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To examine trends in large total joint arthroplasties (TJA) and in the proportion of these methods implemented on individuals with rheumatoid arthritis (RA).
Rheumatoid arthritis (RA) affects 1.3 million people in the United
States. Till now, no study has been reported the prevalence of RA among
patients undergoing total shoulder (TSA), elbow (TEA), knee (TKA), hip (THA),
and ankle (TAA). Therefore, the present study state that the prevalence of RA
has decreased among TSA and TEA patients. A nonsignificant decline occurred
among TAA patients.
To examine trends in large total joint arthroplasties (TJA) and in
the proportion of these methods implemented on individuals with rheumatoid
arthritis (RA).
The identification of the total elbow (TEA), shoulder
(TSA), hip (THA), knee (TKA), and ankle (TAA) arthroplasty incidences and the
proportion of these accomplished with coexisting RA were done using the US
Nationwide Inpatient Sample (2002–2012).
The participants with TJA, TSA and TEA showed a 3.0%
increased prevalence of RA. Patients with TSA, TAA and TEA showed an 18%, 38.0%
and 50% decrease in RA prevalence, respectively and a nonsignificant rises were
in TKA and THA. The mean age difference between RA and non-RA individuals going
through TJA decreased by two years. Among the RA patients, women showed a
greater decline in the proportion of TAA, TSA, and TEA groups as compared to
the men. The percentage of whites with
RA were reduced in TEA and TSA. The proportion of TAA and TSA patients with RA
who insured privately were reduced, whereas patients with RA going through TAA,
TSA, and TEA who were getting Medicaid (government medical insurance) persisted
almost stable over time.
The TEA and TSA patients showed a reduced RA prevalence.
The TAA patients exhibited a nonsignificant drop. All TEA, TAA and TSA showed a
similar pattern of sex ratios. These outcomes may be proof of the success of
current RA management approaches.
J Rheumatol. 2017 Dec 1
Trends in Joint Replacement Surgery in Patients with Rheumatoid Arthritis
Bradley L et al.
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