About: The projected volume of primary and revision total knee arthroplasty will place an immense burden on future heath care systems over the next 30 years

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: The projected volume of primary and revision total knee arthroplasty will place an immense burden on future heath care systems over the next 30 years Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	The projected volume of primary and revision total knee arthroplasty will place an immense burden on future heath care systems over the next 30 years
Creator	Hoffmann, · Karl, · Gramlich, Yves Klug, Alexander Rudert, Maximilian Drees, · Kutzner, Philipp Weißenberger, ·
Source	Medline; PMC
abstract	PURPOSE: Total knee arthroplasty (TKA) rates have increased substantially in the recent decades worldwide, with Germany being one of the leading countries in the prevalence of TKA. The aim of this study was to provide an overview of treatment changes during the last decade and to project the expected burden of primary and revision TKA (rTKA) for the next 30 years. METHODS: Comprehensive nationwide data from Germany was used to quantify primary and revision TKA rates as a function of age and gender. Projections were performed with use of a Poisson regression models and a combination of exponential smoothing and autoregressive integrated moving average models on historical procedure rates in relation to official population projections from 2020 to 2050. RESULTS: The incidence rate of primary TKAs is projected to increase by around 43% to 299 per 100,000 inhabitants [95% CI 231–368], leading to a projected total number of 225,957 primary TKAs in 2050 (95% CI 178,804–276,442). This increase has been related to a growing number of TKA performed in male patients, with the highest increase modelled in patients between 50 and 65 years of age. At the same time, the annual total number of revision procedures is forecast to increase even more rapidly by almost 90%, accounting for 47,313 (95% CI 15,741–78,885; IR = 62.7 per 100,000, 95% CI 20.8–104.5) procedures by 2050. Those numbers are primarily associated with a rising number of rTKAs secondary to periprosthetic joint infection (PJI). CONCLUSIONS: Using this country- specific forecast approach, a rising number of primary TKA and an even more rapidly growing number of rTKA, especially for PJI, has been projected until 2050, which will inevitably provide a huge challenge for the future health care system. As many other industrialized nations will face similar demographic and procedure-specific developments, these forecasts should be alarming for many health care systems worldwide and emphasize the tremendous need for an appropriate financial and human resource management in the future. LEVEL OF EVIDENCE: Level III, prognostic study, economic and decision analysis.
has issue date	2020-07-15(xsd:dateTime)
bibo:doi	10.1007/s00167-020-06154-7
bibo:pmid	32671435
has license	no-cc
sha1sum (hex)	8b4e15b8301051aa10aadaddcb04f578b3618d0b
schema:url	https://doi.org/10.1007/s00167-020-06154-7
resource representing a document's title	The projected volume of primary and revision total knee arthroplasty will place an immense burden on future heath care systems over the next 30 years
has PubMed Central identifier	PMC7362328
has PubMed identifier	32671435
schema:publication	Knee Surg Sports Traumatol Arthrosc
resource representing a document's body	covid:8b4e15b8301051aa10aadaddcb04f578b3618d0b#body_text
is schema:about of	named entity 'RESULTS' named entity 'COUNTRIES' named entity 'OFFICIAL' named entity 'ALARMING' named entity 'PROCEDURE' named entity 'PROVIDE' named entity 'PERFORMED' named entity 'APPROACH' named entity 'HUMAN RESOURCE MANAGEMENT' named entity 'LEVEL OF EVIDENCE' named entity 'TO INCREASE' named entity 'METHODS' named entity 'NUMBER OF' named entity 'OVERVIEW' named entity 'WORLDWIDE' named entity 'ONE OF' covid:arg/8b4e15b8301051aa10aadaddcb04f578b3618d0b named entity 'demographic' named entity 'Germany' named entity '95% CI' named entity 'accounting' named entity 'exponential smoothing' named entity 'periprosthetic' named entity 'TKA' named entity 'demographic' named entity 'perioperative mortality' named entity 'arthroplasty' named entity 'diagnosis-related group' named entity 'covariate' named entity 'TKA' named entity 'medical treatment' named entity 'arthroplasty' named entity 'MAPE' named entity 'TKA' named entity 'obesity' named entity 'autocorrelation' named entity 'TKA' named entity 'UKA' named entity 'health care' named entity 'clinical care' named entity 'TKA' named entity 'aseptic' named entity 'long-term' named entity 'survival rate' named entity 'ARIMA' named entity 'arthroplasty' named entity 'periprosthetic' named entity 'TKA' named entity 'TKA' named entity 'successful treatment' named entity 'general health' named entity 'time series analysis' named entity 'population projection' named entity 'health care' named entity 'TKA' named entity 'Statistical Computing' named entity 'Health Problems' named entity 'healthcare systems' named entity '95% CI' named entity '95% CI' named entity 'access to medical care' named entity 'UKA' named entity 'health care systems' named entity 'comorbidities' named entity 'overdispersion' named entity 'surgical procedures' named entity 'Federal Bureau of Statistics' named entity 'total joint replacement' named entity 'TKA' named entity '0.01' named entity 'industrialized nations' named entity 'R Foundation' named entity 'TKA' named entity 'surgeon'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2025 OpenLink Software