Declining use of synovectomy surgery for patients with rheumatoid arthritis in Japan: Figure 1

Momohara, Shigeki; Ikari, Katsunori; Mochizuki, Takeshi; Kawamura, Koichiro; Tsukahara, Sonoko; Toki, Hiroe; Hara, Masako; Kamatani, Naoyuki; Yamanaka, Hisashi; Tomatsu, Taisuke

doi:10.1136/ard.2008.087940

Cited by 35 publications

(19 citation statements)

References 11 publications

(8 reference statements)

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“…For example, in Japan, an analysis of data drawn from the Institute of Rheu matology, Rheumatoid Arthritis (IORRA) study, between 2000 and 2007, reveals that synovectomy procedures have diminished fi vefold following the introduction of methotrexate in 1999 [ 47 ]. Moreover, patients undergoing surgery present with milder disease compared with patients in previous years [ 47 -54 ].…”

Section: Surgical Management Of Ramentioning

confidence: 99%

Current Treatment Outcomes Among Patients with Rheumatoid Hand and Wrist Deformities

Waljee

2016

Clinical Management of the Rheumatoid Hand, Wrist, and Elbow

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Section: Surgical Management Of Ramentioning

confidence: 99%

Current Treatment Outcomes Among Patients with Rheumatoid Hand and Wrist Deformities

Waljee

2016

Clinical Management of the Rheumatoid Hand, Wrist, and Elbow

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“…Based on a constant mean number of RA patients seen each reporting period, the number of synovectomies peaked in 2000, and has been gradually decreasing since MTX approval [17]. Although some studies have reported that tumor necrosis factor-a (TNFa) inhibitors have retarded the progression of joint damage as assessed radiographically, and that these treatments may have caused a decline in orthopedic surgery, the results from IORRA indicate that the decline in synovectomy surgery has been mainly influenced by MTX treatment [17]. Regardless, synovectomy is still required if arthritis persists in a joint despite aggressive medical treatment.…”

Section: Declines In the Numbers Of Ra-associated Surgical Proceduresmentioning

confidence: 99%

“…The rate of synovectomy surgery was first examined in the IORRA cohort study [17]. Synovectomy was usually performed on joints that were persistently painful for at least 6 months, did not respond to medical management, and in which no radiographic progression was observed [18].…”

Section: Declines In the Numbers Of Ra-associated Surgical Proceduresmentioning

confidence: 99%

Recent trends in orthopedic surgery performed in Japan for rheumatoid arthritis

et al. 2011

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The aim of this report was to review the use of orthopedic surgeries performed to manage rheumatoid arthritis (RA). Our review of studies published in English indicates that there has been a decrease in RA-associated surgeries in Western countries. Improvements in medical treatment may partly explain the reduction in numbers of orthopedic joint surgeries, which also suggests a worldwide trend toward improved long-term outcomes. However, the results of our multicenter study in Japan indicate that the number of RA-associated operations has not decreased, and that the numbers of operations performed annually have been relatively stable from 1998 to 2008. Although there definitely has been a decline in the numbers of synovectomy surgeries, the numbers of operations on the upper limbs and foot arthroplasties have increased. With the trend toward milder disease because of improved medical treatment, we speculate that RA patients may want and need better function for the activities of daily living. The combination of medical treatment and surgical intervention is thought to improve outcomes in RA patients who will develop joint destruction. Additional studies, including analyses of RA databases containing long-term data on a variety of surgical interventions, are needed.

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“…Ein Rückgang von rheumachirurgischen Eingriffen innerhalb der letzen 30 Jahre ist in der Literatur sowohl für den europäischen [19,20] als auch für den angloamerikanischen Sprachraum [8,18] und Japan [14] beschrieben. Die Studien aus Schweden und den USA erfassen die Zeiträume von 1983 bis 2001 [20] bzw.…”

Section: Globaler Rückgang Von Rheumachirurgischen Eingriffenunclassified

“…1998 bis 2004 [19] und dokumentieren somit teilweise die Ära der biologischen Therapieprinzipien. Aktuelle Arbeiten aus Japan zeigen einen Rück-gang rheumaorthopädischer Eingriffe im Verlauf von 2001 bis 2007 [15], insbesondere auch eine reduzierte Anzahl von Synovektomien [14].…”

Section: Globaler Rückgang Von Rheumachirurgischen Eingriffenunclassified

Synovektomie der großen Gelenke in der Ära der Biologika

Carl

Rech

2011

Z. Rheumatol.

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Since the mid 1980s, a global decrease in surgical procedures related to rheumatoid arthritis (RA) has been documented for joint-preserving procedures such as synovectomy as well as joint replacement surgery. This reflects improvements in the early management of rheumatoid arthritis and availability of more effective medical treatment. The present review summarizes the recent literature on the frequency of orthopaedic surgery in RA patients as well as the role of synovectomy in the rheumatoid hip, knee and shoulder in times of biological RA therapy.

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Declining use of synovectomy surgery for patients with rheumatoid arthritis in Japan: Figure 1

Cited by 35 publications

References 11 publications

Current Treatment Outcomes Among Patients with Rheumatoid Hand and Wrist Deformities

Current Treatment Outcomes Among Patients with Rheumatoid Hand and Wrist Deformities

Recent trends in orthopedic surgery performed in Japan for rheumatoid arthritis

Synovektomie der großen Gelenke in der Ära der Biologika

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