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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)133-138
Number of pages6
JournalInternational Orthopaedics
Volume43
Issue number1
DOIs
Publication statusPublished - Jan 28 2019

Keywords

  • Epidemiology
  • Hospital discharge data
  • Projections
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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