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The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study

Total knee replacement (TKR) is considered as one of the most success among clinical interventions for patients with who suffering from knee osteoarthritis (OA). We sought to estimate the incidence of TKR using demographics, incidence rates, lengths of hospital stay, and costs from 1996 to 2010 by a...

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Autores principales: Lin, Fu-Huang, Chen, Hsiang-Cheng, Lin, Chin, Chiu, Yu-Lung, Lee, Herng-Sheng, Chang, Hung, Huang, Guo-Shu, Chang, Hsueh-Lu, Yeh, Shih-Jen, Su, Wen, Wang, Chih-Chien, Su, Sui-Lung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081077/
https://www.ncbi.nlm.nih.gov/pubmed/30075592
http://dx.doi.org/10.1097/MD.0000000000011749
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author Lin, Fu-Huang
Chen, Hsiang-Cheng
Lin, Chin
Chiu, Yu-Lung
Lee, Herng-Sheng
Chang, Hung
Huang, Guo-Shu
Chang, Hsueh-Lu
Yeh, Shih-Jen
Su, Wen
Wang, Chih-Chien
Su, Sui-Lung
author_facet Lin, Fu-Huang
Chen, Hsiang-Cheng
Lin, Chin
Chiu, Yu-Lung
Lee, Herng-Sheng
Chang, Hung
Huang, Guo-Shu
Chang, Hsueh-Lu
Yeh, Shih-Jen
Su, Wen
Wang, Chih-Chien
Su, Sui-Lung
author_sort Lin, Fu-Huang
collection PubMed
description Total knee replacement (TKR) is considered as one of the most success among clinical interventions for patients with who suffering from knee osteoarthritis (OA). We sought to estimate the incidence of TKR using demographics, incidence rates, lengths of hospital stay, and costs from 1996 to 2010 by analyzing Taiwan's National Health Insurance Research Database. A total of 154,553 patients obtained primary TKR surgery between 1996 and 2010. The diagnosis code for knee OA and the procedure code for TKR were selected from the records. To compare the rate of TKR between covariables, we calculated the TKR risk ratios and 95% confidence interval (CI) of these variables (gender, age, age group, and primary diagnoses). A 2-tailed P-value of .05 was considered statistically significant. The statistical package SPSS version 20.0 (SPSS, Chicago, IL) was used to conduct all the statistical analyzes. We analyzed 154,553 TKRs performed by surgeons in Taiwan from 1996 to 2010. The overall crude incidence increased from 26.4 to 74.55 TKR per 100,000 inhabitants from 1996 to 2010. TKR incidence for the 70 to 79 years age group increased from 227 to 505 per 100,000 people from 1996 to 2010. The age-standardized rate ratios for TKR of women to men ranged from 2.5 to 3.0. The mean average length of stay in hospital was 15 days in 1996 and decreased to 8 days in 2010. During the study period, the adjusted mean cost per patient decreased from US$7485 to US$4827. Health expenditures for TKR were 5% of total National Health Insurance expenditure every year. Over the 15-year period, Taiwan's TKR incidence tripled, which is consistent with population ageing. Arthritis will be a major public health issue in the ageing population in the future.
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spelling pubmed-60810772018-08-17 The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study Lin, Fu-Huang Chen, Hsiang-Cheng Lin, Chin Chiu, Yu-Lung Lee, Herng-Sheng Chang, Hung Huang, Guo-Shu Chang, Hsueh-Lu Yeh, Shih-Jen Su, Wen Wang, Chih-Chien Su, Sui-Lung Medicine (Baltimore) Research Article Total knee replacement (TKR) is considered as one of the most success among clinical interventions for patients with who suffering from knee osteoarthritis (OA). We sought to estimate the incidence of TKR using demographics, incidence rates, lengths of hospital stay, and costs from 1996 to 2010 by analyzing Taiwan's National Health Insurance Research Database. A total of 154,553 patients obtained primary TKR surgery between 1996 and 2010. The diagnosis code for knee OA and the procedure code for TKR were selected from the records. To compare the rate of TKR between covariables, we calculated the TKR risk ratios and 95% confidence interval (CI) of these variables (gender, age, age group, and primary diagnoses). A 2-tailed P-value of .05 was considered statistically significant. The statistical package SPSS version 20.0 (SPSS, Chicago, IL) was used to conduct all the statistical analyzes. We analyzed 154,553 TKRs performed by surgeons in Taiwan from 1996 to 2010. The overall crude incidence increased from 26.4 to 74.55 TKR per 100,000 inhabitants from 1996 to 2010. TKR incidence for the 70 to 79 years age group increased from 227 to 505 per 100,000 people from 1996 to 2010. The age-standardized rate ratios for TKR of women to men ranged from 2.5 to 3.0. The mean average length of stay in hospital was 15 days in 1996 and decreased to 8 days in 2010. During the study period, the adjusted mean cost per patient decreased from US$7485 to US$4827. Health expenditures for TKR were 5% of total National Health Insurance expenditure every year. Over the 15-year period, Taiwan's TKR incidence tripled, which is consistent with population ageing. Arthritis will be a major public health issue in the ageing population in the future. Wolters Kluwer Health 2018-08-03 /pmc/articles/PMC6081077/ /pubmed/30075592 http://dx.doi.org/10.1097/MD.0000000000011749 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle Research Article
Lin, Fu-Huang
Chen, Hsiang-Cheng
Lin, Chin
Chiu, Yu-Lung
Lee, Herng-Sheng
Chang, Hung
Huang, Guo-Shu
Chang, Hsueh-Lu
Yeh, Shih-Jen
Su, Wen
Wang, Chih-Chien
Su, Sui-Lung
The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title_full The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title_fullStr The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title_full_unstemmed The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title_short The increase in total knee replacement surgery in Taiwan: A 15-year retrospective study
title_sort increase in total knee replacement surgery in taiwan: a 15-year retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081077/
https://www.ncbi.nlm.nih.gov/pubmed/30075592
http://dx.doi.org/10.1097/MD.0000000000011749
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