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Type: Journal article
Title: Lifetime risk of primary total hip replacement surgery for osteoarthritis from 2003 to 2013: a multinational analysis using National Registry aata
Author: Ackerman, I.
Bohensky, M.
de Steiger, R.
Brand, C.
Eskelinen, A.
Fenstad, A.
Furnes, O.
Graves, S.
Haapakoski, J.
Mäkelä, K.
Mehnert, F.
Nemes, S.
Overgaard, S.
Pedersen, A.
Garellick, G.
Citation: Arthritis Care and Research, 2017; 69(11):1659-1667
Publisher: Wiley
Issue Date: 2017
ISSN: 2151-464X
2151-4658
Statement of
Responsibility: 
Ilana N. Ackerman, Megan A. Bohensky, Richard De Steiger, Caroline A. Brand, Antti Eskelinen, Anne Marie Fenstad, Ove Furnes, Stephen E. Graves, Jaason Haapakoski, Keijo Mäkelä, Frank Mehnert, Szilard Nemes, Søren Overgaard, Alma B. Pedersen, and Göran Garellick
Abstract: Objective. To compare the lifetime risk of total hip replacement (THR) surgery 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 men 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 (95% CI) 15.6–16.1], males 6.9% [95% CI 6.7–7.1]), and 2013 (females 16.0% [95% CI 15.8–16.3], males 8.3% [95% CI 8.1–8.5]). Conclusion. Using representative, population-based data, this study found statistically significant increases in the lifetime risk of THR in 5 countries over a 10-year period, and substantial between-sex differences. These multinational risk estimates can inform resource planning for OA service delivery.
Keywords: Osteoarthritis, Hip
Rights: © 2017, American College of Rheumatology
RMID: 0030098778
DOI: 10.1002/acr.23197
Grant ID: http://purl.org/au-research/grants/nhmrc/520004
Appears in Collections:Public Health publications

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