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Open Access 01-12-2018 | Research article

Increasing incidence of primary shoulder arthroplasty in Finland – a nationwide registry study

Authors: Jenni N. E. Harjula, Juha Paloneva, Jaason Haapakoski, Juha Kukkonen, Ville Äärimaa, the Finnish Shoulder Arthroplasty Registry Group

Published in: BMC Musculoskeletal Disorders | Issue 1/2018

Abstract

Background

The incidence of shoulder arthroplasties is reportedly increasing and the types of arthroplasty are changing. The purpose of this study was to investigate the incidence of primary shoulder arthroplasty in Finland.

Methods

We analyzed nationwide data from the Finnish Arthroplasty Register (FAR) and the Finnish National Hospital Discharge Register (NHDR) during time period 2004–2015. The primary outcome variable was the incidence of shoulder arthroplasty per 100,000 person-years stratified by age, sex and year of surgery. The secondary outcome variables were surgical indication, arthroplasty type and prosthesis model.

Results

The number of primary shoulder arthroplasties was 7504 (women = 4878, men = 2625). The rate of operations increased from 6 to 15 per 100,000 person-years among men, and 11 to 26 per 100,000 person-years among women. The indication for arthroplasty was osteoarthritis in 56%, acute fracture in 21%, inflammatory arthritis in 13%, and rotator cuff arthropathy in 4% of the cases. Hemiarthroplasties accounted for 66%, total shoulder arthroplasties 8%, and reverse shoulder arthroplasties 12% of the cases, 14% of the cases was missing. During the 12-year study period the incidence of hemiarthroplasties decreased by 23% and the number of total shoulder and reverse shoulder arthroplasty increased by 500 and 4500%, respectively.

Conclusions

The incidence of primary shoulder arthroplasty has increased by 160% during the study period in Finland. The incidence of hemiarthroplasties decreased while total and reverse shoulder arthroplasties increased.

Available only for authorised users

Aromaa A, Koskinen S. Terveys ja toimintakyky Suomessa: Terveys 2000 -tutkimuksen perustulokset. Finland: Kansanterveyslaitoksen julkaisuja B: 3/2002. http://urn.fi/URN:ISBN:951-740-262-7. Accessed 19 Feb 2016.

New Zealand Joint Registry, The New Zealand Joint Registry: Sixteen Year Report, January 1999 to December 2014, http://www.nzoa.org.nz/system/files/Web_DH7657_NZJR2014Report_v4_12Nov15.pdf 2015; Accessed 5 May 2015.

Jain NB, Yamaguchi K. The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1905–12. http://dx.doi.org.ezproxy.utu.fi:2048/10.1016/j.jse.2014.06.055.CrossRef

Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93:2249–54. https://doi.org/10.2106/JBJS.J.01994.

Australian Orthopaedic Association National Joint Replacement Registry, Annual report from the Australian Joint Replacement Registry. Demographics and outcome of shoulder arthroplasty, Supplementary report https://aoanjrr.sahmri.com/documents/10180/217645/Shoulder%20Arthroplasty 2013.

Dillon MT, Ake CF, Burke MF, Singh A, Yian EH, Paxton EW, Navarro RA. The Kaiser Permanente shoulder arthroplasty registry: results from 6,336 primary shoulder arthroplasties. Acta Orthop. 2015;86(3):286–92. https://doi.org/10.3109/17453674.2015.1024565. Epub 2015 Mar 2CrossRefPubMedPubMedCentral

Rasmussen JV, Jakobsen J, Brorson S, Olsen BS. The Danish shoulder arthroplasty registry: clinical outcome and short-term survival of 2,137 primary shoulder replacements. Acta Orthop. 2012;83(2):171–3. https://doi.org/10.3109/17453674.2012.665327. Epub 2012 Feb 13CrossRefPubMedPubMedCentral

Rasmussen JV, Brorson S, Hallan G, Dale H, Äärimaa V, Mokka J, Jensen SL, Fenstad AM, Salomonsson B. Is it feasible to merge data from national shoulder registries? A new collaboration within the Nordic Arthroplasty Register Association. J Shoulder Elb Surg. 2016;25(12):e369–77. https://doi.org/10.1016/j.jse.2016.02.034. Epub 2016 Apr 20CrossRef

The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man: 14th Annual Report: https://doi.org/10.1016/j.jse.2014.06.055.

10.

Mattila VM, Sillanpaa P, Iivonen T, Parkkari J, Kannus P, Pihlajamaki H. Coverage and accuracy of diagnosis of cruciate ligament injury in the finnish national hospital discharge register. Injury. 2008;39(12):1373–6.CrossRefPubMed

11.

Sund R. Quality of the Finnish hospital discharge register: a systematic review. Scand J Public Health. 2012;40(6):505–15.CrossRefPubMed

12.

Huttunen TT, Kannus P, Pihlajamäki H, Mattila VM. Pertrochanteric fracture of the femur in the Finnish National Hospital Discharge Register: validity of procedural coding, external cause for injury and diagnosis. BMC Musculoskelet Disord. 2014;15(1):98.CrossRefPubMedPubMedCentral

13.

Statistics Finland. Population Structure [http://www.stat.fi/til/vaerak/index_en.html].

14.

Niemeläinen M, Mäkelä K, Robertsson O, W-Dahl A, Fenstad AM, Pedersen AB, Schrøder H, Huhtala H, Eskelinen A. Differences between incidences of knee arthroplasties in the Nordic countries a population-based study of data from the Nordic arthroplasty register association. Acta Orthop. 2017:1–6. [Epub ahead of print]

15.

Ackerman IN, Bohensky MA, de Steiger R, Brand CA, Eskelinen A, Fenstad AM, Furnes O, Graves SE, Haapakoski J, Mäkelä K, Mehnert F, Nemes S, Overgaard S, Pedersen AB, Garellick G. Lifetime risk of primary total hip replacement surgery for osteoarthritis from 2003-2013: a multi-national analysis using national registry data. Arthritis Care Res. 2017; [Epub ahead of print]

16.

Paloneva J, Lepola V, Karppinen J, Ylinen J, Äärimaa V, Mattila VM. Declining incidence of acromioplasty in Finland. Acta Orthop. 2015a;86(2):220–4.CrossRefPubMedPubMedCentral

17.

Paloneva J, Lepola V, Äärimaa V, Joukainen A, Ylinen J, Mattila VM. Increasing incidence of rotator cuff repairs--a nationwide registry study in Finland. BMC Musculoskelet Disord. 2015b;12(16):189. https://doi.org/10.1186/s12891-015-0639-6. CrossRef

18.

Mattila VM, Sihvonen R, Paloneva J, Felländer-Tsai L. Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden. Acta Orthop. 2016;87(1):5–11.CrossRefPubMed

19.

Young BL, Watson SL, Perez JL, McGwin G, Singh JA, Ponce BA. Trends in joint replacement surgery in patients with rheumatoid arthritis. J Rheumatol. 2018;45(2):158–64. https://doi.org/10.3899/jrheum.170001. Epub 2017 Dec 1CrossRefPubMed

20.

Hashimoto T, Nobuhara K, Hamada T. Pathologic evidence of degeneration as a primary cause of rotator cuff tear. Clin Orthop Relat Res. 2003;415:111–20.CrossRef

21.

Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med. 2012;31:589–604. PMID: 23040548*CrossRefPubMed

22.

Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am. 2005;87(9):1947–56.CrossRefPubMed

23.

Edwards TB, Kadakia NR, Boulahia A, Kempf JF, Boileau P, Némoz C, Walch G. A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study. J Shoulder Elb Surg. 2003;12(3):207–13.CrossRef

24.

Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am. 2000;82(1):26–34.CrossRefPubMed

25.

Rasmussen JV, Polk A, Brorson S, Sørensen AK, Olsen BS. Patient-reported outcome and risk of revision after shoulder replacement for osteoarthritis. 1,209 cases from the Danish shoulder arthroplasty registry, 2006-2010. Acta Orthop. 2014;85(2):117–22. https://doi.org/10.3109/17453674.2014.893497. CrossRefPubMedPubMedCentral

26.

Huttunen TT, Kannus P, Pihlajamaki H, Mattila VM. Pertrochanteric fracture of the femur in the Finnish National Hospital Discharge Register: validity of procedural coding, external cause for injury and diagnosis. BMC Musculoskelet Disord. 2014;15(98) https://doi.org/10.1186/1471-2474-15-98. [PMC free article]

27.

Sund R. Quality of the Finnish hospital discharge register: a systematic review. Scand J Public Health. 2012;40:505–15. https://doi.org/10.1177/1403494812456637.CrossRefPubMed

Title: Increasing incidence of primary shoulder arthroplasty in Finland – a nationwide registry study
Authors: Jenni N. E. Harjula
Juha Paloneva
Jaason Haapakoski
Juha Kukkonen
Ville Äärimaa
the Finnish Shoulder Arthroplasty Registry Group
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2018
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-018-2150-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Increasing incidence of primary shoulder arthroplasty in Finland – a nationwide registry study

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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