Total hip arthroplasty, associated rehabilitation care and the COVID-19 pandemic in France

Carine Milcent (), Pierre-Emmanuel Couralet, Saad Zbiri and Achille Tchalla
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Carine Milcent: PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris, PJSE - Paris Jourdan Sciences Economiques - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement - ENPC - École nationale des ponts et chaussées - IP Paris - Institut Polytechnique de Paris
Pierre-Emmanuel Couralet: Audass - Association pour l’utilisation des données et l’analysedes systèmes de santé
Saad Zbiri: Université Paris-Saclay, IA2S - Institut d’Analyse des Systèmes de Santé
Achille Tchalla: Laboratoire VieSanté - UR 24134 (Vieillissement, Fragilité, Prévention, e-Santé), Limoges

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Abstract: This study investigates the Total Hip Arthroplasty (THA) activity and the associated rehabilitation care in France over the period 2013-2022, with particular attention to the COVID-19 pandemic. In 2020, scheduled THA activity was 17% lower than predicted based on the 2013–2019 trend (−19,000 THAs). In 2022, this activity was close to the pre-2019 trend, but there has been no catch-up of scheduled THAs that did not occur in 2020 and 2021. There is no obvious explanation for this absence of catch-up. In addition, in 2020, THA activity for recent trauma was only 3.1% lower than predicted based on the 2013–2019 trend. Activity in 2022 shows a return to the pre-2019 trend, without any catch-up effect, as would be expected in such a case. Finally, the proportion of scheduled THAs followed by an associated rehabilitation stay declined sharply in 2020 (−4 percentage points compared to 2019) whereas the downward trend in this proportion had previously been much slower (−10 percentage points from 2013 to 2019). These results underscore the major effect of the COVID-19 pandemic on surgical activity, though further investigation is needed to fully understand the long-term effects on patients' health and life expectancy.

Date: 2025-06
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Published in Frontiers in Health Services, 2025, 5, ⟨10.3389/frhs.2025.1564007⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-05163216

DOI: 10.3389/frhs.2025.1564007

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