Trends in Use of Total Knee Arthroplasty in Korea From 2001 to 2010
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
The use of total knee arthroplasty (TKA) has increased substantially in most Western countries. However, the trends in TKA use and changes in demographic characteristics of patients having TKA in Korea remain unclear.
We documented the trends in TKA use and in the demographics of patients undergoing TKA in Korea over the past decade and determined whether current TKA use in Korea corresponds to worldwide trends.
Using the Health Insurance Review and Assessment Service of Korea database, we analyzed TKA records (n = 398,218) from 2001 to 2010 in Korea. Trends in TKA use and demographics, including numbers and rates of primary and revision TKA, growth rate and the revision burden, and age- and sex-specific rates, were estimated. They were compared with nationwide TKA registry reports from other countries, and a systematic review was performed.
Over the past decade, the primary and revision TKA rates increased by 407% and 267%, respectively. However, the revision burden remained 2%. The highest proportion was observed in 65 to 74 years old and the greatest increase in 75 to 84 years old, but a decrease was observed in those 55 to 64 years old. Women consistently had a ninefold higher TKA rate. The primary TKA rate was comparable with that of other countries, but the revision burden remained lower. In addition, old and female patients comprised considerably higher proportions in Korea.
During the past decade, TKA use in Korea has markedly increased and caught up with the use levels of most developed Western countries. Trends toward consistent growth in elderly patients and higher rates in females were observed. Appropriate healthcare strategies reflecting these trends in demographics are urgently needed in Korea.
- Australian Orthopaedic Association (AOA). National Joint Replacement Registry (NJRR) Hip and Knee Arthroplasty Annual Report. Available at: http://www.dmac.adelaide.edu.au/aoanjrr/documents/AnnualReports2011/AnnualReport_2011_WebVersion.pdf. 2011. Accessed April 1, 2012.
- Bini SA, Sidney S, Sorel M. Slowing demand for total joint arthroplasty in a population of 3.2 million. J Arthroplasty. 2011;26(Suppl):124–128. CrossRef
- Bozic KJ, Kurtz SM, Lau E, Ong K, Chiu V, Vail TP, Rubash HE, Berry DJ. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res. 2010;468:45–51. CrossRef
- Callahan CM, Drake BG, Heck DA, Dittus RS. Patient outcomes following tricompartmental total knee replacement. A meta-analysis. JAMA. 1994;271:1349–1357. CrossRef
- Canadian Institute of Health Information (CIHI). Canadian Joint Replacement Registry (CJRR) Hip and Knee Replacement in Canada 2007 Annual Report. Available at: http://secure.cihi.ca/cihiweb/products/2007CJRRAnnualReport%20(web).pdf. 2007. Accessed April 1, 2012.
- Chang RW, Pellisier JM, Hazen GB. A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA. 1996;275:858–865. CrossRef
- Cho HJ, Chang CB, Kim KW, Park JH, Yoo JH, Koh IJ, Kim TK. Gender and prevalence of knee osteoarthritis types in elderly Koreans. J Arthroplasty. 2011;26:994–999. CrossRef
- Cho HJ, Chang CB, Yoo JH, Kim SJ, Kim TK. Gender differences in the correlation between symptom and radiographic severity in patients with knee osteoarthritis. Clin Orthop Relat Res. 2010;468:1749–1758. CrossRef
- Crowninshield RD, Rosenberg AG, Sporer SM. Changing demographics of patients with total joint replacement. Clin Orthop Relat Res. 2006;443:266–272. CrossRef
- Culliford DJ, Maskell J, Beard DJ, Murray DW, Price AJ, Arden NK. Temporal trends in hip and knee replacement in the United Kingdom: 1991 to 2006. J Bone Joint Surg Br. 2010;92:130–135. CrossRef
- Fehring TK, Odum SM, Troyer JL, Iorio R, Kurtz SM, Lau EC. Joint replacement access in 2016: a supply side crisis. J Arthroplasty. 2010;25:1175–1181. CrossRef
- Fortin PR, Clarke AE, Joseph L, Liang MH, Tanzer M, Ferland D, Phillips C, Partridge AJ, Belisle P, Fossel AH, Mahomed N, Sledge CB, Katz JN. Outcomes of total hip and knee replacement: preoperative functional status predicts outcomes at six months after surgery. Arthritis Rheum. 1999;42:1722–1728. CrossRef
- Ibrahim T, Bloch B, Esler CN, Abrams KR, Harper WM. Temporal trends in primary total hip and knee arthroplasty surgery: results from a UK regional joint register, 1991-2004. Ann R Coll Surg Engl. 2010;92:231–235. CrossRef
- Iorio R, Robb WJ, Healy WL, Berry DJ, Hozack WJ, Kyle RF, Lewallen DG, Trousdale RT, Jiranek WA, Stamos VP, Parsley BS. Orthopaedic surgeon workforce and volume assessment for total hip and knee replacement in the United States: preparing for an epidemic. J Bone Joint Surg Am. 2008;90:1598–1605. CrossRef
- Jain NB, Higgins LD, Ozumba D, Guller U, Cronin M, Pietrobon R, Katz JN. Trends in epidemiology of knee arthroplasty in the United States, 1990-2000. Arthritis Rheum. 2005;52:3928–3933. CrossRef
- Khatod M, Inacio M, Paxton EW, Bini SA, Namba RS, Burchette RJ, Fithian DC. Knee replacement: epidemiology, outcomes, and trends in Southern California: 17,080 replacements from 1995 through 2004. Acta Orthop. 2008;79:812–819. CrossRef
- Kim HA, Kim S, Seo YI, Choi HJ, Seong SC, Song YW, Hunter D, Zhang Y. The epidemiology of total knee replacement in South Korea: national registry data. Rheumatology (Oxford). 2008;47:88–91. CrossRef
- Kim S. Changes in surgical loads and economic burden of hip and knee replacements in the US: 1997-2004. Arthritis Rheum. 2008;59:481–488. CrossRef
- Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am. 2005;87:1487–1497. CrossRef
- Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–785. CrossRef
- Kurtz SM, Lau E, Ong K, Zhao K, Kelly M, Bozic KJ. Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030. Clin Orthop Relat Res. 2009;467:2606–2612. CrossRef
- Kurtz SM, Ong KL, Schmier J, Mowat F, Saleh K, Dybvik E, Karrholm J, Garellick G, Havelin LI, Furnes O, Malchau H, Lau E. Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg Am. 2007;89(Suppl 3):144–151. CrossRef
- Kurtz SM, Ong KL, Schmier J, Zhao K, Mowat F, Lau E. Primary and revision arthroplasty surgery caseloads in the United States from 1990 to 2004. J Arthroplasty. 2009;24:195–203. CrossRef
- Lavernia CJ, Guzman JF, Gachupin-Garcia A. Cost effectiveness and quality of life in knee arthroplasty. Clin Orthop Relat Res. 1997;345:134–139. CrossRef
- Losina E, Thornhill TS, Rome BN, Wright J, Katz JN. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Joint Surg Am. 2012;94:201–207. CrossRef
- Losina E, Walensky RP, Kessler CL, Emrani PS, Reichmann WM, Wright EA, Holt HL, Solomon DH, Yelin E, Paltiel AD, Katz JN. Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume. Arch Intern Med. 2009;169:1113–1121. CrossRef
- Malchau H, Herberts P, Eisler T, Garellick G, Soderman P. The Swedish Total Hip Replacement Register. J Bone Joint Surg Am. 2002;84(Suppl 2):2–20.
- Mehrotra C, Remington PL, Naimi TS, Washington W, Miller R. Trends in total knee replacement surgeries and implications for public health, 1990-2000. Public Health Rep. 2005;120:278–282.
- Memtsoudis SG, Della Valle AG, Besculides MC, Gaber L, Laskin R. Trends in demographics, comorbidity profiles, in-hospital complications and mortality associated with primary knee arthroplasty. J Arthroplasty. 2009;24:518–527. CrossRef
- Mitsuyasu S, Hagihara A, Horiguchi H, Nobutomo K. Relationship between total arthroplasty case volume and patient outcome in an acute care payment system in Japan. J Arthroplasty. 2006;21:656–663. CrossRef
- National Joint Registry (NJR) for England and Wales. 8th Annual Report. Available at: http://www.njrcentre.org.uk/NjrCentre/Portals/0/Documents/NJR%208th%20Annual%20Report%202011.pdf. 2011. Accessed April 1, 2012.
- New Zealand Orthropaedic Association. The New Zealand Joint Registry Twelve Year Report. Available at: http://www.cdhb.govt.nz/NJR/reports/A2D65CA3.pdf. 2011. Accessed April 1, 2012.
- NHS National Services Scottland. Scottish Arthroplasty Project Annual Report 2010. Available at: http://www.arthro.scot.nhs.uk/Reports/Scottish_Arthroplasty_Project_Report_2010.pdf. 2010. Accessed April 1, 2012.
- Portuguese National Arthroplasty Register (RPA). 1st Annual Report June 2009, May 2010. Available at: http://www.rpa.spot.pt/getdoc/3791259c-62d8-493f-8b08-a010a96bb0d3/RPA_first_anual_report.aspx. 2011. Accessed April 1, 2012.
- Robertsson O, Bizjajeva S, Fenstad AM, Furnes O, Lidgren L, Mehnert F, Odgaard A, Pedersen AB, Havelin LI. Knee arthroplasty in Denmark, Norway and Sweden. Acta Orthop. 2010;81:82–89. CrossRef
- Robertsson O, Dunbar MJ, Knutson K, Lidgren L. Past incidence and future demand for knee arthroplasty in Sweden: a report from the Swedish Knee Arthroplasty Register regarding the effect of past and future population changes on the number of arthroplasties performed. Acta Orthop Scand. 2000;71:376–380. CrossRef
- Robertsson O, Knutson K, Lewold S, Lidgren L. The Swedish Knee Arthroplasty Register 1975-1997: an update with special emphasis on 41,223 knees operated on in 1988-1997. Acta Orthop Scand. 2001;72:503–513. CrossRef
- Serra-Sutton V, Allepuz A, Espallargues M, Labek G, Pons JM. Arthroplasty registers: a review of international experiences. Int J Technol Assess Health Care. 2009;25:63–72. CrossRef
- Singh JA, Vessely MB, Harmsen WS, Schleck CD, Melton LJ 3rd, Kurland RL, Berry DJ. A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008. Mayo Clin Proc. 2010;85:898–904. CrossRef
- Slovakian Arthroplasty Register (SAR). Review of the annual report of the Slovakian Arthroplasty Register, 2010. Available at: http://sar.mfn.sk/file/subory/SAR_2010_EN.pdf. 2011. Accessed April 1, 2012.
- Steel N, Melzer D, Gardener E, McWilliams B. Need for and receipt of hip and knee replacement—a national population survey. Rheumatology (Oxford). 2006;45:1437–1441. CrossRef
- The Norwegian Arthroplasty Register (NAR) Report June 2010. Available at: http://nrlweb.ihelse.net/eng/Report_2010.pdf. 2010. Accessed April 1, 2012.
- The Swedish Knee Arthroplasty Register (SKAR). Annual Report 2011. Available at: http://www.knee.nko.se/english/online/uploadedFiles/115_SKAR2011_Eng1.0.pdf. 2011. Accessed April 1, 2012.
- Wells VM, Hearn TC, McCaul KA, Anderton SM, Wigg AE, Graves SE. Changing incidence of primary total hip arthroplasty and total knee arthroplasty for primary osteoarthritis. J Arthroplasty. 2002;17:267–273. CrossRef
- Yan CH, Chiu KY, Ng FY. Total knee arthroplasty for primary knee osteoarthritis: changing pattern over the past 10 years. Hong Kong Med J. 2011;17:20–25.
- Trends in Use of Total Knee Arthroplasty in Korea From 2001 to 2010
Clinical Orthopaedics and Related Research®
Volume 471, Issue 5 , pp 1441-1450
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Department of Orthopaedic Surgery, Uijeongbu St Mary’s Hospital, Gyunggido, Korea
- 2. Department of Orthopaedic Surgery, Catholic University of Korea College of Medicine, Seoul, Korea
- 3. Joint Reconstruction Center, Seoul National University Bundang Hospital, Gyunggido, Korea
- 4. Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea
- 5. Department of Orthopaedic Surgery, Pusan National University College of Medicine, Pusan, Korea
- 6. Department of Orthopaedic Surgery, Seoul St Mary’s Hospital, 222 Banpo-daero, Seocho-gu, Seoul, 137-701, Korea