ArticleRheumatology (Oxford, England)2006
Need for and receipt of hip and knee replacement--a national population survey.
Article in Rheumatology (Oxford, England), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.
- Trends in use of total knee arthroplasty in Korea from 2001 to 2010.Clinical orthopaedics and related research · 2013Pooled it
- Determinants of demand for total hip and knee arthroplasty: a systematic literature review.BMC health services research · 2012Pooled it
- Indication for total knee arthroplasty based on preoperative functional score: Are we operating earlier?Canadian journal of surgery. Journal canadien de chirurgiePooled it
- Clinic variation in recruitment metrics, patient characteristics and treatment use in a randomized clinical trial of osteoarthritis management.BMC musculoskeletal disorders · 2014Trial
- Trial
- A single group follow-up study of non-surgical patients seen by physiotherapists working in expanded roles in orthopaedic departments: recall of recommendations, change in exercise and self-efficacy.BMC research notes · 2012Trial
- Joint status of patients with nonsevere hemophilia A.Journal of thrombosis and haemostasis : JTH · 2022Article
- Health and treatment outcomes of patients with hemophilia in the Netherlands, 1972-2019.Journal of thrombosis and haemostasis : JTH · 2021Article
- Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: a multi-level study of Australian registry data.BMC musculoskeletal disorders · 2016Article
- The rate of joint replacement in osteoarthritis depends on the patient's socioeconomic status.Acta orthopaedica · 2016Article
- Associations between socioeconomic status and primary total knee joint replacements performed for osteoarthritis across Australia 2003-10: data from the Australian Orthopaedic Association National Joint Replacement Registry.BMC musculoskeletal disorders · 2014Article
- Economic inequalities in burden of illness, diagnosis and treatment of five long-term conditions in England: panel study.BMJ open · 2014Article
- NHS Scotland reduces the postcode lottery for hip arthroplasty: an ecological study of the impact of waiting time initiatives.Journal of the Royal Society of Medicine · 2014Article
- Cross-sectional analysis of association between socioeconomic status and utilization of primary total hip joint replacements 2006-7: Australian Orthopaedic Association National Joint Replacement Registry.BMC musculoskeletal disorders · 2012Article
- Article
- Inequalities in primary care management of knee pain and disability in older adults: an observational cohort study.Rheumatology (Oxford, England) · 2011Article
- Epidemiology of knee and hip arthroplasty: a systematic review.The open orthopaedics journal · 2011Article
- Equity in access to total joint replacement of the hip and knee in England: cross sectional study.BMJ (Clinical research ed.) · 2010Article
- Reductions in disability prevalence among the highest income groups of older Brazilians.American journal of public health · 2009Article
- Recorded quality of primary care for osteoarthritis: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesHip and knee joint replacements are effective, and yet little is known about how closely the need for joint replacement matches supply in different population groups. Our objective was to compare the prevalence of existing joint replacements with that of need in population groups in England.
methodsA total of 7101 people aged 60 yrs or older, representative of the population of England, were interviewed. Participants were asked about both receipt and need for joint replacement, socio-economic status and co-morbidity. 'Need' classification was based on hip or knee pain and difficulty walking, with adjustment for potential surgical contraindications. Associations between participants' characteristics and both need and receipt were estimated.
resultsThe prevalence of existing joint replacement (receipt) was 6% [95% confidence intervals (CI) 5, 6], and this was lower in the North than the South [adjusted odds ratio (OR) 0.72, CI 0.53, 0.96]. In contrast, the prevalence of estimated need was higher in the North (OR 1.27, CI 1.03, 1.58). Need was greater in women than men (OR 1.30, CI 1.09, 1.53), and showed an increasing gradient from the wealthiest to poorest quintile (ORs 1.00, 1.52, 2.18, 2.49, 3.23). In contrast, receipt did not differ significantly by sex or socio-economic group.
conclusionsPeople living in the North of England, women and the less wealthy experience relatively high levels of need, yet do not receive relatively more hip and knee joint replacements.
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