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The crux of the issue: assessment of patient appropriateness for joint replacement requires a conversation with the patient

  • G.A. Hawker
    Correspondence
    Address correspondence and reprint requests to: Dr Gillian A. Hawker, Sir John and Lady Eaton Professor and Chair, Department of Medicine, University of Toronto, 6 Queen's Park Crescent West, 3rd Floor, Toronto, Ontario M5S 3H2, Canada. Tel: 416-946-8071; Fax: 416-978-7230.
    Affiliations
    Department of Medicine, University of Toronto, Toronto, ON, Canada
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Published:March 10, 2023DOI:https://doi.org/10.1016/j.joca.2023.03.001
      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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