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Title: Lifetime risk of primary total hip replacement surgery for osteoarthritis from 2003-2013: A multi-national analysis using national registry data.
Epworth Authors: de Steiger, Richard
Other Authors: Ackerman, Ilana
Bohensky, Megan
Brand, Caroline
Eskelinen, Antti
Fenstad, Anne Marie
Furnes, Ove
Graves, Stephen
Haapaloski, Jaason
Mäkelä, Keijo
Mehnert, Frank
Nemes, Szilard
Overgaard, Søren
Pedersen, Alma
Garellick, Göran
Keywords: Hip Replacement Arthroplasty
Epidemiological Monitoring
Total Hip Replacement
International Lifetime Risk
Lifetime Risk Analysis
Population Level Analysis
Arthroplasty Registry Data
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Feb-2017
Publisher: Wiley
Citation: Arthritis Care Res (Hoboken). 2017 Feb 2
Abstract: OBJECTIVE: To compare the lifetime risk of total hip replacement surgery (THR) for osteoarthritis (OA) between countries, and over time. METHODS: Data on primary THR 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 THR was calculated for 2003 and 2013 using registry, life table and population data. RESULTS: In 2003, lifetime risk of THR ranged from 8.7% (Denmark) to 15.9% (Norway) for females, and from 6.3% (Denmark) to 8.6% (Finland) for males. With the exception of females in Norway (where lifetime risk started and remained high), lifetime risk of THR increased significantly for both sexes in all countries from 2003 to 2013. In 2013, lifetime risk of THR was as high as 1 in 7 women in Norway, and 1 in 10 males in Finland. Females consistently demonstrated the highest lifetime risk of THR at both time points. Notably, lifetime risk for females in Norway was approximately double the risk for males in 2003 (females: 15.9%, 95% confidence interval (CI) 15.6% to 16.1%; males: 6.9%, 95%CI 6.7% to 7.1%) and 2013 (females: 16.0%, 95%CI 15.8% to 16.3%; males: 8.3%, 95%CI 8.1 to 8.5%). CONCLUSION: Using representative, population-based data, this study found statistically significant increases in the lifetime risk of THR in five countries over a 10-year period, and substantial between-sex differences. These multi-national risk estimates can inform resource planning for OA service delivery.
DOI: 10.1002/acr.23197
PubMed URL:
ISSN: 0893-7524
Journal Title: Arthritis Care and Research
Type: Journal Article
Affiliated Organisations: Monash University, Melbourne, Australia.
The University of Melbourne, Melbourne, Australia.
Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, Australia.
Coxa Hospital for Joint Replacement, Tampere, Finland.
The Norwegian Arthroplasty Register, Bergen, Norway.
University of Bergen, Bergen, Norway.
The Finnish Arthroplasty Register, Helsinki, Finland.
Turku University Hospital, Turku, Finland.
Aarhus University Hospital, Aarhus, Denmark.
Danish Hip Arthroplasty Register, Aarhus, Denmark.
Swedish Hip Arthroplasty Register, Gothenburg, Sweden.
Odense University Hospital, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.
University of Gothenburg, Gothenburg, Sweden.
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Musculoskeletal

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