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Epidemiology and Variability of Orthopaedic Procedures Worldwide

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European Instructional Lectures

Part of the book series: European Instructional Lectures ((EICL,volume 11))

Abstract

1. Objectives: To analyze the age standardized incidence rates (ASIR) of Total Hip (THA) and Total Knee Arthroplasties (TKA) worldwide and to identify determinants for such incidences. Methods: Data THA (31 countries) and for TKA (28 countries) as well as social, economic, health and demographic data from several sources were analyzed. Multiple regression analysis and spatial cluster analysis were conducted. 2. Results: No association between THA and TKA and obesity, osteoarthrosis, hospital discharges and other health factors were found. On the other hand, most of the economic variables used were determinants of the THA and TKA incidence. A cluster of countries in central Europe, with higher rates for THA was identified. 3. Discussion: Accentuated differences of ASIR seemed to be explained by economic factors rather than by health needs. Perhaps quality of patient’s life is not seen as a priority in some health systems.

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Authors and Affiliations

  1. Serviço de Higiene e Epidemiologia, Faculdade de Medicina da Universidade do Porto, Porto, Portugal

    Maria de Fatima de Pina

  2. Divisão de Biomateriais, Instituto de Engenharia Biomédica – INEB, Universidade do Porto, Porto, Portugal

    Maria de Fatima de Pina

  3. Instituto de Saúde Pública da Universidade do Porto – ISPUP, Rua das Taipas nº 135, 4050-600, Porto, Portugal

    Maria de Fatima de Pina

Authors
  1. Maria de Fatima de Pina
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  2. Ana Isabel Ribeiro
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  3. Carlos Santos
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Corresponding author

Correspondence to Maria de Fatima de Pina .

Editor information

Editors and Affiliations

  1. Royal National Orthopaedic Hospital Trus, Brockley Hill, Stanmore, HA 7 4LP, Middlesex, United Kingdom

    George Bentley

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de Fatima de Pina, M., Ribeiro, A.I., Santos, C. (2011). Epidemiology and Variability of Orthopaedic Procedures Worldwide. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18321-8_2

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  • DOI: https://doi.org/10.1007/978-3-642-18321-8_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-18320-1

  • Online ISBN: 978-3-642-18321-8

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