ArticleBMC musculoskeletal disorders2011
Trends in primary total hip arthroplasty in Spain from 2001 to 2008: evaluating changes in demographics, comorbidity, incidence rates, length of stay, costs and mortality.
Article in BMC musculoskeletal disorders, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 53 citations in OpenAlex.
- Comparing outcomes of total hip arthroplasty between cirrhotic and non-cirrhotic patients through a propensity-matched analysis.Archives of orthopaedic and trauma surgery · 2026Article
- Trends in hip and knee replacement length of stay and patient demographics in England: a population-based study of 1,455,842 primary procedures.BMC medicine · 2025Article
- Incidence rate of total knee arthroplasties in eleven European countries: Do they reach a plateau?PloS one · 2025Article
- Trends in Incidence of Hip Fracture and Hip Replacement in Denmark, 1996 to 2018.JAMA network open · 2024Article
- Trends in incidence and average waiting time for arthroplasty from 1998-2021: an observational study of 282,367 patients from the Scottish arthroplasty project.Annals of the Royal College of Surgeons of England · 2024Observational
- Epidemiology of total hip arthroplasty: demographics, comorbidities and outcomes.Arthroplasty (London, England) · 2023Article
- Improved patient blood management and cost saving in hip replacement surgery through the implementation of pre-operative Sucrosomial® iron supplementation: a quality improvement assessment study.International orthopaedics · 2019Article
- Article
- Trend study on the association between hospital admissions and the health of Dutch older adults (1995-2009).BMJ open · 2016Observational
- Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty.BMC musculoskeletal disorders · 2016Article
- Current tobacco use is associated with higher rates of implant revision and deep infection after total hip or knee arthroplasty: a prospective cohort study.BMC medicine · 2015Article
- Article
- Increasing obesity and comorbidity in patients undergoing primary total hip arthroplasty in the U.S.: a 13-year study of time trends.BMC musculoskeletal disorders · 2014Article
- Increased rates of periprosthetic joint infection in patients with cirrhosis undergoing total joint arthroplasty.Clinical orthopaedics and related research · 2014Article
- Mortality after total hip replacement surgery: A systematic review.Bone & joint research · 2014Article
- Patients' perceptions of joint replacement care in a changing healthcare system: a qualitative study.Healthcare policy = Politiques de sante · 2014Article
- Trends in incidence and outcomes of revision total hip arthroplasty in Spain: a population based study.BMC musculoskeletal disorders · 2012Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip arthroplasties is one of the most frequent surgical procedures in Spain and are conducted mainly in elderly subjects. We aim to analyze changes in incidence, co-morbidity profile, length of hospital stay (LOHS), costs and in-hospital mortality (IHM) of patients undergoing primary total hip arthroplasty (THA) over an 8-year study period in Spain.
methodsWe selected all surgical admissions in individuals aged ≥ 40 years who had received a primary THA (ICD-9-CM procedure code 81.51) between 2001 and 2008 from the National Hospital Discharge Database. Age- and sex-specific incidence rates, LOHS, costs and IHM were estimated for each year. Co-morbidity was assessed using the Charlson comorbidity index.Multivariate analysis of time trends was conducted using Poisson regression. Logistic regression models were conducted to analyze IHM.
resultsWe identified a total of 161,791 discharges of patients having undergone THA from 2001 to 2008. Overall crude incidence had increased from 99 to 105 THA per 100.000 inhabitants from 2001 to 2008 (p < 0.001). In 2001, 81% of patients had a Charlson Index of 0, 18.4% of 1-2, and 0.6% > 2 and in 2008, the prevalence of 1-2 or >2 had increased to 20.4% and 1.1% respectively (p < 0.001). The mean LOHS was 13 days in 2001 and decreased to 10.45 days in 2008 (p < 0.001). During the period studied, the mean cost per patient increased from 6,634 to 9,474 Euros. Multivariate analysis shows that from 2001 to 2008 the incidence of THA hospitalizations has significantly increased for both sexes and only men showed a significant reduction in IHM after THA.
conclusionsThe current study provides clear and valid data indicating increased incidence of primary THA in Spain from 2001 to 2008 with concomitant reductions in LOHS, slight reduction IHM, but a significant increase in cost per patient. The health profile of the patient undergoing a THA seems to be worsening in Spain.
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