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TÜRKİYE'DE KALÇA ARTROPLASTİLERİNİN SAĞLIK POLİTİKASI AÇISINDAN DEĞERLENDİRİLMESİ

Year 2023, Volume: 9 Issue: 2, 259 - 268, 31.08.2023

Hüseyin Aslan , Emine Çetin Aslan

Abstract

Bu çalışmanın amacı, kalça artroplastisinde revizyon yükünü, revizyon ameliyatlarındaki artış oranını ve revizyon nedenlerini belirlemektir. Türkiye'de kamu hastanelerinde 2013-2017 yılları arasında yapılan primer ve revizyon TKA'lar retrospektif olarak incelendi. Primer ve revizyon TKA uygulanan hastalar demografik ve klinik özellikleri açısından ğerlendirilmiştir. Beş yıllık bir süre boyunca toplam 50.647 (7.472 revizyon ve 43.175 primer) işlem değerlendirildi. Kalça artroplastilerinin toplam sayısı yıllar içinde artmıştır. Hastaların %84'ü 50 yaş ve üzerindeydi ve %63,6'sı kadındı. İmplantın mekanik komplikasyonları ve implantla ilişkili her enfeksiyon, revizyon olasılığını yaklaşık 77 kat artırır. Türkiye'de birincil ve revizyon THA sayıları her yıl artmaktadır. Türkiye'de revizyon THA oranları yıllar itibariyle düşüş göstermektedir.

Keywords

Total kalça artroplastisi aseptik gevşeme periprostetik eklem enfeksiyonu Türkiye revizyon yükü

References

  • Alpar, R. (2013). Uygulamalı Çok Değişkenli İstatistiksel Yöntemler. (Dördüncü basım). Detay Yayıncılık: Ankara
  • Badarudeen, S., Shu, A. C., Ong, K. L., Baykal, D., Lau, E., & Malkani, A. L. (2017). Complications after revision total hip arthroplasty in the medicare population. Journal of Arthroplasty, 32(6), 1954–1958. https://doi.org/10.1016/j.arth.2017.01.037
  • Birrell, F., Johnell, O., & Silman, A. (1999). Projecting the need for hip replacement over the next three decades: influence of changing demography and threshold for surgery. Annals of the Rheumatic Diseases, 58(9), 569–572. https://doi.org/10.1136/ARD.58.9.569
  • Brinker, M. R., Lund, P. J., Cox, D. D., & Barrack, R. L. (1996). Demographic biases found in scoring instruments of total hip arthroplasty. Journal of Arthroplasty, 11(7), 820–830. https://doi.org/10.1016/S0883-5403(96)80182-3
  • Bottle, A., Parikh, S., Aylin, P., & Loeffler, M. (2019). Risk factors for early revision after total hip and knee arthroplasty: National observational study from a surgeon and population perspective. PLoS ONE, 14(4). https://doi.org/10.1371/journal.pone.0214855
  • Bozic, K. J., Katz, P., Cisternas, M., Ono, L., Ries, M. D., & Showstack, J. (2005). Hospital resource utilization for primary and revision total hip arthroplasty. Journal of Bone and Joint Surgery, 87(3), 570–576. https://doi.org/10.2106/JBJS.D.02121
  • Cetin, E. (2017) “Hastanelerde Tekrar Yatışların Nedenleri ve Maliyetlerinin Analizi: Diz ve Kalça Protezi Örneği”
  • Delanois, R. E., Gwam, C. U., Mistry, J. B., Chughtai, M., Khlopas, A., Yakubek, G., Ramkumar, P. N., Piuzzi, N. S., & Mont, M. A. (2018). Does gender influence how patients rate their patient experience after total hip arthroplasty? HIP International, 28(1), 40–43. https://doi.org/10.5301/hipint.5000510
  • Gwam, C. U., Mistry, J. B., Mohamed, N. S., Thomas, M., Bigart, K. C., Mont, M. A., & Delanois, R. E. (2017). Current epidemiology of revision total hip arthroplasty in the United States: National ınpatient sample 2009 to 2013. The Journal of Arthroplasty, 32(7), 2088–2092.
  • Healthcare Cost and Utilization Project 2020. (n.d.). Retrieved December 1, 2020, from https://www.hcup-us.ahrq.gov/faststats/NationalProceduresServlet?year1=2015&characteristic1=0&included1=0&year2=&characteristic2=0&included2=1&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide.
  • Kelmer, G., Stone, A. H., Turcotte, J., & King, P. J. (2021). Reasons for revision: primary total hip arthroplasty mechanisms of failure. Journal of the American Academy of Orthopaedic Surgeons, 29(2), 78–87. https://doi.org/10.5435/JAAOS-D-19-00860
  • Kurtz, S., Ong, K., Lau, E., Mowat, F., & Halpern, M. (2007). Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Journal of Bone and Joint Surgery, 89(4), 780–785. https://doi.org/10.2106/JBJS.F.00222
  • Kurtz, S., Mowat, F., Ong, K., Chan, N., Lau, E., & Halpern, M. (2005). Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. The Journal of Bone and Joint Surgery. American Volume, 87(7), 1487–1497. https://doi.org/10.2106/JBJS.D.02441
  • Melvin, J. S., Karthikeyan, T., Cope, R., & Fehring, T. K. (2014). Early failures in total hip arthroplasty - a changing paradigm. The Journal of Arthroplasty, 29(6), 1285–1288. https://doi.org/10.1016/j.arth.2013.12.024
  • Nugent, M., Young, S. W., Frampton, C. M., & Hooper, G. J. (2021). The lifetime risk of revision following total hip arthroplasty a New Zealand Joint Registry study. Bone and Joint Journal, 103 B(3), 479–485. https://doi.org/10.1302/0301-620X.103B3.BJJ-2020-0562.R2
  • Ong, K. L., Mowat, F. S., Chan, N., Lau, E., Halpern, M. T., & Kurtz, S. M. (2006). Economic burden of revision hip and knee arthroplasty in Medicare enrollees. Clinical Orthopaedics and Related Research, 446, 22–28. https://doi.org/10.1097/01.blo.0000214439.95268.59
  • Pabinger, C., Lothaller, H., Portner, N., & Geissler, A. (2018). Projections of hip arthroplasty in OECD countries up to 2050. HIP International, 28(5), 498–506. https://doi.org/10.1177/1120700018757940
  • Pilz, V., Hanstein, T., & Skripitz, R. (2018). Projections of primary hip arthroplasty in Germany until 2040. Acta Orthopaedica, 89(3), 308–313. https://doi.org/10.1080/17453674.2018.1446463
  • Prokopetz, J. J., Losina, E., Bliss, R. L., Wright, J., Baron, J. A., & Katz, J. N. (2012). Risk factors for revision of primary total hip arthroplasty: a systematic review. BMC Musculoskeletal Disorders, 13, 251. https://doi.org/10.1186/1471-2474-13-251
  • Ulrich, S. D., Seyler, T. M., Bennett, D., Delanois, R. E., Saleh, K. J., Thongtrangan, I., Kuskowski, M., Cheng, E. Y., Sharkey, P. F., Parvizi, J., Stiehl, J. B., & Mont, M. A. (2008). Total hip arthroplasties: What are the reasons for revision? International Orthopaedics, 32(5), 597–604. https://doi.org/10.1007/s00264-007-0364-3
  • Weber, M., Renkawitz, T., Voellner, F., Craiovan, B., Greimel, F., Worlicek, M., Grifka, J., & Benditz, A. (2018). Revision Surgery in Total Joint Replacement Is Cost-Intensive. BioMed Research International, 2018, 8987104. https://doi.org/10.1155/2018/8987104

EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY

Year 2023, Volume: 9 Issue: 2, 259 - 268, 31.08.2023

Hüseyin Aslan , Emine Çetin Aslan

Abstract

The aim of this study is to determine the revision burden, the rate of increase in revision surgeries, and the reasons for revision in a hip arthroplasty. Primary and revision THAs, which were performed between 2013 and 2017 in public hospitals in Turkiye, were investigated retrospectively. Patients who underwent primary and revision THAs were examined in terms of their demographic and clinical characteristics. A total of 50,647 (7,472 revisions and 43,175 primary) procedures, were evaluated over a five-year period. The total number of hip arthroplasties has increased over the years. 84% of patients were 50 or older and 63.6% were women. Mechanical complications of the implant and every implant-related infection increase the probability of revision by approximately 77 times. The primary and revision THA numbers in Turkey are increasing every year. Revision THA rates have been decreasing over the years in Turkiye.

Keywords

Total hip arthroplasty aseptic loosening periprosthetic joint infection Türkiye revision burden

References

  • Alpar, R. (2013). Uygulamalı Çok Değişkenli İstatistiksel Yöntemler. (Dördüncü basım). Detay Yayıncılık: Ankara
  • Badarudeen, S., Shu, A. C., Ong, K. L., Baykal, D., Lau, E., & Malkani, A. L. (2017). Complications after revision total hip arthroplasty in the medicare population. Journal of Arthroplasty, 32(6), 1954–1958. https://doi.org/10.1016/j.arth.2017.01.037
  • Birrell, F., Johnell, O., & Silman, A. (1999). Projecting the need for hip replacement over the next three decades: influence of changing demography and threshold for surgery. Annals of the Rheumatic Diseases, 58(9), 569–572. https://doi.org/10.1136/ARD.58.9.569
  • Brinker, M. R., Lund, P. J., Cox, D. D., & Barrack, R. L. (1996). Demographic biases found in scoring instruments of total hip arthroplasty. Journal of Arthroplasty, 11(7), 820–830. https://doi.org/10.1016/S0883-5403(96)80182-3
  • Bottle, A., Parikh, S., Aylin, P., & Loeffler, M. (2019). Risk factors for early revision after total hip and knee arthroplasty: National observational study from a surgeon and population perspective. PLoS ONE, 14(4). https://doi.org/10.1371/journal.pone.0214855
  • Bozic, K. J., Katz, P., Cisternas, M., Ono, L., Ries, M. D., & Showstack, J. (2005). Hospital resource utilization for primary and revision total hip arthroplasty. Journal of Bone and Joint Surgery, 87(3), 570–576. https://doi.org/10.2106/JBJS.D.02121
  • Cetin, E. (2017) “Hastanelerde Tekrar Yatışların Nedenleri ve Maliyetlerinin Analizi: Diz ve Kalça Protezi Örneği”
  • Delanois, R. E., Gwam, C. U., Mistry, J. B., Chughtai, M., Khlopas, A., Yakubek, G., Ramkumar, P. N., Piuzzi, N. S., & Mont, M. A. (2018). Does gender influence how patients rate their patient experience after total hip arthroplasty? HIP International, 28(1), 40–43. https://doi.org/10.5301/hipint.5000510
  • Gwam, C. U., Mistry, J. B., Mohamed, N. S., Thomas, M., Bigart, K. C., Mont, M. A., & Delanois, R. E. (2017). Current epidemiology of revision total hip arthroplasty in the United States: National ınpatient sample 2009 to 2013. The Journal of Arthroplasty, 32(7), 2088–2092.
  • Healthcare Cost and Utilization Project 2020. (n.d.). Retrieved December 1, 2020, from https://www.hcup-us.ahrq.gov/faststats/NationalProceduresServlet?year1=2015&characteristic1=0&included1=0&year2=&characteristic2=0&included2=1&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide.
  • Kelmer, G., Stone, A. H., Turcotte, J., & King, P. J. (2021). Reasons for revision: primary total hip arthroplasty mechanisms of failure. Journal of the American Academy of Orthopaedic Surgeons, 29(2), 78–87. https://doi.org/10.5435/JAAOS-D-19-00860
  • Kurtz, S., Ong, K., Lau, E., Mowat, F., & Halpern, M. (2007). Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Journal of Bone and Joint Surgery, 89(4), 780–785. https://doi.org/10.2106/JBJS.F.00222
  • Kurtz, S., Mowat, F., Ong, K., Chan, N., Lau, E., & Halpern, M. (2005). Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. The Journal of Bone and Joint Surgery. American Volume, 87(7), 1487–1497. https://doi.org/10.2106/JBJS.D.02441
  • Melvin, J. S., Karthikeyan, T., Cope, R., & Fehring, T. K. (2014). Early failures in total hip arthroplasty - a changing paradigm. The Journal of Arthroplasty, 29(6), 1285–1288. https://doi.org/10.1016/j.arth.2013.12.024
  • Nugent, M., Young, S. W., Frampton, C. M., & Hooper, G. J. (2021). The lifetime risk of revision following total hip arthroplasty a New Zealand Joint Registry study. Bone and Joint Journal, 103 B(3), 479–485. https://doi.org/10.1302/0301-620X.103B3.BJJ-2020-0562.R2
  • Ong, K. L., Mowat, F. S., Chan, N., Lau, E., Halpern, M. T., & Kurtz, S. M. (2006). Economic burden of revision hip and knee arthroplasty in Medicare enrollees. Clinical Orthopaedics and Related Research, 446, 22–28. https://doi.org/10.1097/01.blo.0000214439.95268.59
  • Pabinger, C., Lothaller, H., Portner, N., & Geissler, A. (2018). Projections of hip arthroplasty in OECD countries up to 2050. HIP International, 28(5), 498–506. https://doi.org/10.1177/1120700018757940
  • Pilz, V., Hanstein, T., & Skripitz, R. (2018). Projections of primary hip arthroplasty in Germany until 2040. Acta Orthopaedica, 89(3), 308–313. https://doi.org/10.1080/17453674.2018.1446463
  • Prokopetz, J. J., Losina, E., Bliss, R. L., Wright, J., Baron, J. A., & Katz, J. N. (2012). Risk factors for revision of primary total hip arthroplasty: a systematic review. BMC Musculoskeletal Disorders, 13, 251. https://doi.org/10.1186/1471-2474-13-251
  • Ulrich, S. D., Seyler, T. M., Bennett, D., Delanois, R. E., Saleh, K. J., Thongtrangan, I., Kuskowski, M., Cheng, E. Y., Sharkey, P. F., Parvizi, J., Stiehl, J. B., & Mont, M. A. (2008). Total hip arthroplasties: What are the reasons for revision? International Orthopaedics, 32(5), 597–604. https://doi.org/10.1007/s00264-007-0364-3
  • Weber, M., Renkawitz, T., Voellner, F., Craiovan, B., Greimel, F., Worlicek, M., Grifka, J., & Benditz, A. (2018). Revision Surgery in Total Joint Replacement Is Cost-Intensive. BioMed Research International, 2018, 8987104. https://doi.org/10.1155/2018/8987104
There are 21 citations in total.

Details

Primary Language English
Subjects Health Surveillance
Journal Section Articles
Authors

Hüseyin Aslan 0000-0001-8963-7638

Emine Çetin Aslan 0000-0003-4326-2070

Early Pub Date August 30, 2023
Publication Date August 31, 2023
Acceptance Date August 29, 2023
Published in Issue Year 2023 Volume: 9 Issue: 2

Cite

APA Aslan, H., & Çetin Aslan, E. (2023). EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY. Uluslararası Sağlık Yönetimi Ve Stratejileri Araştırma Dergisi, 9(2), 259-268.
AMA Aslan H, Çetin Aslan E. EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY. USAYSAD. August 2023;9(2):259-268.
Chicago Aslan, Hüseyin, and Emine Çetin Aslan. “EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY”. Uluslararası Sağlık Yönetimi Ve Stratejileri Araştırma Dergisi 9, no. 2 (August 2023): 259-68.
EndNote Aslan H, Çetin Aslan E (August 1, 2023) EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi 9 2 259–268.
IEEE H. Aslan and E. Çetin Aslan, “EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY”, USAYSAD, vol. 9, no. 2, pp. 259–268, 2023.
ISNAD Aslan, Hüseyin - Çetin Aslan, Emine. “EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY”. Uluslararası Sağlık Yönetimi ve Stratejileri Araştırma Dergisi 9/2 (August 2023), 259-268.
JAMA Aslan H, Çetin Aslan E. EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY. USAYSAD. 2023;9:259–268.
MLA Aslan, Hüseyin and Emine Çetin Aslan. “EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY”. Uluslararası Sağlık Yönetimi Ve Stratejileri Araştırma Dergisi, vol. 9, no. 2, 2023, pp. 259-68.
Vancouver Aslan H, Çetin Aslan E. EVALUATION OF HIP ARTHROPLASTIES IN TÜRKİYE IN TERMS OF HEALTH POLICY. USAYSAD. 2023;9(2):259-68.
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