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Prevalence of joint replacement surgery in rheumatoid arthritis patients: cross-sectional analysis in a large observational cohort in Japan

Prevalence of joint replacement surgery in rheumatoid arthritis patients: cross-sectional... Abstract The purpose of this study was to describe the prevalence of total joint arthroplasty (TJA) in Japanese rheumatoid arthritis (RA) patients undergoing conventional drug treatment in a large observational cohort in Japan. A total of 5,177 RA patients were studied for the prevalence of TJA, who were enrolled in the NinJa database during the fiscal year of 2006. The cases of 2,695 RA patients with more than ten years of disease duration were extracted and subjected to further analysis. The prevalence of TJA increased in accordance with the disease duration, and the prevalence was markedly increased after ten years. Among the 2,695 patients with more than ten years of disease duration, 1,431 TJAs were performed in 645 (24.6%) patients. The patients with TJA had higher disease activity than those without TJA. In this cross-sectional study, TJAs were performed in approximately a quarter of the Japanese RA patients with more than ten years of disease duration. The result showed that patients with higher disease activity required TJA. Rheumatoid arthritis, Surgery, Arthroplasty, MHAQ, Cohort study References Anderson RJ . The orthopedic management of rheumatoid arthritis . Arthritis Care Res . 1996 ; 9 ( 3 ): 223 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat da Silva E , Doran MF, Crowson CS, O'Fallon WM, Matteson EL . Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment. Arthritis Rheum . 2003 ; 49 ( 2 ): 216 – 20 . Google Scholar OpenURL Placeholder Text WorldCat Kapetanovic MC , Lindqvist E, Saxne T, Eberhardt K. Orthopaedic surgery in rheumatoid arthritis patients over 20 years: prevalence and predictive factors of large joint replacement . Ann Rheum Dis 2008 ; 67 ( 10 ): 1412 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat Wolfe F , Hawley DJ. The longterm outcomes of rheumatoid arthritis: work disability: a prospective 18 year study of 823 patients . J Rheumatol . 1998 ; 25 ( 11 ): 2108 – 17 . Google Scholar PubMed OpenURL Placeholder Text WorldCat Bathon JM , Martin RW, Fleischmann RM, Tesser JR, Schiff MH, Keystone EC, et al. A comparison of etanercept and methotrexate in patients with early rheumatoid arthritis . N Engl J Med . 2000 ; 343 ( 22 ): 1586 – 93 . Google Scholar Crossref Search ADS PubMed WorldCat Klareskog L , van der Heijde D, de Jager JP, Gough A, Kalden J, Malaise M, et al. Therapeutic effect of the combination of eta-nercept and methotrexate compared with each treatment alone in patients with rheumatoid arthritis: double-blind randomised controlled trial . Lancet . 2004 ; 363 ( 9410 ): 675 – 81 . Google Scholar Crossref Search ADS PubMed WorldCat Lipsky PE , van der Heijde DM, St Clair EW, Furst DE, Breedveld FC, Kalden JR, et al. Infiiximab and methotrexate in the treatment of rheumatoid arthritis . Anti-tumor necrosis factor trial in rheumatoid arthritis with concomitant therapy study group. N Engl J Med . 2000 ; 343 ( 22 ): 1594 – 602 . Google Scholar OpenURL Placeholder Text WorldCat Weinblatt ME , Keystone EC, Furst DE, Moreland LW, Weisman MH, Birbara CA, et al. Adalimumab, a fully human anti-tumor necrosis factor alpha monoclonal antibody, for the treatment of rheumatoid arthritis in patients taking concomitant methotrexate: the ARMADA trial . Arthritis Rheum . 2003 ; 48 ( 1 ): 35 – 45 . Google Scholar Crossref Search ADS PubMed WorldCat Hawker GA , Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, et al. Differences between men and women in the rate of use of hip and knee arthroplasty . N Engl J Med . 2000 ; 342 ( 14 ) : 1016 – 22 . Google Scholar Crossref Search ADS PubMed WorldCat Peterson MG , Hollenberg JP, Szatrowski TP, Johanson NA, Mancuso CA, Charlson ME. Geographic variations in the rates of elective total hip and knee arthroplasties among medicare beneficiaries in the United States . J Bone Joint Surg Am . 1992 ; 74 ( 10 ) : 1530 – 9 . Google Scholar Crossref Search ADS PubMed WorldCat Skinner J , Weinstein JN, Sporer SM, Wennberg JE. Racial, eth-nic, and geographic disparities in rates of knee arthroplasty among medicare patients . N Engl J Med . 2003 ; 349 ( 14 ): 1350 – 9 . Google Scholar Crossref Search ADS PubMed WorldCat Matsui T , Kuga Y, Kaneko A, Nishino J, Eto Y, Chiba N, et al. Disease Activity Score 28 (DA528) using C-reactive protein underestimates disease activity and overestimates EULAR response criteria compared with DA528 using erythrocyte sedi-mentation rate in a large observational cohort of rheumatoid arthritis patients in Japan . Ann Rheum Dis . 2007 ; 66 ( 9 ): 1221 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat Hakala M , Nieminen P, Koivisto 0 . More evidence from a community based series of better outcome in rheumatoid arthritis. Data on the effect of multidisciplinary care on the retention of functional ability. J Rheumatol . 1994 ; 21 ( 8 ): 1432 – 7 . Google Scholar OpenURL Placeholder Text WorldCat Verstappen SM , Hoes JN, Ter Borg RI, Bijlsma JW, Blaauw AA, van Albada-Kuipers GA, et al . Joint surgery in the Utrecht rheumatoid arthritis cohort: the effect of treatment strategy. Ann Rheum Dis . 2006 ; 65 ( 11 ): 1506 – 11 . Google Scholar OpenURL Placeholder Text WorldCat Massardo L , Gabriel SE, Crowson CS, O'Fallon WM, Matteson EL . A population based assessment of the use of orthopedic surgery in patients with rheumatoid arthritis. J Rheumatol . 2002 ; 29 ( 1 ): 52 – 6 . Google Scholar OpenURL Placeholder Text WorldCat James D , Young A, Kulinskaya E, Knight E, et al. Orthopaedic intervention in early rheumatoid arthritis. Occurrence, predictive factors in an inception cohort of 1,064 patients followed for 5 years. Rheumatology (Oxford). 2004 ; 43 ( 3 ): 369 – 76 . Momohara S , Inoue E, Ikari K, Kawamura K, Tsukahara S, Mochizuki T, et al. Risk factors for total knee arthroplasty in rheumatoid arthritis . Mod Rheumatol . 2007 ; 17 ( 6 ): 476 – 80 . Google Scholar Crossref Search ADS PubMed WorldCat Momohara S , Inoue E, Ikari K, Tsukahara S, Kawamura K, Toki H, et al. Risk factors for wrist surgery in rheumatoid arthritis . Clin Rheumatol . 2008 ; 27 ( 11 ): 1387 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat Jantti JK , Kaarela K, Belt EA, Kautiainen HJ. Incidence of severe outcome in rheumatoid arthritis during 20 years . J Rheumatol . 2002 ; 29 ( 4 ): 688 – 92 . Google Scholar PubMed OpenURL Placeholder Text WorldCat Boonen A , Matricali GA, Verduyckt J, Taelman V, Verschueren P, Sileghem A, et al. Orthopaedic surgery in patients with rheumatoid arthritis: a shift towards more frequent and earlier non-joint-sacrificing surgery . Ann Rheum Dis . 2006 ; 65 ( 5 ): 694 – 5 . Google Scholar Crossref Search ADS PubMed WorldCat Ward MM . Decreases in rates of hospitalizations for manifesta-tions of severe rheumatoid arthritis, 1983-2001 . Arthritis Rheum . 2004 ; 50 ( 4 ): 1122 – 31 . Crossref Search ADS PubMed WorldCat Weiss RJ , Ehlin A, Montgomery SM, Wick MC, Stark A, Wre-tenberg P. Decrease of RA-related orthopaedic surgery of the upper limbs between 1998 and 2004 : data from 54,579 Swedish RA inpatients. Rheumatology (Oxford). 2008 ; 47 ( 4 ): 491 – 4 . Weiss RJ , Stark A, Wick MC, Ehlin A, Palmblad K, Wretenberg P. Orthopaedic surgery of the lower limbs in 49, 802 rheumatoid arthritis patients: results from the Swedish National Inpatient Registry during 1987 to 2001 . Ann Rheum Dis . 2006 ; 65 ( 3 ): 335 – 41 . Google Scholar Crossref Search ADS PubMed WorldCat This content is only available as a PDF. © 2009 Japan College of Rheumatology This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © 2009 Japan College of Rheumatology http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Modern Rheumatology Oxford University Press

Prevalence of joint replacement surgery in rheumatoid arthritis patients: cross-sectional analysis in a large observational cohort in Japan

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Oxford University Press
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Copyright © 2022 Japan College of Rheumatology
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1439-7595
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1439-7609
DOI
10.3109/s10165-009-0163-3
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Abstract

Abstract The purpose of this study was to describe the prevalence of total joint arthroplasty (TJA) in Japanese rheumatoid arthritis (RA) patients undergoing conventional drug treatment in a large observational cohort in Japan. A total of 5,177 RA patients were studied for the prevalence of TJA, who were enrolled in the NinJa database during the fiscal year of 2006. The cases of 2,695 RA patients with more than ten years of disease duration were extracted and subjected to further analysis. The prevalence of TJA increased in accordance with the disease duration, and the prevalence was markedly increased after ten years. Among the 2,695 patients with more than ten years of disease duration, 1,431 TJAs were performed in 645 (24.6%) patients. The patients with TJA had higher disease activity than those without TJA. In this cross-sectional study, TJAs were performed in approximately a quarter of the Japanese RA patients with more than ten years of disease duration. The result showed that patients with higher disease activity required TJA. Rheumatoid arthritis, Surgery, Arthroplasty, MHAQ, Cohort study References Anderson RJ . The orthopedic management of rheumatoid arthritis . Arthritis Care Res . 1996 ; 9 ( 3 ): 223 – 8 . Google Scholar Crossref Search ADS PubMed WorldCat da Silva E , Doran MF, Crowson CS, O'Fallon WM, Matteson EL . Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment. Arthritis Rheum . 2003 ; 49 ( 2 ): 216 – 20 . Google Scholar OpenURL Placeholder Text WorldCat Kapetanovic MC , Lindqvist E, Saxne T, Eberhardt K. Orthopaedic surgery in rheumatoid arthritis patients over 20 years: prevalence and predictive factors of large joint replacement . Ann Rheum Dis 2008 ; 67 ( 10 ): 1412 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat Wolfe F , Hawley DJ. The longterm outcomes of rheumatoid arthritis: work disability: a prospective 18 year study of 823 patients . J Rheumatol . 1998 ; 25 ( 11 ): 2108 – 17 . Google Scholar PubMed OpenURL Placeholder Text WorldCat Bathon JM , Martin RW, Fleischmann RM, Tesser JR, Schiff MH, Keystone EC, et al. A comparison of etanercept and methotrexate in patients with early rheumatoid arthritis . N Engl J Med . 2000 ; 343 ( 22 ): 1586 – 93 . Google Scholar Crossref Search ADS PubMed WorldCat Klareskog L , van der Heijde D, de Jager JP, Gough A, Kalden J, Malaise M, et al. Therapeutic effect of the combination of eta-nercept and methotrexate compared with each treatment alone in patients with rheumatoid arthritis: double-blind randomised controlled trial . Lancet . 2004 ; 363 ( 9410 ): 675 – 81 . Google Scholar Crossref Search ADS PubMed WorldCat Lipsky PE , van der Heijde DM, St Clair EW, Furst DE, Breedveld FC, Kalden JR, et al. Infiiximab and methotrexate in the treatment of rheumatoid arthritis . Anti-tumor necrosis factor trial in rheumatoid arthritis with concomitant therapy study group. N Engl J Med . 2000 ; 343 ( 22 ): 1594 – 602 . Google Scholar OpenURL Placeholder Text WorldCat Weinblatt ME , Keystone EC, Furst DE, Moreland LW, Weisman MH, Birbara CA, et al. Adalimumab, a fully human anti-tumor necrosis factor alpha monoclonal antibody, for the treatment of rheumatoid arthritis in patients taking concomitant methotrexate: the ARMADA trial . Arthritis Rheum . 2003 ; 48 ( 1 ): 35 – 45 . Google Scholar Crossref Search ADS PubMed WorldCat Hawker GA , Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, et al. Differences between men and women in the rate of use of hip and knee arthroplasty . N Engl J Med . 2000 ; 342 ( 14 ) : 1016 – 22 . Google Scholar Crossref Search ADS PubMed WorldCat Peterson MG , Hollenberg JP, Szatrowski TP, Johanson NA, Mancuso CA, Charlson ME. Geographic variations in the rates of elective total hip and knee arthroplasties among medicare beneficiaries in the United States . J Bone Joint Surg Am . 1992 ; 74 ( 10 ) : 1530 – 9 . Google Scholar Crossref Search ADS PubMed WorldCat Skinner J , Weinstein JN, Sporer SM, Wennberg JE. Racial, eth-nic, and geographic disparities in rates of knee arthroplasty among medicare patients . N Engl J Med . 2003 ; 349 ( 14 ): 1350 – 9 . Google Scholar Crossref Search ADS PubMed WorldCat Matsui T , Kuga Y, Kaneko A, Nishino J, Eto Y, Chiba N, et al. Disease Activity Score 28 (DA528) using C-reactive protein underestimates disease activity and overestimates EULAR response criteria compared with DA528 using erythrocyte sedi-mentation rate in a large observational cohort of rheumatoid arthritis patients in Japan . Ann Rheum Dis . 2007 ; 66 ( 9 ): 1221 – 6 . Google Scholar Crossref Search ADS PubMed WorldCat Hakala M , Nieminen P, Koivisto 0 . More evidence from a community based series of better outcome in rheumatoid arthritis. Data on the effect of multidisciplinary care on the retention of functional ability. J Rheumatol . 1994 ; 21 ( 8 ): 1432 – 7 . Google Scholar OpenURL Placeholder Text WorldCat Verstappen SM , Hoes JN, Ter Borg RI, Bijlsma JW, Blaauw AA, van Albada-Kuipers GA, et al . Joint surgery in the Utrecht rheumatoid arthritis cohort: the effect of treatment strategy. Ann Rheum Dis . 2006 ; 65 ( 11 ): 1506 – 11 . Google Scholar OpenURL Placeholder Text WorldCat Massardo L , Gabriel SE, Crowson CS, O'Fallon WM, Matteson EL . A population based assessment of the use of orthopedic surgery in patients with rheumatoid arthritis. J Rheumatol . 2002 ; 29 ( 1 ): 52 – 6 . Google Scholar OpenURL Placeholder Text WorldCat James D , Young A, Kulinskaya E, Knight E, et al. Orthopaedic intervention in early rheumatoid arthritis. Occurrence, predictive factors in an inception cohort of 1,064 patients followed for 5 years. Rheumatology (Oxford). 2004 ; 43 ( 3 ): 369 – 76 . Momohara S , Inoue E, Ikari K, Kawamura K, Tsukahara S, Mochizuki T, et al. Risk factors for total knee arthroplasty in rheumatoid arthritis . Mod Rheumatol . 2007 ; 17 ( 6 ): 476 – 80 . Google Scholar Crossref Search ADS PubMed WorldCat Momohara S , Inoue E, Ikari K, Tsukahara S, Kawamura K, Toki H, et al. Risk factors for wrist surgery in rheumatoid arthritis . Clin Rheumatol . 2008 ; 27 ( 11 ): 1387 – 91 . Google Scholar Crossref Search ADS PubMed WorldCat Jantti JK , Kaarela K, Belt EA, Kautiainen HJ. Incidence of severe outcome in rheumatoid arthritis during 20 years . J Rheumatol . 2002 ; 29 ( 4 ): 688 – 92 . Google Scholar PubMed OpenURL Placeholder Text WorldCat Boonen A , Matricali GA, Verduyckt J, Taelman V, Verschueren P, Sileghem A, et al. Orthopaedic surgery in patients with rheumatoid arthritis: a shift towards more frequent and earlier non-joint-sacrificing surgery . Ann Rheum Dis . 2006 ; 65 ( 5 ): 694 – 5 . Google Scholar Crossref Search ADS PubMed WorldCat Ward MM . Decreases in rates of hospitalizations for manifesta-tions of severe rheumatoid arthritis, 1983-2001 . Arthritis Rheum . 2004 ; 50 ( 4 ): 1122 – 31 . Crossref Search ADS PubMed WorldCat Weiss RJ , Ehlin A, Montgomery SM, Wick MC, Stark A, Wre-tenberg P. Decrease of RA-related orthopaedic surgery of the upper limbs between 1998 and 2004 : data from 54,579 Swedish RA inpatients. Rheumatology (Oxford). 2008 ; 47 ( 4 ): 491 – 4 . Weiss RJ , Stark A, Wick MC, Ehlin A, Palmblad K, Wretenberg P. Orthopaedic surgery of the lower limbs in 49, 802 rheumatoid arthritis patients: results from the Swedish National Inpatient Registry during 1987 to 2001 . Ann Rheum Dis . 2006 ; 65 ( 3 ): 335 – 41 . Google Scholar Crossref Search ADS PubMed WorldCat This content is only available as a PDF. © 2009 Japan College of Rheumatology This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) © 2009 Japan College of Rheumatology

Journal

Modern Rheumatology – Oxford University Press

Published: Jun 1, 2009

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