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EUROHIP pp 5–19Cite as

International Variation in Hip Replacement Rates

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Abstract

Radiographically-defined osteoarthritis (OA) of the hip affects about 15% of individuals over 65 years old in countries with Caucasian populations [1–3]. Hip OA can lead to pain and impaired function, and is known to be an important cause of disability in later life. Total direct and indirect costs of musculoskeletal diseases, of which arthritis is an important subcategory, have risen in the last 15 years, accounting for up to 1–3.5% of the gross national product in countries like Australia, Canada, the United States or the United Kingdom [4–7].

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References

  1. Sun Y, Stürmer T, Günther K, Brenner H. Inzidenz und Prävalenz der Cox- und Gonarthrose in der Allgemeinbevölkerung. Z Orthop 1997;135:184–192.

    Article  PubMed  CAS  Google Scholar 

  2. Ingvarsson T, Hägglund G, Lohmander LS. Prevalence of hip osteoarthritis in Iceland. Ann Rheum Dis 1999;58:201–201.

    Article  PubMed  CAS  Google Scholar 

  3. Williamson OW. Measuring the success of joint replacement surgery. Med J Aust 1999;171:229–230.

    PubMed  CAS  Google Scholar 

  4. Badley EM. The economic burden of musculoskeletal disorders in Canada is similar to that for cancer, and may be higher. J Rheumatol 1995;22:204–206.

    PubMed  CAS  Google Scholar 

  5. Coyte PC, Asche CV, Croxford R, Chan B. The economic cost of musculoskeletal disorders in Canada. Arthritis Care Res 1998;11:315–325.

    Article  PubMed  CAS  Google Scholar 

  6. March LM, Bachmeier CJM. Economics of osteoarthritis: a global perspective. Baillieres Clin Rheumatol 1997;11:817–834.

    Article  PubMed  CAS  Google Scholar 

  7. Yelin E, Callahan LF. The economic cost and social and psychological impact of musculoskeletal conditions. National Arthritis Data Work Groups. Arthritis Rheum 1995;38:1351–1362.

    Article  PubMed  CAS  Google Scholar 

  8. Bachmeier CJ, March LM, Cross MJ, Lapsley HM, Tribe KL, Courtenay BG, et al. A comparison of outcomes in osteoarthritis patients undergoing total hip and knee replacement surgery. Osteoarthritis Cartilage 2001;9:137–146.

    Article  PubMed  CAS  Google Scholar 

  9. Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME. Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol 2000;27:1745–1752.

    PubMed  CAS  Google Scholar 

  10. Tate D, Sculco TP. Advances in total hip arthroplasty. Am J Orthop 1998;27:274–282.

    PubMed  Google Scholar 

  11. Towheed TE, Hochberg MC. Health-related quality of life after total hip replacement. Semin Arthritis Rheum 1996;26:483–491.

    Article  PubMed  CAS  Google Scholar 

  12. Hirsch HS. Total joint replacement: a cost-effective procedure for the 1990s. Med Health R I 1998;81:162–164.

    PubMed  CAS  Google Scholar 

  13. Chang RW, Pellisier JM, Hazen GB. A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA 1996;275:858–865.

    Article  PubMed  CAS  Google Scholar 

  14. Havelin LI. The Norwegian joint registry. Bull Hosp Jt Dis 1999;58:139–147.

    PubMed  CAS  Google Scholar 

  15. Ingvarsson T, Hägglund G, Jonsson H, Lohmander LS. Incidence of total hip replacement for primary osteoarthrosis in Iceland 1982–1996. Acta Orthop Scand 1999;70:229–233.

    Article  PubMed  CAS  Google Scholar 

  16. Herberts P, Malchau H. How outcome studies have changed total hip arthroplasty practices in Sweden. Clin Orthop 1997;344:44–60.

    PubMed  Google Scholar 

  17. Okhuijsen SY, Dhert WJA, Faro LMC, Schrijvers AJP, Verbout AJ. De totaleheupprothese in Nederland. Ned Tidschr Geneeskd 1998;142:1434–1438.

    CAS  Google Scholar 

  18. Birrell F, Johnell O, Silman A. Projectiong the need for hip replacement over the next three decades: influence of changing demography and threshold for surgery. Ann Rheum Dis 1999;58:569–572.

    Article  PubMed  CAS  Google Scholar 

  19. Dunsmuir RA, Allan DB, Davidson LAG. Increased incidence of primary total hip replacement in rural communities. BMJ 1996;313:1370.

    Article  PubMed  CAS  Google Scholar 

  20. Overgaard S, Knudsen HM, Hansen LN, Mossing N. Hip arthroplasty in Jutland, Denmark – Age and sex-specific incidences of primary operations. Acta Orthop Scand 1992;63:536–538.

    Article  PubMed  CAS  Google Scholar 

  21. Paavolainen P, Hämäläinen M, Mustonen H, Slätis P. Registration of arthroplasties in Finland. Acta Orthop Scand 1991;62:27–30.

    Article  Google Scholar 

  22. Gentleman JF, Vayda E, Parsons GF, Walsh MN. Surgical rates in subprovincial areas across Canada: ranking of 39 procedures in order of variation. Can J Surg 1996;39:361–367.

    PubMed  CAS  Google Scholar 

  23. Madhock R, Lewallen DG, Wallrichs SL, Ilstrup DM, Kurland RL, Melton LJ. Trends in the utilization of primary total hip arthroplasty, 1969 through 1990: a population-based study in Olmsted County, Minnesota. Mayo Clin Proc 1993;68:11–18.

    Article  Google Scholar 

  24. Hoaglund FT, Oishi CS, Gialamas GG. Extreme variations in racial rates of total hip arthroplasty for primary coxarthrosis: a population-based study in San Francisco. Ann Rheum Dis 1995;54:107–110.

    Article  PubMed  CAS  Google Scholar 

  25. Gittelsohn AM, Halpern J, Sanchez RL. Income, race, and surgery in Maryland. Am J Public Health 1991;81:1435–1441.

    Article  PubMed  CAS  Google Scholar 

  26. Oishi CS, Hoaglund FT, Gordon L, Ross PD. Total hip replacement rates are higher among Caucasians than Asians in Hawaii. Clin Orthop 1998;353:166–174.

    Article  PubMed  Google Scholar 

  27. Naylor CD, De Boer DP. Variations in selected surgical procedures and medical diagnosis by year and region. In: Goel V, Williams JI, Anderson GM, Blackstien-Hirsch P, Fooks C, Naylor CD (eds). Patterns of health care in Ontario. The ICES Practice Atlas, 2nd Edition. Ottawa: Canadian Medical Association, 1996:54–63.

    Google Scholar 

  28. Sheldon T, Eastwood A, Sowden A, Sharp. Total hip replacement. Effective Health Care 1996;2:1–12.

    Google Scholar 

  29. Havelin LI, Espehaug B, Vollset SE, Engesæter LB, Langeland N. The Norwegian arthroplasty register. Acta Orthop Scand 1993;64:245–251.

    Article  PubMed  CAS  Google Scholar 

  30. Seagroatt V, Tan HS, Goldacre M, Bulstrode C, Nugent I, Gill L. Elective total hip replacement: incidence, emergency readmission rate, and postoperative mortality. BMJ 1991;303:1431–1435.

    Article  PubMed  CAS  Google Scholar 

  31. Herberts P, Malchau H. Long-term registration has improved the quality of hip replacement. Acta Orthop Scand 2000;71:111–121.

    Article  PubMed  CAS  Google Scholar 

  32. Praemer A, Furner S, Rice DP. Musculoskeletal conditions in the United States. American Academy of Orthopaedic Surgeons, 1999.

    Google Scholar 

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Acknowledgement

Dr. H. Merx was supported by the Bertelsmann Foundation within the project “Degenerative Joint Disease”.

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Authors and Affiliations

  1. Landratsamt Rems-Murr-Kreis, Kreishaus Waiblingen, Germany

    H. Merx, P. Schräder, T. Stürmer, K. Dreinhöfer, W. Puhl, K.-P. Günther & H. Brenner

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  1. H. Merx
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  2. P. Schräder
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  3. T. Stürmer
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  4. K. Dreinhöfer
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  5. W. Puhl
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  6. K.-P. Günther
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  7. H. Brenner
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Correspondence to H. Merx .

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    © 2009 EFORT

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    Merx, H. et al. (2009). International Variation in Hip Replacement Rates. In: Puhl, W., Günther, KP., Dieppe, P., Dreinhöfer, K.E. (eds) EUROHIP. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74137-4_2

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    • DOI: https://doi.org/10.1007/978-3-540-74137-4_2

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    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-540-74133-6

    • Online ISBN: 978-3-540-74137-4

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