How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands

Aims: We estimated the prevalence of people living with at least one hip, knee, or shoulder arthroplasty in the Netherlands. Methods: We included the first hip (n = 416,333), knee (n = 314,569), or shoulder (n = 23,751) arthroplasty of each patient aged ≥ 40 years between 2007 and 2022 (hip/knee)...

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Main Authors: Mirthe H. W. van Veghel, Liza N. van Steenbergen, Maaike G. J. Gademan, Wilbert B. van den Hout, B. W. Schreurs, Gerjon Hannink
Format: Article
Language:English
Published: The British Editorial Society of Bone & Joint Surgery 2025-01-01
Series:Bone & Joint Open
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Online Access:https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.61.BJO-2024-0162.R1
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author Mirthe H. W. van Veghel
Liza N. van Steenbergen
Maaike G. J. Gademan
Wilbert B. van den Hout
B. W. Schreurs
Gerjon Hannink
author_facet Mirthe H. W. van Veghel
Liza N. van Steenbergen
Maaike G. J. Gademan
Wilbert B. van den Hout
B. W. Schreurs
Gerjon Hannink
author_sort Mirthe H. W. van Veghel
collection DOAJ
description Aims: We estimated the prevalence of people living with at least one hip, knee, or shoulder arthroplasty in the Netherlands. Methods: We included the first hip (n = 416,333), knee (n = 314,569), or shoulder (n = 23,751) arthroplasty of each patient aged ≥ 40 years between 2007 and 2022 (hip/knee) or 2014 and 2022 (shoulder) from the Dutch Arthroplasty Register (LROI). Data on the size of the Dutch population were obtained from Statistics Netherlands. Annual incidences and deaths from hip and knee arthroplasty since 2010, and shoulder arthroplasty since 2015, were observed from the LROI. Annual incidences and deaths before those years were estimated using Poisson regression analyses and parametric survival models based on a Gompertz distribution. Non-parametric percentile bootstrapping with resampling was used to estimate 95% CIs. Results: Annual incidences per 100,000 Dutch inhabitants aged ≥ 40 years increased for hip arthroplasties from 221 (95% CI 214 to 229) in 1990 to 360 in 2022, for knee arthroplasties from 181 (95% CI 174 to 188) to 272, and for shoulder arthroplasties from 11 (95% CI 8.0 to 16) to 34. In 2022, 791,000 (95% CI 787,000 to 794,000) people in the Netherlands were living with at least one joint replacement, representing 8.4% (95% CI 8.4 to 8.5) of the Dutch population aged ≥ 40 years. For hip, knee, and shoulder arthroplasties, these were 436,000 (95% CI 433,000 to 438,000), 383,000 (95% CI 380,000 to 386,000), and 34,000 (95% CI 33,000 to 36,000) people, corresponding to 4.7% (95% CI 4.6 to 4.7), 4.1% (95% CI 4.1 to 4.1), and 0.4% (95% CI 0.3 to 0.4) of the Dutch population, respectively. The most common age group living with at least one joint replacement was the ≥ 80-year age group, representing 38% (95% CI 37 to 38) of the Dutch population aged ≥ 80 years. Conclusion: Approximately 800,000 people in the Netherlands were living with at least one hip, knee, or shoulder replacement in 2022, representing one in 12 Dutch inhabitants aged ≥ 40 years. Cite this article: Bone Jt Open 2025;6(1):74–81.
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spelling doaj-art-ae31848e252e498393bc65fb24c3fba92025-01-28T05:38:53ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Open2633-14622025-01-0161748110.1302/2633-1462.61.BJO-2024-0162.R1How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics NetherlandsMirthe H. W. van Veghel0https://orcid.org/0000-0001-8488-957XLiza N. van Steenbergen1https://orcid.org/0000-0002-8141-842XMaaike G. J. Gademan2https://orcid.org/0000-0002-6106-3385Wilbert B. van den Hout3https://orcid.org/0000-0002-6425-0135B. W. Schreurs4https://orcid.org/0000-0003-4518-431XGerjon Hannink5https://orcid.org/0000-0001-9526-3775Department of Orthopaedics, Radboud University Medical Center, Nijmegen, The NetherlandsDutch Arthroplasty Register (Landelijke Registratie Orthopedische Interventies), ‘s-Hertogenbosch, The NetherlandsDepartment of Orthopaedics, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Orthopaedics, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The NetherlandsAims: We estimated the prevalence of people living with at least one hip, knee, or shoulder arthroplasty in the Netherlands. Methods: We included the first hip (n = 416,333), knee (n = 314,569), or shoulder (n = 23,751) arthroplasty of each patient aged ≥ 40 years between 2007 and 2022 (hip/knee) or 2014 and 2022 (shoulder) from the Dutch Arthroplasty Register (LROI). Data on the size of the Dutch population were obtained from Statistics Netherlands. Annual incidences and deaths from hip and knee arthroplasty since 2010, and shoulder arthroplasty since 2015, were observed from the LROI. Annual incidences and deaths before those years were estimated using Poisson regression analyses and parametric survival models based on a Gompertz distribution. Non-parametric percentile bootstrapping with resampling was used to estimate 95% CIs. Results: Annual incidences per 100,000 Dutch inhabitants aged ≥ 40 years increased for hip arthroplasties from 221 (95% CI 214 to 229) in 1990 to 360 in 2022, for knee arthroplasties from 181 (95% CI 174 to 188) to 272, and for shoulder arthroplasties from 11 (95% CI 8.0 to 16) to 34. In 2022, 791,000 (95% CI 787,000 to 794,000) people in the Netherlands were living with at least one joint replacement, representing 8.4% (95% CI 8.4 to 8.5) of the Dutch population aged ≥ 40 years. For hip, knee, and shoulder arthroplasties, these were 436,000 (95% CI 433,000 to 438,000), 383,000 (95% CI 380,000 to 386,000), and 34,000 (95% CI 33,000 to 36,000) people, corresponding to 4.7% (95% CI 4.6 to 4.7), 4.1% (95% CI 4.1 to 4.1), and 0.4% (95% CI 0.3 to 0.4) of the Dutch population, respectively. The most common age group living with at least one joint replacement was the ≥ 80-year age group, representing 38% (95% CI 37 to 38) of the Dutch population aged ≥ 80 years. Conclusion: Approximately 800,000 people in the Netherlands were living with at least one hip, knee, or shoulder replacement in 2022, representing one in 12 Dutch inhabitants aged ≥ 40 years. Cite this article: Bone Jt Open 2025;6(1):74–81.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.61.BJO-2024-0162.R1prevalencejoint replacementpoisson regression analysesparametric survival modelsarthroplasty registryshoulder arthroplastieskneehipjoint replacementsknee arthroplasty procedureship and knee arthroplastiesshoulderdutch arthroplasty register (lroi)regression analysesprimary arthroplasties
spellingShingle Mirthe H. W. van Veghel
Liza N. van Steenbergen
Maaike G. J. Gademan
Wilbert B. van den Hout
B. W. Schreurs
Gerjon Hannink
How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
Bone & Joint Open
prevalence
joint replacement
poisson regression analyses
parametric survival models
arthroplasty registry
shoulder arthroplasties
knee
hip
joint replacements
knee arthroplasty procedures
hip and knee arthroplasties
shoulder
dutch arthroplasty register (lroi)
regression analyses
primary arthroplasties
title How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
title_full How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
title_fullStr How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
title_full_unstemmed How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
title_short How many people in the Netherlands live with a hip, knee, or shoulder replacement?: prevalence estimates using data from the Dutch Arthroplasty Register (LROI) and Statistics Netherlands
title_sort how many people in the netherlands live with a hip knee or shoulder replacement prevalence estimates using data from the dutch arthroplasty register lroi and statistics netherlands
topic prevalence
joint replacement
poisson regression analyses
parametric survival models
arthroplasty registry
shoulder arthroplasties
knee
hip
joint replacements
knee arthroplasty procedures
hip and knee arthroplasties
shoulder
dutch arthroplasty register (lroi)
regression analyses
primary arthroplasties
url https://online.boneandjoint.org.uk/doi/epdf/10.1302/2633-1462.61.BJO-2024-0162.R1
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