Decrease of RA-related orthopaedic surgery of the upper limbs between 1998 and 2004: data from 54,579 Swedish RA inpatients

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Weiss, R. J.Karolinska Institutet (author)

Decrease of RA-related orthopaedic surgery of the upper limbs between 1998 and 2004 : data from 54,579 Swedish RA inpatients

Article/chapterEnglish2008

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2007-12-18
Oxford :Oxford University Press,2008
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LIBRIS-ID:oai:DiVA.org:oru-3768
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-3768URI
https://doi.org/10.1093/rheumatology/ken009DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:116997474URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Objectives. To describe the overall use and temporal trends in orthopaedic upper limb surgery associated with RA on a nation wide basis in Sweden between 1998 and 2004.Methods. Data for all inpatient visits during 1998–2004 for patients older than 18 yrs with RA-related diagnoses were extracted from the Swedish National Hospital Discharge Registry (SNHDR). The SNHDR prospectively collects data on all hospital admissions in Sweden according to the International Classification of Diseases (ICD). Data were analysed with respect to orthopaedic surgery of the hand, elbow and shoulder.Results. During the study period, 54 579 individual RA patients were admitted to a Swedish hospital and 9% of these underwent RA-related surgery of the upper limbs. The RA patient cohort underwent a total of 8251 RA-related upper limb surgical procedures. The hand (77%) was most frequently operated on, followed by the shoulder (13%) and the elbow (10%). There was a statistically significant decrease of 31% for all admissions associated with RA-related upper limb surgery during 1998–2004 (P = 0.001). Some 10% of all RA-related upper limb surgery was due to total joint arthroplasties (TJAs), mostly for the elbow (59%). During 1998–2004, all TJAs, elbow-TJAs and shoulder-TJAs had a stable occurrence. In contrast, the overall numbers of hand-TJAs significantly increased (P = 0.009).Conclusions. Rates of RA-related upper limb surgery decreased and TJAs had a stable occurrence in Sweden during 1998–2004. The findings of this study may reflect trends in disease management and health outcomes of RA patients in Sweden.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Adult
Aged
Arthritis; Rheumatoid/epidemiology/*surgery
Arthroplasty; Replacement/utilization
Elbow Joint/surgery
Female
Hand Joints/surgery
Hospitalization/statistics & numerical data
Humans
Length of Stay/statistics & numerical data/trends
Male
Middle Aged
Orthopedic Procedures/trends/utilization
Shoulder Joint/surgery
Sweden/epidemiology
Upper Extremity/*surgery
MEDICINE
MEDICIN
Surgery
Kirurgi
Orthopaedics
Ortopedi
Ortopedi
Orthopaedics

Added entries (persons, corporate bodies, meetings, titles ...)

Ehlin, A. (author)
Montgomery, Scott M.Karolinska Institutet,Örebro universitet,Hälsoakademin(Swepub:oru)smy (author)
Wick, M. C.Karolinska Institutet (author)
Stark, A.Karolinska Institutet (author)
Wretenberg, PerKarolinska Institutet(Swepub:oru)pewg (author)
Karolinska InstitutetHälsoakademin (creator_code:org_t)

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In:RheumatologyOxford : Oxford University Press47:4, s. 491-4941462-03241462-0332

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By the author/editor: Weiss, R. J.; Ehlin, A.; Montgomery, Scot ...; Wick, M. C.; Stark, A.; Wretenberg, Per

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: Rheumatology

By the university: Örebro University; Karolinska Institutet

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