Navigation Links
Increasing rate of knee replacements linked to obesity among young, researchers say
Date:10/31/2013

BOSTON Contrary to popular myth, it is not the aging Baby Boomer or weekend warrior that is causing the unprecedented increase in knee replacement surgeries. Data gathered by more than 125 orthopedic surgeons from 22 states across the U.S. show a more mundane culprit: rising rates of obesity among those under the age of 65.

A first-of-its-kind database for knee and hip replacements and patient reported outcomes FORCE-TJR is beginning to yield information that may have significance for one of the most expensive, most used surgical procedures in the U.S. total joint replacement.

"What was once thought of as a procedure for older people or those with sporting injuries is changing," said David Ayers, MD, Chair of the Department of Orthopedics and Physical Rehabilitation and director of the Musculoskeletal Center of Excellence at the University of Massachusetts Medical School. "Our study shows that younger patients are more obese and experience the same amount of pain and functional disability as older patients and in some cases even more."

In the first 9,000 patients whose outcomes were tracked in FORCE-TJR, the national research program led by researchers at the University of Massachusetts Medical School, 55 percent of patients under age 65 were considered technically obese compared to 43 percent age 65 and older. Even more striking was that twice as many younger patients were in the morbidly obese category (body mass index greater than 40) 11 percent of those under age 65 versus 5 percent age 65 and older. The younger patients also had higher rates of smoking and lower mental health scores.

"What we're seeing is that the rise in obesity rates in younger people is having a dramatic influence on the number of total joint replacement surgeries," Ayers said. "These are not premature or unnecessary procedures."

Knee replacement surgeries are already one of the most common procedures in the U.S. Approximately 600,000 are performed each year at a cost of $9.9 billion, and the demand is expected to grow to 3.48 million procedures a year by 2030.

"Unless we see a significant reduction in obesity, we will continue to see the necessity for more and more of these procedures," Ayers said. "This is an example of the type of information this database will yield that could directly influence clinical best practices, health care policy and the overall health and quality of life for people with arthritis."

Obesity is not only a major predictor of knee replacement surgery, it also puts patients at a post-operative disadvantage compared to healthier patients. For example, regardless of age, those who are obese don't experience the same level of functional gain after joint replacement as other patients. Obese patients are also more likely to get an infection or other complications that require readmission or revision surgery.

These factors drive up costs. Researchers also say that post-operative support programs should target improved physical activity and diet with the overall goal being a healthier lifestyle. Currently there are no standards for physical therapy or health management after joint replacement surgery.

"Figuring out the best practices for rehabilitation and how to lose weight should be a priority," said Patricia Franklin, MD, principal investigator of FORCE-TJR. "There needs to be a wellness incentive. Health insurers have done that around other diseases like diabetes and heart disease, but not joint replacement. We can't just say we fixed the knee or the hip and then walk away."

Franklin will present findings from the FORCE-TJR study at the annual meeting of the American College of Rheumatology and the Association of Rheumatology Health Professionals in San Diego, Oct. 25-30.


'/>"/>

Contact: Dave Falcone
Dfalcone@denterlein.com
617-482-0042
University of Massachusetts Medical School
Source:Eurekalert

Related medicine news :

1. Findings: How viral infection disrupts neural development in offspring, increasing risk of autism
2. NSF International to Offer Non-GMO Project Verification to Meet Increasing Demand for Trusted Label
3. Grow Room Design Is Becoming Increasingly Easier with Gorilla Grow Tent’s Larger Tent Sizes
4. UC Davis Researchers Find How Viral Infection Disrupts Neural Development in Offspring, Increasing Risk of Autism
5. My Positive Perspective Broadcasts Episode With the Purpose of Increasing Success in Marriages With Coach Glenn Cohen
6. Narconon President Urges Increasing Drug Education as Children Return to High School Classrooms
7. Height Increasing Exercises
8. “Grow Taller 4 Idiots” Teaches People How to Make Their Bones And Cartilage Grow - Vkoolelite
9. Women at increasing risk of kidney stones, related ER visits
10. How to Reduce Costs While Increasing Volumes in Your Hospital Surgery Service
11. Obesity Becoming an Increasing Concern for Employers
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements owned ... developed to enhance the health of felines. The formula is all-natural and is made ... in the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root ...
(Date:6/26/2016)... , ... June 26, 2016 , ... ... once they have been diagnosed with endometriosis. These women need a treatment plan ... require a comprehensive approach that can help for preservation of fertility and ultimately ...
(Date:6/25/2016)... , ... June 25, 2016 , ... Austin residents seeking ... American College of Mohs Surgery and to Dr. Russell Peckham for medical and surgical ... effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by ...
(Date:6/25/2016)... ... , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily customize ... Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures into ... Simply select a ProHand generator and drag it above media or text in the ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the addition ... 2022" report to their offering. ... with kidney failure, it replaces the function of kidneys by ... and thus the treatment helps to keep the patient body,s ... Increasing number of ESRD patients & substantial healthcare ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... the "Pharmaceutical Excipients Market by Type (Organic Chemical ... Preservative), Formulation (Oral, Topical, Coating, Parenteral) - Global Forecast ... The global pharmaceutical excipients ... 2021 at a CAGR of 6.1% in the forecast ...
(Date:6/23/2016)... Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that it ... (procalcitonin) assay as a dedicated testing solution for people ... Roche is the first IVD company in the U.S ... assessment and management. PCT is a sepsis-specific ... blood can aid clinicians in assessing the risk of ...
Breaking Medicine Technology: