Outcomes of hip and knee replacement surgery in private and public hospitals in Australia

Harris, Ian; Cuthbert, Alana R.; Lorimer, Michelle; Steiger, Richard de; Lewis, Peter L.

doi:10.1111/ans.15154

Cited by 13 publications

(21 citation statements)

References 7 publications

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“…In the last five years, 60% of the arthroplasties were performed in PHN. This proportion is below the United Kingdom and Australia, which reported 80% and 66%, respectively [ 24 - 25 ].…”

Section: Discussionmentioning

confidence: 95%

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Barahona

Santos²,

Díaz

et al. 2021

Cureus

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To describe the trends of orthopedic surgery in Chile since 2004 in terms of the number and gender of surgeons, the incidence of procedures per 100,000 inhabitants (IR), and access by health insurance and type of health center. MethodsA cross-sectional study was designed. Three databases were analyzed: the free access database of the Chilean Department of Statistics and Health Information (DEIS), which had information on all procedures performed in health institutions in Chile from 2004 to 2020. Then, the orthopedic surgeon registry was requested from the National Superintendence of Health (NSH). Finally, the database of the Chilean Society of Orthopaedic Surgeons (SCHOT) was analyzed. Spearman's correlation was used to determine significant trends during the analyzed period. ResultsThe NSH reported 1770 orthopedic surgeons in 2020; 56% were affiliated with SCHOT. An upward trend in the proportion of female orthopedic surgeons was found, from 4.8% in 2004 to 7.6% in 2020. Since 2004, the IR of orthopaedic surgeries has been increasing significantly in both health insurances; the growth in public insurance follows a linear model (R 2 = 0.970) of parameters β 0 = -55982.6 (p <0.000) and β 1 = 28.02 (p <0.000) while in private insurance, the growth is also linear (R 2 = 0.890) but with a greater slope: β 0 = -104136 (p <0.000) and β 1 = 52.15 (p <0.000). A significant downward trend was found in the proportion of surgeries performed in the public health network (rho = -0.797, p = 0.0002). ConclusionsThere is a significant increase in the number of orthopedic surgeons and the number of procedures per 100,000 inhabitants. Nevertheless, there is evident inequity in access to orthopedic surgery in Chile and low gender diversity.

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“…In the last five years, 60% of the arthroplasties were performed in PHN. This proportion is below the United Kingdom and Australia, which reported 80% and 66%, respectively [ 24 - 25 ].…”

Section: Discussionmentioning

confidence: 95%

Trends in Orthopedic Surgery in Chile: Analysis Between 2004 and 2020

Barahona

Santos²,

Díaz

et al. 2021

Cureus

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“…In England, an upward trend between 2004 and 2013 was reported in THA in private health centers, going from 2% to 20% [8]. In Australia, approximately two-thirds of the procedures are performed in public centers [9]. Remarkably, between 2009 and 2018, patients above 60 years, who are at a higher risk of needing arthroplasty, represented 17% and 8% of the patients affiliated with ISAPRE and FONASA, respectively [4,10].…”

Section: Discussionmentioning

confidence: 99%

Trends in Knee and Hip Arthroplasty in Chile Between 2004 and 2019

Barahona

Barrientos

Escobar

et al. 2020

Cureus

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Introduction The purpose of this study is to describe the incidence rate (IR) per 100,000 inhabitants of arthroplasty in Chile between 2004 and 2019, emphasizing knee and hip arthroplasty. Methods This is a cross-sectional study. Patients who underwent arthroplasty between 2004 and 2019 were identified in the free access database of the Chilean Department of Statistics and Health Information (DEIS), which depends directly on the Ministry of Health. This register stores all hospital discharges of the country from private or public health centers. The trend during the period of study was analyzed using Spearman's correlation. Results From a total of 111,303 patients, 133,518 arthroplasties were performed. Hip arthroplasty (HA) accounted for 73.35%, followed by knee arthroplasty (KA) (23,92%). A significant upward trend was found in HA (rho=0.95, p<0.000) and KA (rho=0.98, p<0.000). Most of the surgeries were done within the Public Health Network (61,6%), but 20% of patients affiliated with public insurance underwent arthroplasty in a private center. Patients above 60 years of age affiliated with private insurance underwent 1.8 HA and 2.5 KA for every one HA and KA undergone by patients of the same age group who were affiliated with public insurance. Conclusion HA was more frequent than KA. A significant gap was found in the incidence of arthroplasty as compared to countries belonging to the Organization for Cooperation and Economic Development, given by a less aged population and by inequity in health access. Wider coverage and a national registry for arthroplasty must be considered in Chilean health policies.

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“…In the current edition of the ANZ Journal of Surgery , Harris et al . use data from the Australian Orthopaedic Association National Joint Replacement Registry to investigate whether revision rates following hip or knee arthroplasty are different between Australian public and private patients.…”

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confidence: 99%

“…Harris et al . 's study demonstrates the power of CQRs as a research tool, and provides usable information for surgeons and patients regarding choice of healthcare provider and prosthesis. However, the study is not without limitations, many of which are inherent to CQRs.…”

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confidence: 99%