Manning Laurens, Davis Joshua S, Robinson Owen, Clark Ben, Lorimer Michelle, de Steiger Richard, Graves Stephen E
Faculty of Health and Medical Sciences, The University of Western Australia, Harry Perkins Research Institute, Perth, Western Australia, Australia.
Infectious Diseases Department, Fiona Stanley Hospital, Perth, Western Australia, Australia.
ANZ J Surg. 2020 May;90(5):846-850. doi: 10.1111/ans.15774. Epub 2020 Mar 2.
To provide an estimate of the population at risk for late complications of arthroplasty, we aimed to determine the prevalence of Australians living with one or more joint replacements.
Data included all arthroplasty procedures performed in Australia from 2003 to 2016 recorded by the Australian Orthopaedic Association National Joint Replacement Registry. The age- and gender-specific Australian population was obtained from the Australian Bureau of Statistics and used as denominator data. Survival data for each joint replacement, and of individuals, were used to estimate the arthroplasty prevalence. Analyses by age, gender and joint replacement site were undertaken. Prevalence estimates were augmented with procedural data captured before 2003 modelled with assumptions accounting for age and gender distributions, overall survival and arthroplasty revision rates.
By the end of 2016, there were 824 769 Australians living with at least one joint replacement, representing 3.4% of the total population. The prevalence of joint replacement is increasing in all age groups, but was highest amongst older Australians, with an overall prevalence of 22.5%, and 13.3% in those aged >85 years and 65-84 years, respectively. The prevalence of people living with multiple joint replacements is increasing more rapidly than patients who have undergone only one joint replacement procedure.
The prevalence of older Australians living with joint replacements is rapidly increasing, providing an estimate of the population-at-risk for late complications of arthroplasty including peri-prosthetic infection and fracture.
为了估计关节置换术后晚期并发症的风险人群，我们旨在确定患有一个或多个关节置换的澳大利亚人的患病率。
数据包括澳大利亚骨科协会国家关节置换登记处记录的2003年至2016年在澳大利亚进行的所有关节置换手术。澳大利亚特定年龄和性别的人口数据来自澳大利亚统计局，并用作分母数据。每个关节置换以及个体的生存数据用于估计关节置换的患病率。进行了按年龄、性别和关节置换部位的分析。患病率估计值通过2003年之前记录的程序数据进行补充，这些数据通过考虑年龄和性别分布、总体生存率和关节置换翻修率的假设进行建模。
到2016年底，有824769名澳大利亚人至少进行了一次关节置换，占总人口的3.4%。所有年龄组的关节置换患病率都在上升，但在澳大利亚老年人中最高，总体患病率为22.5%，85岁以上和65 - 84岁人群的患病率分别为13.3%。接受多次关节置换的人群患病率增长速度比仅接受一次关节置换手术的患者更快。
患有关节置换的澳大利亚老年人患病率正在迅速上升，这为包括假体周围感染和骨折在内的关节置换术后晚期并发症的风险人群提供了一个估计。
