Projection of primary and revision hip arthroplasty surgery in Denmark from 2020 to 2050

Autor: Mathias B Rasmussen, Anders El-Galaly, Louise Daugberg, Poul T Nielsen, Thomas Jakobsen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Acta Orthopaedica, Vol 93 (2022)
Druh dokumentu: article
ISSN: 17453674
1745-3674
1745-3682
DOI: 10.2340/17453674.2022.5255
Popis: Background and purpose: The incidence of primary and revision total hip arthroplasty (THA) has increased over the last decades. Previous forecasts from different healthcare systems have predicted a continuous increase. We present a forecast of both primary and revision surgery from 2020 to 2050 based on 25 years data from the healthcare system in Denmark. Patients and methods: We retrieved data from the Danish Hip Arthroplasty Register on 198,835 primary and 29,456 revision surgeries. Historical censuses and population forecasts were retrieved from Statistics Denmark. Logistic and Gompertz regression analysis was used to forecast incidence rates (IR) and total numbers in the next 30 years. Results: Our forecast predicts an increase in IR of 3–9% and an increase in total numbers of primary THA of between 12% and 19% in 2050. For revision THA the IRs have reached a plateau but total numbers are predicted to increase by 19% in 2050. Conclusion: Our forecast shows that both primary and revision THA will increase in total numbers in the next decades, but the IR for primary THA is near its plateau and for revision THA the plateau has already been reached. The forecast may aid in healthcare resource planning for the decades to come.
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