Orthopaedic surgery in patients with rheumatoid arthritis: a shift towards more frequent and earlier non-joint-sacrificing surgery

Boonen, A.; Matricali, Giovanni; Verduyckt, J; Taelman, Veerle; Verschueren, Patrick; Sileghem, A.; Corluy, L; Westhovens, René

doi:10.1136/ard.2005.047175

Cited by 22 publications

(15 citation statements)

References 3 publications

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“…This trend is supported by the decreasing number of synovectomies of joints and tendons in this patient series and may illustrate the efficacy of new drugs such as tumour necrosis factor alpha blocking agents. These findings are in contrast to Boonen et al ,6 who recently reported an increasing frequency of synovectomies and other non-joint-sacrificing surgeries in their RA patients. However, the results support the data of Pincus et al 2 reporting that the clinical status of RA patients improved over time and the number of swollen and tender joints as the main indication for synovectomies also decreased.…”

contrasting

confidence: 89%

“…Given the overall increase in joint replacements, the stable number of joint replacement in RA patients represents a declining trend (table 1), which is in line with other clinical literature 6 7. This trend is supported by the decreasing number of synovectomies of joints and tendons in this patient series and may illustrate the efficacy of new drugs such as tumour necrosis factor alpha blocking agents.…”

supporting

confidence: 85%

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Changes in surgical intervention patterns in rheumatoid arthritis over 10 years in one centre

Kolling

Herren

Simmen

et al. 2009

Annals of the Rheumatic Diseases

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contrasting

confidence: 89%

supporting

confidence: 85%

Changes in surgical intervention patterns in rheumatoid arthritis over 10 years in one centre

Kolling

Herren

Simmen

et al. 2009

Annals of the Rheumatic Diseases

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“…Several authors have in fact recently reported a decrease in orthopedic surgery with this type of aggressive treatment strategy [2,[20][21][22][23].…”

Section: Discussionmentioning

confidence: 98%

Prevalence of joint replacement surgery in rheumatoid arthritis patients: cross-sectional analysis in a large observational cohort in Japan

Nishino¹,

Tanaka

Matsui

et al. 2009

Mod Rheumatol

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The purpose of this study was to describe the prevalence of total joint arthroplasty (TJA) in Japanese rheumatoid arthritis (RA) patients undergoing conventional drug treatment in a large observational cohort in Japan. A total of 5,177 RA patients were studied for the prevalence of TJA, who were enrolled in the NinJa database during the fiscal year of 2006. The cases of 2,695 RA patients with more than ten years of disease duration were extracted and subjected to further analysis. The prevalence of TJA increased in accordance with the disease duration, and the prevalence was markedly increased after ten years. Among the 2,695 patients with more than ten years of disease duration, 1,431 TJAs were performed in 645 (24.6%) patients. The patients with TJA had higher disease activity than those without TJA. In this cross-sectional study, TJAs were performed in approximately a quarter of the Japanese RA patients with more than ten years of disease duration. The result showed that patients with higher disease activity required TJA.

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“…Previously conducted studies, such as the study by Boonen et al, investigated foot symptoms in a cross-sectional design, which gave no insight into health care use throughout the disease process (13). The number of patients (n ϭ 1,087) and long followup duration (15 years) of this study made it possible to review foot-related health care use during the course of RA.…”

Section: Discussionmentioning

confidence: 99%

“…Until now, health care use in RA patients with foot symptoms has only been studied using a cross-sectional study design (5,12,13). Longitudinal data concerning the use of both conservative and surgical interventions are lacking.…”

Section: Introductionmentioning

confidence: 99%

Foot‐related health care use in patients with rheumatoid arthritis in an outpatient secondary care center for rheumatology and rehabilitation in The Netherlands: A cohort study with a maximum of fifteen years of followup

Marsman

Dahmen

Roorda

et al. 2013

Arthritis Care & Research

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Objective. To describe foot-related health care use over time in a cohort of rheumatoid arthritis (RA) patients in an outpatient secondary care center for rheumatology and rehabilitation in The Netherlands. Methods. A total of 1,087 patients with recent-onset RA from 1995 to September 2010 were included in the study. All foot-related visits to the podiatrist, rehabilitation physician, orthopedic surgeon, and the multidisciplinary foot-care clinic were registered and described. Logistic regression techniques for longitudinal data were used to analyze the course of foot-related health care use. Results. A total of 32.9% of patients visited a podiatrist in secondary care during the course of their disease. For most patients, a visit to the podiatrist took place during the first year after diagnosis. This was followed by a significant decrease in visits in the ensuing years. Nine percent of patients visited the rehabilitation physician with foot symptoms, with peak prevalences between year 10 and 11 and during year 14 of followup. The orthopedic surgeon was visited by 5.3% of patients with foot symptoms, with a significant increase in visits over time. The multidisciplinary foot-care clinic was visited by 7.5% of patients. This was significantly associated with visits to the rehabilitation physician. Conclusion. In an outpatient secondary care center in The Netherlands, RA patients with foot symptoms visited the podiatrist in an early stage of the disease. When foot symptoms worsened, patients visited the rehabilitation physician, who subsequently referred patients to the multidisciplinary foot-care clinic for therapeutic footwear. The orthopedic surgeon was the final step in the management of foot symptoms.

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Orthopaedic surgery in patients with rheumatoid arthritis: a shift towards more frequent and earlier non-joint-sacrificing surgery

Cited by 22 publications

References 3 publications

Changes in surgical intervention patterns in rheumatoid arthritis over 10 years in one centre

Changes in surgical intervention patterns in rheumatoid arthritis over 10 years in one centre

Prevalence of joint replacement surgery in rheumatoid arthritis patients: cross-sectional analysis in a large observational cohort in Japan

Foot‐related health care use in patients with rheumatoid arthritis in an outpatient secondary care center for rheumatology and rehabilitation in The Netherlands: A cohort study with a maximum of fifteen years of followup

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