[article] 
inActa Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 253-261

Titre :	Trends in the utilisation rates and acute hospital capacity needs total hip replacements : results of an analysis of administrative data
Type de document :	texte imprimé
Auteurs :	Nicolas Bouckaert, Auteur
Année de publication :	2020
Article en page(s) :	p. 253-261
Langues :	Anglais (eng)
Résumé :	Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models. The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273). The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age. Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.
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[article] Trends in the utilisation rates and acute hospital capacity needs total hip replacements : results of an analysis of administrative data [texte imprimé] / Nicolas Bouckaert, Auteur . - 2020 . - p. 253-261.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 86/2 (Juin 2020) . - p. 253-261

Résumé :

Total hip replacement surgery is the mainstay of treatment for end-stage hip arthritis. In 2014, there were 28227 procedures (incidence rate 252/100000 population). Using administrative data, we projected the future volume of total hip replacement procedures and incidence rates using two models. The constant rate model fixes utilisation rates at 2014 levels and adjusts for demographic changes. Projections indicate 32248 admissions by 2025 or an annual growth of 1.22% (incidence rate 273). The time trend model additionally projects the evolution in age-specific utilisation rates. 34895 admissions are projected by 2025 or an annual growth of 1.95% (incidence rate 296). The projections show a shift in performing procedures at younger age. Forecasts of length of stay indicate a substantial shortening. By 2025, the required number of hospital beds will be halved. Despite more procedures, capacity can be reduced, leading to organisational change (e.g. elective orthopaedic clinics) and more labour intensive stays.

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