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International Orthopaedics
Published in: International Orthopaedics 1/2019

01-01-2019 | Original Paper

Total knee arthroplasty in Italy: reflections from the last fifteen years and projections for the next thirty

Authors: Emilio Romanini, Francesco Decarolis, Ilaria Luzi, Gustavo Zanoli, Michele Venosa, Paola Laricchiuta, Eugenio Carrani, Marina Torre

Published in: International Orthopaedics | Issue 1/2019

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Abstract

Purpose

Annual rates of knee arthroplasty are increasing in all developed countries, imposing a significant economic and organizational burden; it is crucial to forecast the future need for knee arthroplasty, to assist stakeholders in planning strategies and investments, especially in a country like Italy, with the largest proportion of elderly citizens in Europe. Few epidemiological studies have been performed worldwide to estimate the demand for future knee replacement, and a variety of methods have been proposed.

Methods

We investigated the epidemiology of knee arthroplasty performed in Italy in the last 15 years and projected incidence rates up to the year 2050, utilizing, comparing, and adapting the available methodologies.

Results

From 2001 to 2016, 812,639 primary TKA were performed in Italy on patients over 40. The total number of surgeries increased by 262% with an average annual growth rate of 6.6%.

Conclusions

Adopting the best fitting projection method, an increase of 45% in incidence rate is expected for 2050.
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Metadata
Title
Total knee arthroplasty in Italy: reflections from the last fifteen years and projections for the next thirty
Authors
Emilio Romanini
Francesco Decarolis
Ilaria Luzi
Gustavo Zanoli
Michele Venosa
Paola Laricchiuta
Eugenio Carrani
Marina Torre
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-4165-7

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