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Trends of Total Knee Arthroplasty According to Age Structural Changes in Korea from 2011 to 2018

Yong-Beom Kim, Hyung-Suk Choi, Eun Myeong Kang, Suyeon Park, Gi-Won Seo, Dong-Il Chun and Tae-Hong Min
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Yong-Beom Kim: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea
Hyung-Suk Choi: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea
Eun Myeong Kang: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea
Suyeon Park: Department of Biostatistics, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea
Gi-Won Seo: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea
Dong-Il Chun: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea
Tae-Hong Min: Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea

IJERPH, 2021, vol. 18, issue 24, 1-9

Abstract: Total Knee Arthroplasty (TKA) is one of the most commonly performed surgeries worldwide since it can improve pain, quality of life, and functional outcome. Due to the expansion of hospitals specialized in joint surgery, the topography of TKA implementation in Korea is changing. This study analyzed longitudinal trends of TKA based on changes in age distribution, sex, hospital, and region based on the Health Insurance Review and Assessment Service (HIRA) of Korea database. Data were collected from the National Health Insurance Service (NHIS), the Korean Statistical Information Service (KOSIS), and the Health Insurance Review and Assessment Service (HIRA) in Korea for the period 2011–2018. Results show the total number of surgeries increased and the number of patients by age decreased in those under the age of 70, while the number of patients over 70 years of age increased. A remarkable increase in women was found, and there was no significant difference between regions. TKA is spreading in a more universal and easily accessible form in Korea and has increased more in other relatively small medical institutions compared to tertiary referral medical centers. Due to the increase of orthopedics’ specialized hospitals and clinics, TKA is becoming more prominent in those hospitals.

Keywords: Total Knee Arthroplasty (TKA); Health Insurance Review and Assessment Service (HIRA); National Health Insurance Service (NHIS); Korean Statistical Information Service (KOSIS); trend; age (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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