Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/27207 http://dx.doi.org/10.1002/art.10998 |
Resumo: | Objective. To describe the use of orthopedic surgery, including joint replacement surgery, in a well-defined, population-based cohort of patients with rheumatoid arthritis (RA) and to identify characteristics that predict such use.Methods. A retrospective medical record review was performed of cases of RA incident in Rochester, Minnesota, during the years 1955-1995. All joint surgeries were recorded.Results. of the total 609 RA incident cases, 242 patients underwent 1 or more (maximum of 20/patient) surgical procedures involving joints during their followup. Overall, this RA cohort had 7.4 surgeries per 100 person-years of followup; the cumulative incidence for joint surgery for RA-related joint disease at 30 years was 33.7% +/- SEM 3.8%. the risk of having a disease-related joint surgery for RA is increased in patients who are women, younger, positive for rheumatoid factor, and have rheumatoid nodules. When adjusted for duration of followup, patients with RA diagnosed after 1985 were significantly less likely to have undergone joint surgery for RA (P < 0.001). Survival of patients who underwent total joint arthroplasty was similar to those who did not.Conclusion. Reconstructive surgeries are common in RA, although. patients diagnosed after 1985 are less likely to require joint surgery. These findings may reflect trends in medical disease management and have importance for health care resource utilization planning. |
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Silva, Eleonora da [UNIFESP]Doran, M. F.Crowson, C. S.O'Fallon, W. M.Matteson, E. L.Mayo Clin & Mayo FdnUniversidade Federal de São Paulo (UNIFESP)2016-01-24T12:33:47Z2016-01-24T12:33:47Z2003-04-15Arthritis & Rheumatism-arthritis Care & Research. New York: Wiley-liss, v. 49, n. 2, p. 216-220, 2003.0004-3591http://repositorio.unifesp.br/handle/11600/27207http://dx.doi.org/10.1002/art.1099810.1002/art.10998WOS:000182171700011Objective. To describe the use of orthopedic surgery, including joint replacement surgery, in a well-defined, population-based cohort of patients with rheumatoid arthritis (RA) and to identify characteristics that predict such use.Methods. A retrospective medical record review was performed of cases of RA incident in Rochester, Minnesota, during the years 1955-1995. All joint surgeries were recorded.Results. of the total 609 RA incident cases, 242 patients underwent 1 or more (maximum of 20/patient) surgical procedures involving joints during their followup. Overall, this RA cohort had 7.4 surgeries per 100 person-years of followup; the cumulative incidence for joint surgery for RA-related joint disease at 30 years was 33.7% +/- SEM 3.8%. the risk of having a disease-related joint surgery for RA is increased in patients who are women, younger, positive for rheumatoid factor, and have rheumatoid nodules. When adjusted for duration of followup, patients with RA diagnosed after 1985 were significantly less likely to have undergone joint surgery for RA (P < 0.001). Survival of patients who underwent total joint arthroplasty was similar to those who did not.Conclusion. Reconstructive surgeries are common in RA, although. patients diagnosed after 1985 are less likely to require joint surgery. These findings may reflect trends in medical disease management and have importance for health care resource utilization planning.Mayo Clin & Mayo Fdn, Div Rheumatol, Rochester, MN 55905 USAUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, EPM, São Paulo, BrazilWeb of Science216-220engWiley-BlackwellArthritis & Rheumatism-arthritis Care & Researchhttp://olabout.wiley.com/WileyCDA/Section/id-406071.htmlinfo:eu-repo/semantics/openAccessrheumatoid arthritisepidemiologyorthopedic joint surgeryDeclining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessmentinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlereponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/272072022-09-27 11:18:57.032metadata only accessoai:repositorio.unifesp.br:11600/27207Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-09-27T14:18:57Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
title |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
spellingShingle |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment Silva, Eleonora da [UNIFESP] rheumatoid arthritis epidemiology orthopedic joint surgery |
title_short |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
title_full |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
title_fullStr |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
title_full_unstemmed |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
title_sort |
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment |
author |
Silva, Eleonora da [UNIFESP] |
author_facet |
Silva, Eleonora da [UNIFESP] Doran, M. F. Crowson, C. S. O'Fallon, W. M. Matteson, E. L. |
author_role |
author |
author2 |
Doran, M. F. Crowson, C. S. O'Fallon, W. M. Matteson, E. L. |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Mayo Clin & Mayo Fdn Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Silva, Eleonora da [UNIFESP] Doran, M. F. Crowson, C. S. O'Fallon, W. M. Matteson, E. L. |
dc.subject.eng.fl_str_mv |
rheumatoid arthritis epidemiology orthopedic joint surgery |
topic |
rheumatoid arthritis epidemiology orthopedic joint surgery |
description |
Objective. To describe the use of orthopedic surgery, including joint replacement surgery, in a well-defined, population-based cohort of patients with rheumatoid arthritis (RA) and to identify characteristics that predict such use.Methods. A retrospective medical record review was performed of cases of RA incident in Rochester, Minnesota, during the years 1955-1995. All joint surgeries were recorded.Results. of the total 609 RA incident cases, 242 patients underwent 1 or more (maximum of 20/patient) surgical procedures involving joints during their followup. Overall, this RA cohort had 7.4 surgeries per 100 person-years of followup; the cumulative incidence for joint surgery for RA-related joint disease at 30 years was 33.7% +/- SEM 3.8%. the risk of having a disease-related joint surgery for RA is increased in patients who are women, younger, positive for rheumatoid factor, and have rheumatoid nodules. When adjusted for duration of followup, patients with RA diagnosed after 1985 were significantly less likely to have undergone joint surgery for RA (P < 0.001). Survival of patients who underwent total joint arthroplasty was similar to those who did not.Conclusion. Reconstructive surgeries are common in RA, although. patients diagnosed after 1985 are less likely to require joint surgery. These findings may reflect trends in medical disease management and have importance for health care resource utilization planning. |
publishDate |
2003 |
dc.date.issued.fl_str_mv |
2003-04-15 |
dc.date.accessioned.fl_str_mv |
2016-01-24T12:33:47Z |
dc.date.available.fl_str_mv |
2016-01-24T12:33:47Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Arthritis & Rheumatism-arthritis Care & Research. New York: Wiley-liss, v. 49, n. 2, p. 216-220, 2003. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/27207 http://dx.doi.org/10.1002/art.10998 |
dc.identifier.issn.none.fl_str_mv |
0004-3591 |
dc.identifier.doi.none.fl_str_mv |
10.1002/art.10998 |
dc.identifier.wos.none.fl_str_mv |
WOS:000182171700011 |
identifier_str_mv |
Arthritis & Rheumatism-arthritis Care & Research. New York: Wiley-liss, v. 49, n. 2, p. 216-220, 2003. 0004-3591 10.1002/art.10998 WOS:000182171700011 |
url |
http://repositorio.unifesp.br/handle/11600/27207 http://dx.doi.org/10.1002/art.10998 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Arthritis & Rheumatism-arthritis Care & Research |
dc.rights.driver.fl_str_mv |
http://olabout.wiley.com/WileyCDA/Section/id-406071.html info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://olabout.wiley.com/WileyCDA/Section/id-406071.html |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
216-220 |
dc.publisher.none.fl_str_mv |
Wiley-Blackwell |
publisher.none.fl_str_mv |
Wiley-Blackwell |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
|
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1802764169770958848 |