Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030

Andrew M. Schwartz; Kevin X. Farley; George N. Guild; Thomas L. Bradbury

doi:10.1016/j.arth.2020.02.030

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Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030

Journal article

Open access

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Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030

Andrew M. Schwartz, Kevin X. Farley, George N. Guild and Thomas L. Bradbury

The Journal of arthroplasty, Vol.35(6), pp.S79-S85

06/2020

DOI: 10.1016/j.arth.2020.02.030

PMCID: PMC7239745

PMID: 32151524

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https://www.ncbi.nlm.nih.gov/pmc/articles/7239745View

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Abstract

As the incidence of primary total joint arthroplasty rises in the United States, it is important to investigate how this will impact rates of revision arthroplasty. The purpose of this study was to analyze the incidence and future projections of revision total hip arthroplasty (rTHA) and revision total knee arthroplasty (rTKA) to 2030. Anticipating surgical volume will aid surgeons in designing protocols to efficiently and effectively perform rTHA/rTKA. The national inpatient sample was queried from 2002 to 2014 for all rTHA/rTKA. Using previously validated measures, Poisson and linear regression analyses were performed to project annual incidence of rTHA/rTKA to 2030, with subgroup analyses on modes of failure and age. In 2014, there were 50,220 rTHAs and 72,100 rTKAs. From 2014 to 2030, rTHA incidence is projected to increase by between 43% and 70%, whereas rTKA incidence is projected to increase by between 78% and 182%. The 55-64 and 65-74 age groups increased in revision incidence during the study period, whereas 75-84 age group decreased in incidence. For rTKA, infection and aseptic loosening are the 2 most common modes of failure, whereas periprosthetic fracture and infection are most common for rTHA. The incidence of rTHA/rTKA is projected to increase, particularly in young patients and for infection. Given the known risk factor profiles and advanced costs associated with revision arthroplasty, our projections should encourage institutions to generate revision-specific protocols to promote safe pathways for cost-effective care that is commensurate with current value-based health care trends. IV.

incidence

infection

projections

revision hip arthroplasty

revision knee arthroplasty

Details

Title: Subtitle: Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030
Creators: Andrew M. Schwartz - Emory University Orthopaedics and Spine Hospital
Kevin X. Farley - Emory University
George N. Guild - Emory University Orthopaedics and Spine Hospital
Thomas L. Bradbury - Emory University Orthopaedics and Spine Hospital
Resource Type: Journal article
Publication Details: The Journal of arthroplasty, Vol.35(6), pp.S79-S85
DOI: 10.1016/j.arth.2020.02.030
PMID: 32151524
PMCID: PMC7239745
NLM abbreviation: J Arthroplasty
ISSN: 0883-5403
eISSN: 1532-8406
Publisher: Elsevier Inc
Language: English
Date published: 06/2020
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984304713202771

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