A study of population trends and future projections for the hip and knee arthroplasty service in the Republic of Ireland

IF 2.3 4区医学 Q2 SURGERY

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland Pub Date : 2025-03-04 DOI:10.1016/j.surge.2025.02.005

Katie St John , Andrew Hughes , Joseph Queally

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引用次数: 0

Abstract

The incidence of elective total joint replacement of the hip and knee (THR and TKR respectively) is increasing with improved access to surgical care and an ageing population. We aimed to carry out a population level study of the incidence of elective primary total hip and knee arthroplasty between 2010 and 2019 and to estimate projected arthroplasty workload for the coming decades for the public orthopaedic service in the Republic of Ireland.

In this retrospective population based observational study, data from the HIPE database was secured for all elective total hip and knee arthroplasties carried out in the republic of Ireland between 2010 and 2019. Population data for the same period was then collected from the Central statistics office dataset. Aggressive and conservative population estimates provided for the coming decades were used to calculate projected incidence/caseload of hip and knee arthroplasty surgery.

Over 90 % of those undergoing arthroplasty in the studied period were aged >50. The average age of THR patients over the decade was 70 and that of TKR patients was 67. The incidence of patients aged under 50 undergoing these procedures has also increased over the decade. By 2036 numbers of total hip and knee arthroplasty are set to increase by up to 65 % and 49 % respectively.

Waiting times for arthroplasty surgery in the public system are already among the longest in Europe. Significant investment in the arthroplasty service will be required to maintain the current level of service in the face of an increasing caseload.

查看原文本刊更多论文

爱尔兰共和国髋关节和膝关节置换术的人口趋势和未来预测研究。

选择性髋关节和膝关节全关节置换术（分别为THR和TKR）的发生率随着手术护理的改善和人口老龄化而增加。我们的目标是在2010年至2019年期间开展一项选择性初级全髋关节和膝关节置换术发生率的人口水平研究，并估计爱尔兰共和国公共骨科服务未来几十年的预计关节置换术工作量。在这项基于人群的回顾性观察性研究中，来自HIPE数据库的数据被用于2010年至2019年在爱尔兰共和国进行的所有选择性全髋关节和膝关节置换术。同期的人口数据则从中央统计局的数据集中收集。采用未来几十年的积极和保守的人口估计来计算髋关节和膝关节置换术的预计发病率/病例量。在研究期间，90%以上接受关节置换术的患者年龄在50岁至50岁之间。10年间，THR患者的平均年龄为70岁，TKR患者的平均年龄为67岁。在过去十年中，50岁以下患者接受这些手术的发生率也有所增加。到2036年，全髋关节和膝关节置换术的数量将分别增加65%和49%。在公共系统中等待关节置换手术的时间已经是欧洲最长的。面对日益增加的病例量，需要对关节成形术服务进行大量投资，以维持目前的服务水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland 医学-外科

CiteScore

4.40

自引率

0.00%

发文量

158

审稿时长

6-12 weeks

期刊介绍： Since its establishment in 2003, The Surgeon has established itself as one of the leading multidisciplinary surgical titles, both in print and online. The Surgeon is published for the worldwide surgical and dental communities. The goal of the Journal is to achieve wider national and international recognition, through a commitment to excellence in original research. In addition, both Colleges see the Journal as an important educational service, and consequently there is a particular focus on post-graduate development. Much of our educational role will continue to be achieved through publishing expanded review articles by leaders in their field. Articles in related areas to surgery and dentistry, such as healthcare management and education, are also welcomed. We aim to educate, entertain, give insight into new surgical techniques and technology, and provide a forum for debate and discussion.