Hand and Foot Surgery Rates in Rheumatoid Arthritis Have Declined From 1986 to 2011, but Large‐Joint Replacement Rates Remain Unchanged: Results From Two UK Inception Cohorts

@article{Nikiphorou2014HandAF,
  title={Hand and Foot Surgery Rates in Rheumatoid Arthritis Have Declined From 1986 to 2011, but Large‐Joint Replacement Rates Remain Unchanged: Results From Two UK Inception Cohorts},
  author={Elena Nikiphorou and Lewis Carpenter and Stephen Morris and Alexander J Macgregor and Josh Dixey and Patrick Kiely and D W James and David A Walsh and Sam Norton and Adam Young},
  journal={Arthritis \& Rheumatology},
  year={2014},
  volume={66}
}
To assess whether there have been any secular changes in orthopedic interventions in patients with rheumatoid arthritis (RA) since 1986, as examined in 2 early rheumatoid arthritis (RA) inception cohorts with up to 25 years of followup. 
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This study prospectively assessed long‐term functional and health‐related quality‐of‐life outcomes in RA patients with severe deformity at the MCP joints.
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There has been a substantial increase in joint replacement for OA in New Zealand and for RA, where access to biologics has been limited to those with erosions, joint replacement rates have not declined, with the exception of elbow replacements.
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The aim of this study was to assess the impact of the introduction of biologic disease‐modifying antirheumatic drugs (bDMARDs) on the incidence rate of upper limb joint replacements among newly diagnosed RA patients.
Reductions in Radiographic Progression in Early Rheumatoid Arthritis Over Twenty‐Five Years: Changing Contribution From Rheumatoid Factor in Two Multicenter UK Inception Cohorts
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The current state of the art regarding arthroplasty utilization, outcomes, and perioperative management from a medical and surgical perspective are discussed, and the clinical challenges to achieve optimal outcomes are highlighted.
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A decrease in orthopaedic surgery in patients with RA was found that continued into the biologic era and throughout the study period, and the general increasing trend in the use of synthetic and biological disease-modifying anti-rheumatic drugs (DMARDs) thus coincides with less joint destruction and an improved long-term prognosis of patients withRA.
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The authors suggest that recent dramatic improvements in medical treatment might explain the reduction in numbers of orthopedic joint surgeries, which also suggests that there is a worldwide trend toward improved longterm outcomes.
Incidence and Complication Rates for Total Hip Arthroplasty in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis Across Four Decades
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There remains room for further improvement to postoperative outcomes through RA-specific management, as medical management of patients with RA has reduced the need for THA, while postoperative medical and surgical management has improved some postoperatively outcomes.
Predictors of and outcomes following orthopaedic joint surgery in patients with early rheumatoid arthritis followed for 20 years
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HAQ was the strongest predictor of future major surgery in a cohort of RA patients followed for 20 years, supporting the argument that HAQ should be included in routine clinical assessment.
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References

SHOWING 1-10 OF 49 REFERENCES
Orthopaedic surgery in patients with rheumatoid arthritis: a shift towards more frequent and earlier non-joint-sacrificing surgery.
TLDR
A cross sectional study on the use of orthopaedic surgery in RA is performed to provide data on types of procedures and evolution of timing and type of surgery.
Declining use of orthopedic surgery in patients with rheumatoid arthritis? Results of a long-term, population-based assessment.
TLDR
Reconstructive surgeries are common in RA, although patients diagnosed after 1985 are less likely to require joint surgery and may reflect trends in medical disease management and have importance for health care resource utilization planning.
Stable occurrence of knee and hip total joint replacement in Central Finland between 1986 and 2003: an indication of improved long-term outcomes of rheumatoid arthritis
TLDR
The prevalence of TJR surgery has increased 2–10-fold in patients without rheumatoid arthritis patients, associated with an ageing population, but has not increased in patients with rheumatism between 1986 and 2003, consistent with emerging evidence that long-term outcomes of rheumatic arthritis have improved substantially.
Reduction in orthopedic surgery among patients with chronic inflammatory joint disease in Norway, 1994-2004.
TLDR
The incidence in the Norwegian population of total joint replacement procedures, synovectomies, and arthrodesis operations in patients with chronic inflammatory joint disease was investigated.
Orthopedic management of rheumatoid arthritis.
TLDR
Wider and earlier use of synovectomy in all surgically accessible joints will probably be the greatest contribution of orthopedic surgery in the treatment of rheumatoid arthritis.
Orthopaedic intervention in early rheumatoid arthritis. Occurrence and predictive factors in an inception cohort of 1064 patients followed for 5 years.
TLDR
Eleven per cent of rheumatoid arthritis patients treated with conventional drug therapy for 5 yr underwent large- or small-joint surgery, an outcome which could be compared against that for new disease-modifying drugs.
Orthopedic Surgery Among Patients with Rheumatoid Arthritis 1980–2007: A Population-based Study Focused on Surgery Rates, Sex, and Mortality
TLDR
The rates of joint surgery continue to decrease for patients more recently diagnosed with RA and JRP is associated with increased mortality, which may reflect improved treatments for RA as well as continued higher disease burden among some patients.
Orthopaedic surgery in patients with rheumatoid arthritis over 20 years: prevalence and predictive factors of large joint replacement
TLDR
It was shown that Health Assessment Questionnaire, C-reactive protein and erythrocyte sedimentation rate at inclusion, and radiographic changes in small joints after 1 year, were associated with an increased risk of receiving prosthesis of large joints.
The long-term outcomes of rheumatoid arthritis: a 23-year prospective, longitudinal study of total joint replacement and its predictors in 1,600 patients with rheumatoid arthritis.
TLDR
TJA, a marker of joint failure and of RA outcome, is predicted by self-report assessments of severity and function, and by a series of laboratory, radiographic, and clinical variables.
A population based assessment of the use of orthopedic surgery in patients with rheumatoid arthritis.
TLDR
Reconstructive surgeries were common, and women had significantly more surgeries than men, and Survivorship among patients with RA undergoing surgeries was similar to that of the RA patient population at large.
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