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Factors associated with the incidence of revision total knee arthroplasty in Korea between 2007 and 2012: an analysis of the National Claim Registry.

Shin CH, Chang CB, Cho SH, Jeong JH, Kang SB - BMC Musculoskelet Disord (2015)

Bottom Line: We investigated the factors associated with the incidence of revision TKA using a nationally representative database.The revision TKA incidence rate in young males was significantly higher compared to that in elderly females.This data could inform clinical decisions and healthcare strategies.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, 20, Boramae-ro 5-gil, Seoul, Dongjak-gu, 156-707, Republic of Korea. drshinch@gmail.com.

ABSTRACT

Background: The number of revision total knee arthroplasties (TKAs) in Asian countries is projected to increase with the rapid growth of primary TKA. We investigated the factors associated with the incidence of revision TKA using a nationally representative database.

Methods: Data collected by the Health Insurance Review Agency of Korea, from 260,068 TKA patients between 2007 and 2012, were used to estimate the incidence rate and cumulative incidence of revision TKA according to age, gender, and hospital TKA and prosthesis manufacturer volume. Age, hospital, and manufacturer volume were categorized into three groups. The incidence rates and cumulative incidences of revision TKA were computed by combining age and gender, and by combining hospital and prosthesis manufacturer volume.

Results: Incidence rates per 100,000 person-years were as follows: 1) by age: < 65 years, 447.2; 65-74 years, 363.7; ≥ 75 years, 270.9, 2) by gender: male, 537.8; female, 346.1; 3) by hospital volume (procedures/year): < 20, 536.9; 20-199, 432.3; ≥ 200, 300.1; and 4) by manufacturer volume (prostheses/year): < 1500, 772.3; 1500-3999, 453.9; ≥ 4000, 345.6. The revision TKA incidence rate in young males was significantly higher compared to that in elderly females. The difference in cumulative incidence, between hospitals with an annual volume of < 20 procedures and those with a volume of 20-199 procedures, was reduced for manufacturers with an annual volume of ≥ 4000. Similarly, the difference in cumulative incidence between manufacturers with an annual volume of <1500 prostheses and those with a volume of 1500-3999 prostheses was reduced in hospitals with an annual volume of ≥ 200.

Conclusion: Revision TKA incidence varied according to age, gender, and hospital and manufacturer volume. This data could inform clinical decisions and healthcare strategies.

No MeSH data available.


Cumulative incidence per 100,000 primary TKA patients of revision TKA in accordance with prosthesis manufacturer volume
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Fig5: Cumulative incidence per 100,000 primary TKA patients of revision TKA in accordance with prosthesis manufacturer volume

Mentions: Lower hospital and prosthesis manufacturer volumes were associated with higher revision TKA incidence rates (Table 2) and cumulative incidences (Figs. 4 and 5). However, during comparison of groups defined according to hospital and prosthesis manufacturer volume, the cumulative incidence of revision TKA, of lower- (<20 procedures/year) and intermediate-volume hospitals (20–199 procedures/year) was similar when prosthesis manufacturer volume was high (≥4000 prostheses/year; Fig. 6). Similarly, the difference in cumulative incidence of revision TKA, between higher- (≥4000 prostheses/year) and intermediate- (1500–3999 prostheses/year) prosthesis manufacturer volumes, was lower in the context of higher-volume hospitals (≥200 procedures/year; Fig. 7).Table 2


Factors associated with the incidence of revision total knee arthroplasty in Korea between 2007 and 2012: an analysis of the National Claim Registry.

Shin CH, Chang CB, Cho SH, Jeong JH, Kang SB - BMC Musculoskelet Disord (2015)

Cumulative incidence per 100,000 primary TKA patients of revision TKA in accordance with prosthesis manufacturer volume
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4623908&req=5

Fig5: Cumulative incidence per 100,000 primary TKA patients of revision TKA in accordance with prosthesis manufacturer volume
Mentions: Lower hospital and prosthesis manufacturer volumes were associated with higher revision TKA incidence rates (Table 2) and cumulative incidences (Figs. 4 and 5). However, during comparison of groups defined according to hospital and prosthesis manufacturer volume, the cumulative incidence of revision TKA, of lower- (<20 procedures/year) and intermediate-volume hospitals (20–199 procedures/year) was similar when prosthesis manufacturer volume was high (≥4000 prostheses/year; Fig. 6). Similarly, the difference in cumulative incidence of revision TKA, between higher- (≥4000 prostheses/year) and intermediate- (1500–3999 prostheses/year) prosthesis manufacturer volumes, was lower in the context of higher-volume hospitals (≥200 procedures/year; Fig. 7).Table 2

Bottom Line: We investigated the factors associated with the incidence of revision TKA using a nationally representative database.The revision TKA incidence rate in young males was significantly higher compared to that in elderly females.This data could inform clinical decisions and healthcare strategies.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, 20, Boramae-ro 5-gil, Seoul, Dongjak-gu, 156-707, Republic of Korea. drshinch@gmail.com.

ABSTRACT

Background: The number of revision total knee arthroplasties (TKAs) in Asian countries is projected to increase with the rapid growth of primary TKA. We investigated the factors associated with the incidence of revision TKA using a nationally representative database.

Methods: Data collected by the Health Insurance Review Agency of Korea, from 260,068 TKA patients between 2007 and 2012, were used to estimate the incidence rate and cumulative incidence of revision TKA according to age, gender, and hospital TKA and prosthesis manufacturer volume. Age, hospital, and manufacturer volume were categorized into three groups. The incidence rates and cumulative incidences of revision TKA were computed by combining age and gender, and by combining hospital and prosthesis manufacturer volume.

Results: Incidence rates per 100,000 person-years were as follows: 1) by age: < 65 years, 447.2; 65-74 years, 363.7; ≥ 75 years, 270.9, 2) by gender: male, 537.8; female, 346.1; 3) by hospital volume (procedures/year): < 20, 536.9; 20-199, 432.3; ≥ 200, 300.1; and 4) by manufacturer volume (prostheses/year): < 1500, 772.3; 1500-3999, 453.9; ≥ 4000, 345.6. The revision TKA incidence rate in young males was significantly higher compared to that in elderly females. The difference in cumulative incidence, between hospitals with an annual volume of < 20 procedures and those with a volume of 20-199 procedures, was reduced for manufacturers with an annual volume of ≥ 4000. Similarly, the difference in cumulative incidence between manufacturers with an annual volume of <1500 prostheses and those with a volume of 1500-3999 prostheses was reduced in hospitals with an annual volume of ≥ 200.

Conclusion: Revision TKA incidence varied according to age, gender, and hospital and manufacturer volume. This data could inform clinical decisions and healthcare strategies.

No MeSH data available.