Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan
Background: Periprosthetic joint infection (PJI) is a disastrous complication associated with hip and knee arthroplasty. The literature suggests that the economic consequences associated with treating PJI are substantial. Our study aimed to investigate the past trends of PJI rates, and to estimate t...
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doaj-cb458747e8df4759bf9f54a8960cafd52020-11-25T04:02:03ZengElsevierJournal of Infection and Public Health1876-03412020-11-01131117681773Increased periprosthetic hip and knee infection projected from 2014 to 2035 in TaiwanChih-Hsiang Chang0Sheng-Hsun Lee1Yu-Chih Lin2Yi-Chun Wang3Chee-Jen Chang4Pang-Hsin Hsieh5Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, TaiwanDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, TaiwanResearch Services Center for Health Information, Chang Gung University, Taoyuan, TaiwanGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Research Services Center for Health Information, Chang Gung University, Taoyuan, Taiwan; Clinical Informatics and Medical Statistics Research Center, Chang Gung University, Taoyuan, TaiwanDepartment of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taiwan; Corresponding author at: Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan.Background: Periprosthetic joint infection (PJI) is a disastrous complication associated with hip and knee arthroplasty. The literature suggests that the economic consequences associated with treating PJI are substantial. Our study aimed to investigate the past trends of PJI rates, and to estimate the projected number of PJI cases, consequent bed-day requirements, and medical expenses in Taiwan up to year 2035. Methods: A nationwide epidemiological study was conducted using the inpatient database of the Bureau of National Health Insurance from 2004 through 2013. Patients with the International Classification of Disease-Clinical Modification, ninth revision (ICD9-CM) code 99,666 (PJI) who had received surgical treatment including debridement, removal of hip or knee prosthesis, or revision of total hip/knee arthroplasty (THA/TKA) were identified. Projections were performed with Poisson regression on historical incidence rates in combination with projections of arthroplasty numbers from 2014 to 2035. Results: A total of 4935 hip (1871) and knee (3064) PJIs were identified between 2004 and 2013. The rates of PJI were 2.46% for hip arthroplasty and 1.63% for knee arthroplasty. The number of PJIs was expected to increase markedly with time from 728 in 2013 to 3542 in 2035 (a 4.87-fold increase). The bed-day requirements for treating PJI was 17,205 in 2013 and is expected to be 82,509 bed-days in 2035 (a 4.79-fold increase). The total hospitalization cost will increase 4.86-fold by 2035. Conclusions: The number of PJI cases is increasing rapidly due to the increasing numbers of arthroplasty surgery and the cumulative number of latent infection. This may place a large economic burden on the health care system.http://www.sciencedirect.com/science/article/pii/S1876034120304639Periprosthetic joint infectionTotal knee arthroplastyTotal hip arthroplastyProjection |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chih-Hsiang Chang Sheng-Hsun Lee Yu-Chih Lin Yi-Chun Wang Chee-Jen Chang Pang-Hsin Hsieh |
spellingShingle |
Chih-Hsiang Chang Sheng-Hsun Lee Yu-Chih Lin Yi-Chun Wang Chee-Jen Chang Pang-Hsin Hsieh Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan Journal of Infection and Public Health Periprosthetic joint infection Total knee arthroplasty Total hip arthroplasty Projection |
author_facet |
Chih-Hsiang Chang Sheng-Hsun Lee Yu-Chih Lin Yi-Chun Wang Chee-Jen Chang Pang-Hsin Hsieh |
author_sort |
Chih-Hsiang Chang |
title |
Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan |
title_short |
Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan |
title_full |
Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan |
title_fullStr |
Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan |
title_full_unstemmed |
Increased periprosthetic hip and knee infection projected from 2014 to 2035 in Taiwan |
title_sort |
increased periprosthetic hip and knee infection projected from 2014 to 2035 in taiwan |
publisher |
Elsevier |
series |
Journal of Infection and Public Health |
issn |
1876-0341 |
publishDate |
2020-11-01 |
description |
Background: Periprosthetic joint infection (PJI) is a disastrous complication associated with hip and knee arthroplasty. The literature suggests that the economic consequences associated with treating PJI are substantial. Our study aimed to investigate the past trends of PJI rates, and to estimate the projected number of PJI cases, consequent bed-day requirements, and medical expenses in Taiwan up to year 2035. Methods: A nationwide epidemiological study was conducted using the inpatient database of the Bureau of National Health Insurance from 2004 through 2013. Patients with the International Classification of Disease-Clinical Modification, ninth revision (ICD9-CM) code 99,666 (PJI) who had received surgical treatment including debridement, removal of hip or knee prosthesis, or revision of total hip/knee arthroplasty (THA/TKA) were identified. Projections were performed with Poisson regression on historical incidence rates in combination with projections of arthroplasty numbers from 2014 to 2035. Results: A total of 4935 hip (1871) and knee (3064) PJIs were identified between 2004 and 2013. The rates of PJI were 2.46% for hip arthroplasty and 1.63% for knee arthroplasty. The number of PJIs was expected to increase markedly with time from 728 in 2013 to 3542 in 2035 (a 4.87-fold increase). The bed-day requirements for treating PJI was 17,205 in 2013 and is expected to be 82,509 bed-days in 2035 (a 4.79-fold increase). The total hospitalization cost will increase 4.86-fold by 2035. Conclusions: The number of PJI cases is increasing rapidly due to the increasing numbers of arthroplasty surgery and the cumulative number of latent infection. This may place a large economic burden on the health care system. |
topic |
Periprosthetic joint infection Total knee arthroplasty Total hip arthroplasty Projection |
url |
http://www.sciencedirect.com/science/article/pii/S1876034120304639 |
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