Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study

Abstract Purpose The increasing incidence of hip replacement (HR) is related to the ageing of the population and the increasing longevity of new implants. The primary purpose of this study is to assess the number of HR hospitalizations in Italy, referring to official national hospitalization reports...

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Main Authors: Umile Giuseppe Longo, Alessandro Mazzola, Alessandro deSire, Sergio De Salvatore, Giuseppe Salvatore, Mattia Loppini, Antonio Ammendolia, Marco Invernizzi, Stefano Zaffagnini, Kristian Samuelsson, Rocco Papalia, Pieter D'Hooghe
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Journal of Experimental Orthopaedics
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Online Access:https://doi.org/10.1002/jeo2.70298
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author Umile Giuseppe Longo
Alessandro Mazzola
Alessandro deSire
Sergio De Salvatore
Giuseppe Salvatore
Mattia Loppini
Antonio Ammendolia
Marco Invernizzi
Stefano Zaffagnini
Kristian Samuelsson
Rocco Papalia
Pieter D'Hooghe
author_facet Umile Giuseppe Longo
Alessandro Mazzola
Alessandro deSire
Sergio De Salvatore
Giuseppe Salvatore
Mattia Loppini
Antonio Ammendolia
Marco Invernizzi
Stefano Zaffagnini
Kristian Samuelsson
Rocco Papalia
Pieter D'Hooghe
author_sort Umile Giuseppe Longo
collection DOAJ
description Abstract Purpose The increasing incidence of hip replacement (HR) is related to the ageing of the population and the increasing longevity of new implants. The primary purpose of this study is to assess the number of HR hospitalizations in Italy, referring to official national hospitalization reports. The secondary aim is to evaluate the characteristics of patients who underwent HR, comparing the future predictions of the prevalence of HR between Italy and other countries. Methods The present study considered adult patients (aged 20 years or older) who underwent HP. The data regarding hospitalizations for HR performed between 2001 and 2015 were collected by the National Hospital Discharge reports carried out by the Italian Ministry of Health. These reports provided data concerning all hospital admission occurring in Italy, both from public and private institutions. Results Overall, 64.5% of HR were performed on female patients, whereas only 35.5% were male. The median length of hospital stay was 12.3 ± 8.1 days. During the 15‐year study period, the main primary diagnoses were osteoarthrosis, localized, primary (46.1%). In 2001, 66,171 hospitalizations for HR were performed, equivalent to 5.4% of all those included in the National Hospital Discharge report (1,228,025); in 2015, this figure reached 95,200 units 7.8% of the total. There has been an annual increase of HR of 2.63%. From 2001 to 2015, the incidence of operations increased from 144.1 to 192.3 per 100,000 residents with at least 20 years of age. Conclusions This longitudinal study confirms the progressive incidence in HR hospitalizations and the burden for the healthcare system in orthopaedics and rehabilitation fields. Level of Evidence Level II
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spelling doaj-art-e4234b3bd75943098961361517b9bb9f2025-08-20T03:44:05ZengWileyJournal of Experimental Orthopaedics2197-11532025-04-01122n/an/a10.1002/jeo2.70298Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal studyUmile Giuseppe Longo0Alessandro Mazzola1Alessandro deSire2Sergio De Salvatore3Giuseppe Salvatore4Mattia Loppini5Antonio Ammendolia6Marco Invernizzi7Stefano Zaffagnini8Kristian Samuelsson9Rocco Papalia10Pieter D'Hooghe11Fondazione Policlinico Universitario Campus Bio‐Medico Rome ItalyFondazione Policlinico Universitario Campus Bio‐Medico Rome ItalyPhysical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences University of Catanzaro “Magna Graecia” Catanzaro ItalyIRCCS Ospedale Pediatrico Bambino Gesù Rome ItalyFondazione Policlinico Universitario Campus Bio‐Medico Rome ItalyHip Diseases and Joint Replacement Surgery Unit, Humanitas Clinical and Research Center, IRCCS Rozzano ItalyPhysical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences University of Catanzaro “Magna Graecia” Catanzaro ItalyDepartment of Health Sciences University of Eastern Piedmont “A. Avogadro” Novara ItalyClinica Ortopedica e Traumatologica II IRCCS Istituto Ortopedico Rizzoli Bologna ItalyDepartment of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy University of Gothenburg Gothenburg SwedenFondazione Policlinico Universitario Campus Bio‐Medico Rome ItalyOrthopaedic Surgeon and Assistant Chief of Surgery for Research, Department of Orthopaedic Surgery and Sportsmedicine Aspetar Hospital Doha QatarAbstract Purpose The increasing incidence of hip replacement (HR) is related to the ageing of the population and the increasing longevity of new implants. The primary purpose of this study is to assess the number of HR hospitalizations in Italy, referring to official national hospitalization reports. The secondary aim is to evaluate the characteristics of patients who underwent HR, comparing the future predictions of the prevalence of HR between Italy and other countries. Methods The present study considered adult patients (aged 20 years or older) who underwent HP. The data regarding hospitalizations for HR performed between 2001 and 2015 were collected by the National Hospital Discharge reports carried out by the Italian Ministry of Health. These reports provided data concerning all hospital admission occurring in Italy, both from public and private institutions. Results Overall, 64.5% of HR were performed on female patients, whereas only 35.5% were male. The median length of hospital stay was 12.3 ± 8.1 days. During the 15‐year study period, the main primary diagnoses were osteoarthrosis, localized, primary (46.1%). In 2001, 66,171 hospitalizations for HR were performed, equivalent to 5.4% of all those included in the National Hospital Discharge report (1,228,025); in 2015, this figure reached 95,200 units 7.8% of the total. There has been an annual increase of HR of 2.63%. From 2001 to 2015, the incidence of operations increased from 144.1 to 192.3 per 100,000 residents with at least 20 years of age. Conclusions This longitudinal study confirms the progressive incidence in HR hospitalizations and the burden for the healthcare system in orthopaedics and rehabilitation fields. Level of Evidence Level IIhttps://doi.org/10.1002/jeo2.70298epidemiologyhip replacementorthopaedicspartialrehabilitationtotal
spellingShingle Umile Giuseppe Longo
Alessandro Mazzola
Alessandro deSire
Sergio De Salvatore
Giuseppe Salvatore
Mattia Loppini
Antonio Ammendolia
Marco Invernizzi
Stefano Zaffagnini
Kristian Samuelsson
Rocco Papalia
Pieter D'Hooghe
Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
Journal of Experimental Orthopaedics
epidemiology
hip replacement
orthopaedics
partial
rehabilitation
total
title Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
title_full Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
title_fullStr Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
title_full_unstemmed Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
title_short Epidemiology of hospitalization for hip replacement: Which implications for orthopaedics and rehabilitation? A 15‐year longitudinal study
title_sort epidemiology of hospitalization for hip replacement which implications for orthopaedics and rehabilitation a 15 year longitudinal study
topic epidemiology
hip replacement
orthopaedics
partial
rehabilitation
total
url https://doi.org/10.1002/jeo2.70298
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