Journal article
Posttraumatic Osteoarthritis: A First Estimate of Incidence, Prevalence, and Burden of Disease
Journal of orthopaedic trauma, Vol.20(10), pp.739-744
11/2006
DOI: 10.1097/01.bot.0000246468.80635.ef
PMID: 17106388
Abstract
Although posttraumatic osteoarthritis (OA) is a common and important entity in orthopedic practice, no data presently exist regarding its prevalence or its relative burden of disease. A population-based estimate was formulated, based on one large institutionʼs experience in terms of its fraction of patients with OA presenting to lower-extremity adult reconstructive clinics with OA of posttraumatic origin. The relative proportion of these patients undergoing total joint replacement provided a basis for extrapolating institutional experience with posttraumatic OA to a populationwide estimate because the numbers of lower-extremity total joint arthroplasty procedures performed were reliably tabulated both within the institution and populationwide. By this methodology, approximately 12% of the overall prevalence of symptomatic OA is attributable to posttraumatic OA of the hip, knee, or ankle. This corresponds to approximately 5.6 million individuals in the United States being affected by posttraumatic OA sufficiently severe to have caused them to present for care by an orthopedic lower-extremity adult reconstructive surgeon. Further, based on the relative prevalence of OA versus rheumatoid arthritis, and their relative impacts as assessed by the SF-36 (Short-Form 36) lower-extremity physical composite scores, about 85.5% of the societal costs of arthritis are attributable to OA. The corresponding aggregate financial burden specifically of posttraumatic OA is $3.06 billion annually, or approximately 0.15% of the total U.S. health care direct cost outlay.
Details
- Title: Subtitle
- Posttraumatic Osteoarthritis: A First Estimate of Incidence, Prevalence, and Burden of Disease
- Creators
- Thomas D Brown - Department of Orthopaedics and Rehabilitation, University of IowaRichard C JohnstonCharles L. SaltzmanJ. Lawrence MarshJoseph A Buckwalter
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.20(10), pp.739-744
- DOI
- 10.1097/01.bot.0000246468.80635.ef
- PMID
- 17106388
- NLM abbreviation
- J Orthop Trauma
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Publisher
- Lippincott Williams & Wilkins, Inc
- Language
- English
- Date published
- 11/2006
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Injury Prevention Research Center
- Record Identifier
- 9984040449102771
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