Slowing Demand for Total Joint Arthroplasty in a Population of 3.2 Million

• Published in: The Journal of arthroplasty Vol. 26; no. 6; pp. 124 - 128
• Main Authors: Bini, Stefano A., MD, Sidney, Stephen, MD, MPH, Sorel, Michael, MPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2011
• Subjects: 3.2 million; Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip - statistics & numerical data; Arthroplasty, Replacement, Hip - trends; Arthroplasty, Replacement, Knee - statistics & numerical data; Arthroplasty, Replacement, Knee - trends; California; Databases as Topic; Hospitals, Community - statistics & numerical data; Humans; Incidence; Middle Aged; Orthopedics; Retrospective Studies; slowing demand; total joint arthroplasty; California; slowing demand; 3.2 million; total joint arthroplasty
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2011.03.043

Abstract Accurate projections of future demand require constant updates of current data. This article reviews the most recent usage data for primary total joint arthroplasty (TJA) in a community-based hospital system with 3.2 million members. We used administrative databases to determine plan membership, surgical volume, and age-adjusted incidence rates for TJA from 1996 through 2009. The annual growth rate in surgical volume peaked in 2002 at 18% and decreased to 3% by 2009. The annual growth rate for age-adjusted incidence rates peaked in 2002 at 13% and declined to 2% in 2009. In our population, the incidence of TJA continues to rise but at a much slower pace than in recent years.