March 14, 2010
Researchers Find Younger, More Diverse Patients Having Total Knee Replacements
A research team led by Mayo Clinic has found a national trend toward younger, more diverse patients having total knee replacement surgery. The findings were presented today at the 2010 annual meeting of the American Academy of Orthopaedic Surgeons (http://www.aaos.org/education/anmeet/anmeet.asp) in New Orleans.
Data from the Centers for Disease Control and Prevention's National Hospital Discharge Survey (http://www.cdc.gov/nchs/nhds.htm) were compared for 1990-1994 and 2002-2006 for patients having total knee replacements (also known as total knee arthroplasty). About 800,000 procedures were performed in 1990-1994, and 2.1 million in 2002-2006.
The study also found that Medicare is paying less for total knee replacements, and the length of hospital stays decreased. The Medicare payment for the procedures dropped from 72 percent to 61 percent. Hospital stays went from 8.4 days to 3.9 days. This coincides with an increase in the number of patients going to short- or long-term care facilities after surgery.
"This information will be useful for planning for the future," says Michele D'Apuzzo, M.D., the Mayo Clinic orthopedic surgery resident who led the study. "Total knee replacements aren't going away any time soon. We're going to be seeing younger patients undergoing this procedure, but we may also see more failures and more revisions, and physicians and medical facilities need to prepare for that."
Rafael Sierra, M.D. (http://www.mayoclinic.org/bio/13327470.html), Mayo Clinic orthopedic surgeon and senior author on the study, offered several explanations for why younger people are having total knee replacements. "Total knee replacement is becoming a more established procedure," he says. "There's a wider spectrum of diseases we can treat with the procedure. We're also getting better at it. We have better materials that are longer lasting. So we feel more comfortable performing it on younger people now."
Additional audio and video resources including excerpts from an interview with Dr. Michele D'Apuzzo are available on the Mayo Clinic News Blog (http://newsblog.mayoclinic.org/2010/03/08/mayo-clinic-finds-trends-in-knee-replacement/). These materials also are subject to embargo but may be accessed in advance by journalists for incorporation into stories. The password for this post is aaos12.
Mayo Clinic's Department of Orthopedic Surgery was ranked No. 1 in the U.S. News & World Report Honor Roll of Top Hospitals in 2009.
Learn more about Mayo Clinic Orthopedics (http://www.mayoclinic.org/orthopedicsurgery-rst/).
To request an appointment at Mayo Clinic, please call 480-422-1490 for the Arizona campus, 904-494-6484 for the Florida campus, or 507-216-4573 for the Minnesota campus.
About Mayo Clinic
For more than 100 years, millions of people from all walks of life have found answers at Mayo Clinic. These patients tell us they leave Mayo Clinic with peace of mind knowing they received care from the world's leading experts. Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. At Mayo Clinic, a team of specialists is assembled to take the time to listen, understand and care for patients' health issues and concerns. These teams draw from more than 3,700 physicians and scientists and 50,100 allied staff that work at Mayo Clinic's campuses in Minnesota, Florida, and Arizona; and community-based providers in more than 70 locations in southern Minnesota, western Wisconsin and northeast Iowa. These locations treat more than half a million people each year. To best serve patients, Mayo Clinic works with many insurance companies, does not require a physician referral in most cases and is an in-network provider for millions of people. To obtain the latest news releases from Mayo Clinic, go to www.mayoclinic.org/news. For information about research and education, visit www.mayo.edu. MayoClinic.com (www.mayoclinic.com) is available as a resource for your general health information.