Health Economic Aspects

Weißer, Michael; Rosery, Hubertus; Schönfelder, Tonio

doi:10.1007/978-3-662-55918-5_5

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…For example, the total lifetime opioid-related costs for the US population with knee osteoarthritis are estimated at $1.4 billion [ 14 ]. In Germany, knee replacements are estimated to cost between €1 billion and €1.3 billion per year [ 15 ]. In addition to an aging population, an improved life expectancy and access to timely diagnosis may have contributed to the rising burden of KOA [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Regional disparities, age-related changes and sex-related differences in knee osteoarthritis

Di,

Bai,

Zhang

et al. 2024

BMC Musculoskelet Disord

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Background The objective of the study is to analyse the regions, age and sex differences in the incidence of knee osteoarthritis (KOA). Methods Data were extracted from the global burden of diseases (GBD) 2019 study, including incidence, years lived with disability (YLD), disability-adjusted life-years (DALYs) and risk factors. Estimated annual percentage changes (EAPCs) were calculated to quantify the temporal trends in age standardized rate (ASR) of KOA. Paired t-test, paired Wilcoxon signed-rank test and spearman correlation were performed to analyze the association of sex disparity in KOA and socio-demographic index (SDI). Results There were significant regional differences in the incidence of knee osteoarthritis. In 2019, South Korea had the highest incidence of knee osteoarthritis (474.85,95%UI:413.34–539.64) and Thailand had the highest increase in incidence of knee osteoarthritis (EAPC = 0.56, 95%CI = 0.54–0.58). Notably, higher incidence, YLD and DALYs of knee osteoarthritis were associated with areas with a high socio-demographic index (r = 0.336, p < 0.001; r = 0.324, p < 0.001; r = 0.324, p < 0.001). In terms of age differences, the greatest increase in the incidence of knee osteoarthritis was between the 35–39 and 40–44 age groups. (EAPC = 0.52, 95%CI = 0.40–0.63; 0.47, 95%CI = 0.36–0.58). In addition, there were significant sex differences in the disease burden of knee osteoarthritis (P < 0.001). Conclusions The incidence of knee osteoarthritis is significantly different with regions, age and sex.

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Section: Discussionmentioning

confidence: 99%

Regional disparities, age-related changes and sex-related differences in knee osteoarthritis

Di,

Bai,

Zhang

et al. 2024

BMC Musculoskelet Disord

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“…According to the Organization for Economic Co-operation and Development, 283 hip replacements and 190 knee replacements, per 100,000 people, were performed in Germany in 2013 ( 2 ). Moreover, data extrapolations have shown that German statutory health insurances spent approximately 1.4–1.6 billion euros per year on THRs between 2003 and 2009 ( 3 ). Between 2011 and 2019, the number of TKA cases in China increased rapidly, from 53,880 to 374,833, a 5.9-fold increase, and TKR also showed a significant increase ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Perioperative safety assessment of patients undergoing unilateral or bilateral hip replacements

Zhou

Cai²,

Yuan³

et al. 2023

Front. Surg.

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IntroductionDue to the aging of the world population and the increase of obesity rate, it is expected that the number of joint replacement surgery will continue to increase in the next few years. This study evaluated the safety differences between unilateral and bilateral hip replacement surgeries.MethodsThe data for patients who underwent hip arthroplasty in 2021 and 2022 were examined. The data set included 68 patients who were grouped according to the type of hip replacement needed, sex, age, and body mass index. Total blood loss and operative time were the safety-related indicators used to compare the groups.ResultsRegardless of whether the unilateral replacement group was compared with the overall bilateral replacement group or separately with the staged and simultaneous bilateral replacement groups, simultaneous bilateral replacement surgeries were equally safe as the other types of hip replacements. The total blood loss and operative time for the simultaneous bilateral replacement group were not significantly different from those in the unilateral and staged bilateral replacement groups. For overweight patients, the operative time for simultaneous bilateral replacements was significantly shorter than that for unilateral replacements.ConclusionsThese findings suggest that for patients requiring bilateral hip replacements, the blood loss risk for patients undergoing simultaneous bilateral hip replacements was similar to that for patients undergoing either unilateral or staged bilateral hip replacements. Thus, simultaneous bilateral total hip replacement (THR) are safe and should be considered for candidate patients.

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Health Economic Aspects

Cited by 2 publications

References 11 publications

Regional disparities, age-related changes and sex-related differences in knee osteoarthritis

Regional disparities, age-related changes and sex-related differences in knee osteoarthritis

Perioperative safety assessment of patients undergoing unilateral or bilateral hip replacements

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