5-23.1%) and Australia had the highest risk for males (15.4%, 95%CI 15.1-15.6%). Norway had the lowest lifetime risk for females (9.7%, 95%CI 9.5-9.9%) and males (5.8%, 95%CI 5.6-5.9%) in 2013. All countries showed a significant rise in lifetime risk of TKR for both sexes over the 10-year study period, with the largest increases observed in Australia (females: from 13.6% to 21.1%; males: from 9.8% to 15.4%). Conclusions: Using population-based data, this study identified significant increases in the lifetime risk of TKR in all five countries from 2003 to 2013. Lifetime risk of TKR was as high as 1 in 5 women in Finland, and 1 in 7 males in Australia. These risk estimates quantify the healthcare resource burden of knee OA at the population level, providing an important resource for public health policy development and healthcare planning.

KW - Epidemiology

KW - Health service utilisation

KW - Knee arthroplasty

KW - Knee replacement

KW - Osteoarthritis

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U2 - 10.1016/j.joca.2016.11.005

DO - 10.1016/j.joca.2016.11.005

M3 - Article

VL - 25

SP - 455

EP - 461

JO - Osteoarthritis and Cartilage

JF - Osteoarthritis and Cartilage

SN - 1063-4584

IS - 4

ER -