Evidence map›Paper›PMID 20823375›Full record

ArticleMayo Clinic proceedings2010

A population-based study of trends in the use of total hip and total knee arthroplasty, 1969-2008.

Jasvinder A Singh, Michael B Vessely, W Scott Harmsen, Cathy D Schleck, L Joseph Melton, Robert L Kurland, Daniel J Berry

Registry-linked trialAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Mayo Clinic proceedings, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02947321 (GREAT Knee Pain Reduction Trial, Genicular Radiofrequency Ablation Efficacy in Achieving Total Knee Pain Reduction Trial), which is not on this map. Cited by 87 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02947321 nacompletednot on this mapstarted 2018, after this paper: background citation

GREAT Knee Pain Reduction Trial, Genicular Radiofrequency Ablation Efficacy in Achieving Total Knee Pain Reduction Trial

TypeinterventionalSponsorVanderbilt University Medical CenterRan2018 to 2020Enrolled60ConditionsKnee Arthroplasty, Total, Osteoarthritis, Radiologic Tibiofemoral OsteoarthritisArmsGenicular Nerve RFA, Sham Genicular Nerve RFA
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Threaded cup in total hip arthroplasty: a systematic review of long-term survivorship.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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  7. Trends in use of total knee arthroplasty in Korea from 2001 to 2010.Clinical orthopaedics and related research · 2013
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jasvinder A SinghDepartment of Orthopedic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.
Michael B Vessely
W Scott Harmsen
Cathy D Schleck
L Joseph Melton
Robert L Kurland
Daniel J Berry

Funding

Mayo Clinic Center for Translational Science ActivitiesKL2RR024151 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$15.3M
ROCHESTER EPIDEMIOLOGY PROJECTR01AR030582 · NIAMS · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A · 1986 to 2009
$5.1M
NCRR NIH HHS 1 KL2 RR024151-01NCRR NIH HHS KL2 RR024151NIAMS NIH HHS AR30582NIAMS NIH HHS R01 AR030582
6 · The paper itself

Abstract

objectiveTo study the rates of use of total hip arthroplasty (THA) and total knee arthroplasty (TKA) during the past 4 decades.

methodsThe Rochester Epidemiology Project was used to identify all Olmsted County, Minnesota, residents who underwent THA or TKA from January 1, 1969, through December 31, 2008. We used a population-based approach because few data are available on long-term trends in the use of THA and TKA in the United States. Rates of use were determined by age- and sex-specific person-years at risk. Poisson regression was used to assess temporal trends by sex and age group.

resultsThe age- and sex-adjusted use of THA increased from 50.2 (95% confidence interval [CI], 40.5-59.8) per 100,000 person-years in 1969-1972 to 145.5 (95% CI, 134.2-156.9) in 2005-2008, whereas TKA increased markedly from 31.2 (95% CI, 25.3-37.1) per 100,000 person-years in 1971-1976 to 220.9 (95% CI, 206.7-235.0) in 2005-2008. For both procedures, use was greater among females, and the rate generally increased with age.

conclusionIn this community, TKA and THA use rates have increased steadily since the introduction of the procedures and continue to increase for all age groups. On the basis of these population-based data, the probable need for TKA and THA exceeds current federal agency projections.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionArthroplasty, Replacement, HipArthroplasty, Replacement, KneeChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID20823375
PMCPMC2947961

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.