High and rising burden of hip and knee osteoarthritis in the Nordic region, 1990–2015

Abstract

Background and purposeOsteoarthritis (OA) imposes a substantial burden on individuals and societies. We report on the burden of knee and hip OA in the Nordic region.Patients and methodsWe used the findings from the 2015 Global Burden of Diseases Study to explore prevalence, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) of OA in the 6 Nordic countries during 1990–2015 (population of about 27 million in 2015).ResultsDuring 1990–2015, the number of prevalent OA cases increased by 43% to 1,507,587 (95% uncertainty interval [UI] 1,454,338–1,564,778) in the region. OA accounted for 1.3% (UI 1.0–1.7) of YLDs in 1990, increasing to 1.6% (UI 1.2–2.0) in 2015. Of 315 causes studied, OA was the 15th leading cause of YLDs, causing 52,661 (UI 34,056–77,499) YLDs in 2015; of these 23% were attributable to high body mass index. The highest relative importance of OA was reported for women aged 65–74 years (8th leading cause of YLDs in 2015). Among the top 30 leading causes of YLDs in the region, OA had the 5th greatest relative increase in total YLDs during 1990–2015. From 1990 to 2015, increase in age-standardized YLDs from OA in the region was slightly lower than increase at the global level (7.5% vs. 10.5%). OA was, however, responsible for a higher proportional burden of DALYs in the region compared with the global level.InterpretationThe OA burden is high and rising in the Nordic region. With population growth, aging, and the obesity epidemic, a substantial rise in the burden of OA is expected and should be addressed in health policies.

Diagnose Arthrose

“…Dabei spielen die Steigerung der Bevölkerungszah len, das zunehmende Alter und die Fettleibigkeitsepidemie eine Rolle. Insbesondere in der Zukunft ist mit weiter steigenden Zahlen von Arthrosepatienten zu rechnen [2].…”

Autologous cell-free serum preparations in the management of knee osteoarthritis: what is the current clinical evidence?

“…Osteoarthritis (OA) of the knee is common [1], debilitating [2] and increasing in its prevalence [1]. Any therapeutic intervention that can relieve symptoms of OA, prevent its progression and/or delay the need for surgery therefore has potential to dramatically improve quality of life for patients.…”

Patient Characteristics and Medical Provider Factors Are Associated With Length of Stay in Total Hip Arthroplasty Patients: a Retrospective Chinese Cohort Study

“…Diagnosis-related groups (DRGs) based payment is increasingly used in China to control hospital costs but the standards of evaluations vary. Previous review suggested that a substantial rise in the burden of osteoarthritis (OA) is expected and should be addressed in health policies and DRGs payment had potential cost-saving implications by lowering LOS [4,5]. Extended LOS remains a paramount unsolved problem and how these different factors contribute to prolonging LOS is poorly characterized [6].…”