Evaluation of the changes in incidence and patient age of knee arthroscopy along with changes in time between knee arthroscopy and arthroplasty between 1998 and 2018: a nationwide register study
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Recent evidence has led to guidelines to refrain from recommending knee arthroscopy for patients with an osteoarthritis diagnosis. The aim of this study was to evaluate the latest changes in the incidence of arthroscopic surgery for degenerative knee disease, changes in the ages of those patients and the delay between knee arthroscopy and arthroplasty, in Finland between 1998 and 2018.The data for were collected from the Finnish National Hospital Discharge Register (NHDR). All knee arthroplasties and arthroscopies performed due to osteoarthritis, degenerative meniscal tears, and traumatic meniscal tears were included. Incidence rates (per 100,000 person-years) as well as the median age of patients were calculated. The incidence of arthroscopy decreased 74% (413 to 106 per 100,000 person-years) and knee arthroplasty increased 179% (94 to 262 per 100,000 person-years) between 1998 and 2018. The incidence of all arthroscopies increased until 2006 . Subsequently, the incidence of arthroscopy due to OA decreased by 91% and arthroscopic partial meniscectomy (APM) for degenerative meniscal tears decreased by 77% until 2018. The decrease of traumatic meniscal tears begun later, leading to decrease of 57% between 2011 and 2018. Conversely, the incidence of patients undergoing APM of traumatic meniscal tear increased 375%. The median age of patients who underwent knee arthroscopy decreased from 51 to 46 and from 71 to 69 in knee arthroplasty patients. Increasing evidence that recommends refraining from knee arthroscopy in OA and degenerative meniscal tears has led to a dramatic decrease in the incidence of arthroscopies. Simultaneously, the median age of the patients who undergo these operations has continued to decrease.
Abstract
Recent evidence has led to guidelines to refrain from recommending knee arthroscopy for patients with an osteoarthritis diagnosis. The aim of this study was to evaluate the latest changes in the incidence of arthroscopic surgery for degenerative knee disease, changes in the ages of those patients and the delay between knee arthroscopy and arthroplasty, in Finland between 1998 and 2018.The data for were collected from the Finnish National Hospital Discharge Register (NHDR). All knee arthroplasties and arthroscopies performed due to osteoarthritis, degenerative meniscal tears, and traumatic meniscal tears were included. Incidence rates (per 100,000 person-years) as well as the median age of patients were calculated. The incidence of arthroscopy decreased 74% (413 to 106 per 100,000 person-years) and knee arthroplasty increased 179% (94 to 262 per 100,000 person-years) between 1998 and 2018. The incidence of all arthroscopies increased until 2006 . Subsequently, the incidence of arthroscopy due to OA decreased by 91% and arthroscopic partial meniscectomy (APM) for degenerative meniscal tears decreased by 77% until 2018. The decrease of traumatic meniscal tears begun later, leading to decrease of 57% between 2011 and 2018. Conversely, the incidence of patients undergoing APM of traumatic meniscal tear increased 375%. The median age of patients who underwent knee arthroscopy decreased from 51 to 46 and from 71 to 69 in knee arthroplasty patients. Increasing evidence that recommends refraining from knee arthroscopy in OA and degenerative meniscal tears has led to a dramatic decrease in the incidence of arthroscopies. Simultaneously, the median age of the patients who undergo these operations has continued to decrease.
참고문헌 (35)
- Moseley JB, "A controlled trial of arthroscopic surgery for osteoarthritis of the knee", N Engl J Med, 347(2), pp.81~88 (2002)
- Sihvonen R, "Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear", N Engl J Med, 369, pp.2515~2524 (2013)
- Sihvonen R, "Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear : a 2-year follow-up of the randomised controlled trial", Ann Rheum Dis, 77(2), pp.188~ (2018)[DOI]
- Kirkley A, "A randomized trial of arthroscopic surgery for osteoarthritis of the knee", N Engl J Med, 359(11), pp.1097~1107 (2008)
- Conaghan PG, "Care and management of osteoarthritis in adults : summary of NICE guidance", BMJ, 336(7642), pp.502~503 (2008)
- Richmond J, "Treatment of osteoarthritis of the knee(nonarthroplasty)", J Am Acad Orthop Surg, 17(9), pp.591~ (2009)
- Jevsevar DS, "The American Academy of Orthopaedic Surgeons evidencebased guideline on : treatment of osteoarthritis of the knee", JBJS, 95(20), pp.1885~1886 (2013)
- Mattila VM, "Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden", Acta Orthop, 87(1), pp.5~11 (2016)
- Karelson MC, "Lower nationwide rates of arthroscopic procedures in 2016 compared with 1997(634925 total arthroscopic procedures) : has the tide turned?", Br J Sports Med, 55(18), pp.1018~1023 (2020)
- Stein T, "Longterm outcome after arthroscopic meniscal repair versus arthroscopic partial meniscectomy for traumatic meniscal tears", Am J Sports Med, 38(8), pp.1542~1548 (2010)[DOI]
- Kopf S, "Management of traumatic meniscus tears : the 2019ESSKA meniscus consensus", Knee Surg Sports Traumatol Arthrosc, 28(4), pp.1177~1194 (2020)
- Sund R, "Quality of the Finnish Hospital Discharge Register : a systematic review", Scand J Public Health, 40(6), pp.505~515 (2012)[DOI]
- Mattila VM, "Coverage and accuracy of diagnosis of cruciate ligament injury in the Finnish National Hospital Discharge Register", Injury, 39(12), pp.1373~1376 (2008)
- Huttunen TT, "Pertrochanteric fracture of the femur in the Finnish National Hospital Discharge Register : validity of procedural coding, external cause for injury and diagnosis", BMC Musculoskelet Disord, 15, pp.98~ (2014)
- "Procedure codes"[URL]
- Curl WW, "Cartilage injuries : a review of 31, 516 knee arthroscopies", Arthroscopy, 13(4), pp.456~460 (1997)
- Metcalf MH, "Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees", Am J Sports Med, 32(3), pp.675~680 (2004)
- Englund M, "Incidental meniscal findings on knee MRI in middle-aged and elderly persons", N Engl J Med, 359(11), pp.1108~1115 (2008)
- Liu TC, "Patients older than 40 years with unilateral occupational claims for new shoulder and knee symptoms have bilateral MRI changes", Clin Orthop Relat Res, 475(10), pp.2360~2365 (2017)
- Paxton ES, "Meniscal repair versus partial meniscectomy : a systematic review comparing reoperation rates and clinical outcomes", Arthroscopy, 27(9), pp.1275~1288 (2011)
- Elmallah R, "A meta-analysis of arthroscopic meniscal repair : inside-out versus outside-in versus all-inside techniques", J Knee Surg, 32(08), pp.750~757 (2019)
- Pujol N, "Save the meniscus again!", Knee Surg Sports Traumatol Arthrosc, 27(2), pp.341~342 (2019)[DOI]
- Seil R, "Time for a paradigm change in meniscal repair:save the meniscus!", Knee Surg Sports Traumatol Arthrosc, 24(5), pp.1421~1423 (2016)[DOI]
- Skou ST, "A randomized, controlled trial of total knee replacement", N Engl J Med, 373(17), pp.1597~1606 (2015)
- Bayliss LE, "The effect of patient age at intervention on risk of implant revision after total replacement of the hip or knee : a population-based cohort study", Lancet, 389(10077), pp.1424~1430 (2017)[DOI]
- Meehan JP, "Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty", JBJS, 96(7), pp.529~535 (2014)
- Lange JK, "Satisfaction rates and quality of life changes following total knee arthroplasty in age-differentiated cohorts", J Arthroplasty, 33(5), pp.1373~1378 (2018)[DOI]
- Niemeläinen MJ, "Different incidences of knee arthroplasty in the Nordic countries", Acta Orthop, 88(2), pp.173~178 (2017)[DOI]
- The Swedish knee arthroplasty register-annual report 2018, "Robertsson O", Swedish Hip Arthroplasty Register, ~ (2018)
- Kautiainen S, "Trends in adolescent overweight and obesity in the Nordic countries", Food Nutr Res, 49(1), pp.4~14 (2005)
- Lohmander LS, "Incidence of severe knee and hip osteoarthritis in relation to different measures of body mass : a population-based prospective cohort study", Ann Rheum Dis, 68(4), pp.490~496 (2009)
- Driban JB, "Is participation in certain sports associated with knee osteoarthritis? A systematic review", J Athl Train, 52(6), pp.497~506 (2017)
- Kehlet H, "Fast-track hip and knee arthroplasty", Lancet, 381(9878), pp.1600~1602 (2013)
- Jørgensen CC, "Role of patient characteristics for fast-track hip and knee arthroplasty", Br J Anaesth, 110(6), pp.972~980 (2013)[DOI]
- Winter AR, "The likelihood of total knee arthroplasty following arthroscopic surgery for osteoarthritis : a systematic review", BMC Musculoskelet Disord, 18(1), pp.408~ (2017)[DOI]