Surgical intervention for patients with rheumatoid arthritis is declining except for foot and ankle surgery: A single-centre, 20-year observational cohort study. Issue 3 (10th May 2022)

• Record Type: Journal Article
• Authors: Tominaga, Ayako; Ikari, Katsunori; Yano, Koichiro; Tanaka, Eiichi; Inoue, Eisuke; Harigai, Masayoshi; Okazaki, Ken
• Is Part Of: Modern rheumatology. Volume 33:Issue 3(2023)
• Page Start: 509
• Page End: 516
• Publication Date: 2022-05-10
• Subjects: Foot/ankle joint surgeries -- IORRA cohort study -- RA-related surgeries -- rheumatoid arthritis -- total joint arthroplasties; Rheumatology -- Periodicals; 616.723005
• DOI: 10.1093/mr/roac042
• Languages: English
• ISSNs: 1439-7595

Abstract

ABSTRACT: Objectives: A global downward trend in the number of rheumatoid arthritis (RA)-related surgeries has been reported. The purpose of our study was to investigate the latest trends in RA-related surgeries in a single-centre Japanese RA cohort. Methods: This study was a retrospective analysis of RA-related surgeries between 2001 and 2020 in the Institute of Rheumatology Rheumatoid Arthritis cohort. An average of 4944 patients per semi-annual survey was included in the study. The primary goal was to analyse the half-year period prevalence proportion (HPP) of RA-related surgeries in a 20-year period, and the secondary goal was to analyse the HPP of surgeries by site or by categories of disease activity. Results: There has been a downward trend in the HPP of RA-related surgeries in the 20-year study period. The total HPP of RA-related surgeries decreased by 50.3% during the 20-year study period. There was a significant decrease in knee, hip, shoulder/elbow, and hand procedures. Only foot/ankle joint surgeries significantly increased in volume during this period ( p = .001). The HPP of RA-related surgeries remained unchanged in patients with remission or low disease activity. Conclusions: The number of RA-related surgeries decreased over a 20-year period, but foot/ankle joint surgeries increased in the site-specific evaluation.