Changes in the rates of joint surgery among patients with rheumatoid arthritis in California, 1983-2007

Grant H. Louie, Michael M. Ward

Research output: Contribution to journalArticle

Abstract

Background: Treatment of patients with rheumatoid arthritis (RA) has improved markedly over the past 25 years. Objective: To investigate whether rates of joint surgery, a long-term consequence of poorly controlled RA, have changed over this period. Methods: In this population-based, serial cross-sectional study of patients with RA aged ≥40 years in California, trends in annual rates of total knee arthroplasty, total hip arthroplasty, total ankle arthroplasty or arthrodesis and total wrist arthroplasty or arthrodesis from 1983 to 2007 were examined. Results: Rates of joint surgery peaked in the 1990s and since have decreased. Among patients aged 40-59 years, rates of knee surgery in 2003-2007 were 19% lower than in 1983-1987 (adjusted rate ratio 0.81; 95% CI 0.74 to 0.87, p

Original languageEnglish (US)
Pages (from-to)868-871
Number of pages4
JournalAnnals of the Rheumatic Diseases
Volume69
Issue number5
DOIs
StatePublished - May 2010
Externally publishedYes

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Arthroplasty
Surgery
Rheumatoid Arthritis
Joints
Arthrodesis
Knee Replacement Arthroplasties
Wrist
Ankle
Hip
Knee
Cross-Sectional Studies
Population
Therapeutics

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Biochemistry, Genetics and Molecular Biology(all)
  • Immunology and Allergy

Cite this

Changes in the rates of joint surgery among patients with rheumatoid arthritis in California, 1983-2007. / Louie, Grant H.; Ward, Michael M.

In: Annals of the Rheumatic Diseases, Vol. 69, No. 5, 05.2010, p. 868-871.

Research output: Contribution to journalArticle

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