RT Journal Article
SR Electronic
T1 Orthopedic Surgery in Rheumatoid Arthritis: Results from the Spanish National Registry of Hospitalized Patients over 17 Years
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.190182
DO 10.3899/jrheum.190182
A1 Marina Peña
A1 Javier Quirós-Donate
A1 Elia  Pérez Fernández
A1 Natalia Crespí-Villarías
A1 Elisa  Dieguez Costa
A1 Alberto García-Vadillo
A1 María Espinosa
A1 Cristina Macía-Villa
A1 Jose Luis  Morell-Hita
A1 Cristina Martinez-Prada
A1 Virginia Villaverde
A1 Inmaculada  Morado Quiroga
A1 Olalla Guzón-Illescas
A1 Carmen Barbadillo
A1 Manuel  Fernandez Prada
A1 Hilda Godoy
A1 Angela  Herranz Varela
A1 María  Galindo Izquierdo
A1 Ramón Mazzucchelli
YR 2019
UL http://www.jrheum.org/content/early/2019/11/08/jrheum.190182.abstract
AB Objective To analyze the trend of orthopedic surgery (OS) rates on patients with rheumatoid arthritis (RA). Methods Retrospective observational study based on information provided by the Spanish National System of Hospital Data Surveillance. All hospitalizations of patients with RA for orthopedic surgery [total hip arthroplasty (THA), total knee arthroplasty (TKA), arthrodesis, and upper limb arthroplasty (ULA)] during 1999–2015 were analyzed. The age-adjusted rate was calculated. Generalized linear models were used for trend analysis. Results There were 21,088 OS in patients over 20 years of age (77.9% women). OS rate adjusted by age was 754.63/100,000 RA patients/year (women 707.4, men 861.1). Neither an increasing nor a decreasing trend was noted for the total OS. However, trend and age interacted, so in the age ranges 20–40 years and 40–60 years, an annual reduction of 2.69% and 2.97%, respectively, was noted. In the age ranges over 80 years and 60–80 years, we noted an annual increase of 5.40% and 1.09%, respectively. The average age at time of OS increased 5.5 years during the period analyzed. For specific surgeries, a global annual reduction was noted in rates for arthrodesis. In THA, there was an annual reduction in patients under 80 years. In TKA and ULA, there was an annual reduction in patients under 60 years. Conclusion Although the overall OS rate has not changed, there is a decrease in the rate of arthrodesis at all ages, THA in patients under 80 years of age, as well as TKA and ULA in patients under 60 years of age.