The incidence of upper and lower extremity surgery for rheumatoid arthritis among Medicare beneficiaries

The Journal of Bone and Joint Surgery. American Volume
Jennifer F WaljeeKevin C Chung

Abstract

For elderly patients with rheumatoid arthritis, aggressive immunosuppression can be difficult to tolerate, and surgery remains an important treatment option for joint pain and deformity. We sought to examine the epidemiology of surgical reconstruction for rheumatoid arthritis among older individuals who were newly diagnosed with the disorder. We identified a 5% random sample of Medicare beneficiaries (sixty-six years of age and older) newly diagnosed with rheumatoid arthritis from 2000 to 2005, and followed these patients longitudinally for a mean of 4.6 years. We used univariate analysis to compare the time from the diagnosis of rheumatoid arthritis to the first operation among the 360 patients who underwent surgery during the study period. In our study cohort, 589 procedures were performed among 360 patients, and 132 patients (37%) underwent multiple procedures. The rate of upper extremity reconstruction was 0.9%, the rate of lower extremity reconstruction was 1.2%, and knee arthroplasty was the most common procedure performed initially (31%) and overall (29%). Upper extremity procedures were performed sooner than lower extremity procedures (fourteen versus twenty-five months; p = 0.02). In multivariable analysis, surgery rat...Continue Reading

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Citations

Dec 25, 2015·Best Practice & Research. Clinical Rheumatology·Susan M Goodman, Mark A Figgie
Mar 25, 2017·Plastic and Reconstructive Surgery·Kevin C Chung, Sandra V Kotsis
Dec 3, 2017·The Journal of Rheumatology·Bradley L YoungBrent A Ponce
Jun 27, 2018·Current Rheumatology Reports·Alana Sigmund, Linda A Russell
Nov 19, 2015·Plastic and Reconstructive Surgery. Global Open·Elham MahmoudiKevin C Chung
Dec 16, 2016·Plastic and Reconstructive Surgery. Global Open·Lauren E FranzblauKevin C Chung
Oct 23, 2020·Pharmacoepidemiology and Drug Safety·Michael M Ward

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