Researchers find younger, more diverse patients having total knee replacements

Mar 13, 2010

A research team led by Mayo Clinic has found a national trend toward younger, more diverse patients having total knee replacement surgery. The findings were presented today at the 2010 annual meeting of the American Academy of Orthopaedic Surgeons in New Orleans.

Data from the Centers for Disease Control and Prevention's National Hospital Discharge Survey (http://www.cdc.gov/nchs/nhds.htm) were compared for 1990-1994 and 2002-2006 for patients having total knee replacements (also known as total knee arthroplasty). About 800,000 procedures were performed in 1990-1994, and 2.1 million in 2002-2006.

Researchers found the average age of total knee replacement patients decreased by two years (from 70 years to 68 years) between the two time periods and that the percentage of minorities increased by 1.4 percent (from 8 percent to 9.4 percent).

The study also found that Medicare is paying less for total knee replacements, and the length of hospital stays decreased. The Medicare payment for the procedures dropped from 72 percent to 61 percent. Hospital stays went from 8.4 days to 3.9 days. This coincides with an increase in the number of patients going to short- or long-term care facilities after surgery.

"This information will be useful for planning for the future," says Michele D'Apuzzo, M.D., the Mayo Clinic resident who led the study. "Total knee replacements aren't going away any time soon. We're going to be seeing younger patients undergoing this procedure, but we may also see more failures and more revisions, and physicians and medical facilities need to prepare for that."

Rafael Sierra, M.D., Mayo Clinic and senior author on the study, offered several explanations for why younger people are having total knee replacements. "Total knee replacement is becoming a more established procedure," he says. "There's a wider spectrum of diseases we can treat with the procedure. We're also getting better at it. We have better materials that are longer lasting. So we feel more comfortable performing it on younger people now."

Explore further: The high cost of hot flashes: Millions in lost wages preventable

add to favorites email to friend print save as pdf

Related Stories

How often do hip and knee replacements need revision?

Sep 02, 2008

A comprehensive study using nationwide data on hip and knee replacements in England has found that one in seventy-five patients require a revision of their joint replacement after three years. Although this compares favourably ...

'Shrug off' shoulder surgery myth, study suggests

Mar 26, 2007

Contrary to widespread belief, total surgical replacement of arthritic shoulder joints carries no greater risk of complications than replacement of other major joints, a Johns Hopkins study suggests.

No justification for denying obese patients knee replacements

Jul 24, 2008

There is no justification for denying obese patients knee replacement surgery: They benefit almost as much as anyone else from the procedure, concludes a small study published ahead of print in the Annals of the Rheumatic Di ...

A sporting chance for active total knee replacement patients

Mar 12, 2010

Total knee arthroplasty (TKA) patients may be able to participate in high-impact sports without increasing risk of early implant failure, according to a new study presented today at the 2010 Annual Meeting of the American ...

Recommended for you

Tracking spending among the commercially insured

8 hours ago

Recent growth in health care spending for commercially insured individuals is due primarily to increases in prices for medical services, rather than increased use, according to a new study led by researchers at The Dartmouth ...

Taking aim at added sugars to improve Americans' health

12 hours ago

Now that health advocates' campaigns against trans-fats have largely succeeded in sidelining the use of the additive, they're taking aim at sugar for its potential contributions to Americans' health conditions. But scientists ...

User comments : 0