Joint arthroplasty (JA) is considered effective in the management of advanced hip
and knee osteoarthritis (OA) when non-surgical therapies fail. With the increasing
incidence and prevalence of OA related to aging and obesity, JA rates are rising globally.
Among Organization for Economic Cooperation and Development (OECD) countries between
2009 and 2019, hip replacement rates rose by 22% and knee replacement rates by 35%.
These trends are anticipated to continue, placing a potentially unsustainable JA burden
on healthcare systems. To help combat rising JA costs, while ensuring access and quality
of care, payers, providers, and policy makers are requesting clarity regarding the
appropriate indications for this procedure.
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Publication history
Published online: March 10, 2023
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© 2023 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.