Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data

Anne Postler,1 Andres Luque Ramos,2 Jens Goronzy,1 Klaus-Peter Günther,1 Toni Lange,3 Jochen Schmitt,3 Angela Zink,4 Falk Hoffmann2 1University Center of Orthopaedics and Traumatology, University Medicine Carl Gustav Carus Dresden, Technische Universität Dresden, Dresden, Germany;...

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Autores principales: Postler A, Luque Ramos A, Goronzy J, Günther K-P, Lange T, Schmitt J, Zink A, Hoffmann F
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Publicado: Dove Medical Press 2018
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spelling oai:doaj.org-article:a2edb8917c51494d8df771be40171e4c2021-12-02T04:15:23ZPrevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data1178-1998https://doaj.org/article/a2edb8917c51494d8df771be40171e4c2018-11-01T00:00:00Zhttps://www.dovepress.com/prevalence-and-treatment-of-hip-and-knee-osteoarthritis-in-people-aged-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Anne Postler,1 Andres Luque Ramos,2 Jens Goronzy,1 Klaus-Peter Günther,1 Toni Lange,3 Jochen Schmitt,3 Angela Zink,4 Falk Hoffmann2 1University Center of Orthopaedics and Traumatology, University Medicine Carl Gustav Carus Dresden, Technische Universität Dresden, Dresden, Germany; 2Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany; 3Center for Evidence Based Healthcare, Medical Faculty, Technische Universität Dresden, Dresden, Germany; 4Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany Objective: Osteoarthritis (OA) is highly prevalent throughout the world, especially in the elderly population, and is strongly associated with patients’ frailty. However, little is known about the prevalence and treatment of OA in elderly patients in routine clinical care in Germany.Materials and methods: As a part of Linking Patient-Reported Outcomes with CLAIms Data for Health Services Research in Rheumatology (PROCLAIR), a cross-sectional study using claims data from a large Germany statutory health insurance (BARMER) was conducted. We included people aged 60 years or older and assessed the prevalence of OA of the hip or knee, defined as having outpatient diagnoses (ICD: M16 or M17) in at least two quarters of 2014. The use of conservative treatment, including analgesics and physical therapy, and total joint replacement was studied. Analyses were stratified by age, sex, comorbidities, and level of care dependency defined by social law.Results: A total of 595,754 patients (mean age: 74.9 years; 69.8% female) were diagnosed with OA (21.8%), with the highest prevalence in those between 80 and 89 years (31.0%) and in females compared to males (23.9% vs 18.3%). Prevalence decreased with increasing level of care dependency from 30.5% in patients with a low level (0/1) to 18.7% in the highest level of care dependency. A total of 63.4% of the patients with OA received analgesics, with higher use with increasing age. Physical therapy was prescribed to 43.1% of the patients, but use decreased with age. In all, 5.3% of the patients received total joint replacement in 2014.Conclusion: The lower frequency of coded OA with increasing level of care dependency may reflect underdiagnosis, and patients with many other medical problems seem to be at risk for inadequate recognition and treatment of their OA. Keywords: osteoarthritis, total joint replacement, health services research, aged, analgesics, frail elderly Postler ALuque Ramos AGoronzy JGünther K-PLange TSchmitt JZink AHoffmann FDove Medical PressarticleOsteoarthritisTotal Joint ReplacementHealth Services ResearchAgedAnalgesicsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 2339-2349 (2018)
institution DOAJ
collection DOAJ
language EN
topic Osteoarthritis
Total Joint Replacement
Health Services Research
Aged
Analgesics
Geriatrics
RC952-954.6
spellingShingle Osteoarthritis
Total Joint Replacement
Health Services Research
Aged
Analgesics
Geriatrics
RC952-954.6
Postler A
Luque Ramos A
Goronzy J
Günther K-P
Lange T
Schmitt J
Zink A
Hoffmann F
Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
description Anne Postler,1 Andres Luque Ramos,2 Jens Goronzy,1 Klaus-Peter Günther,1 Toni Lange,3 Jochen Schmitt,3 Angela Zink,4 Falk Hoffmann2 1University Center of Orthopaedics and Traumatology, University Medicine Carl Gustav Carus Dresden, Technische Universität Dresden, Dresden, Germany; 2Department of Health Services Research, Carl von Ossietzky University, Oldenburg, Germany; 3Center for Evidence Based Healthcare, Medical Faculty, Technische Universität Dresden, Dresden, Germany; 4Epidemiology Unit, German Rheumatism Research Centre, Berlin, Germany Objective: Osteoarthritis (OA) is highly prevalent throughout the world, especially in the elderly population, and is strongly associated with patients’ frailty. However, little is known about the prevalence and treatment of OA in elderly patients in routine clinical care in Germany.Materials and methods: As a part of Linking Patient-Reported Outcomes with CLAIms Data for Health Services Research in Rheumatology (PROCLAIR), a cross-sectional study using claims data from a large Germany statutory health insurance (BARMER) was conducted. We included people aged 60 years or older and assessed the prevalence of OA of the hip or knee, defined as having outpatient diagnoses (ICD: M16 or M17) in at least two quarters of 2014. The use of conservative treatment, including analgesics and physical therapy, and total joint replacement was studied. Analyses were stratified by age, sex, comorbidities, and level of care dependency defined by social law.Results: A total of 595,754 patients (mean age: 74.9 years; 69.8% female) were diagnosed with OA (21.8%), with the highest prevalence in those between 80 and 89 years (31.0%) and in females compared to males (23.9% vs 18.3%). Prevalence decreased with increasing level of care dependency from 30.5% in patients with a low level (0/1) to 18.7% in the highest level of care dependency. A total of 63.4% of the patients with OA received analgesics, with higher use with increasing age. Physical therapy was prescribed to 43.1% of the patients, but use decreased with age. In all, 5.3% of the patients received total joint replacement in 2014.Conclusion: The lower frequency of coded OA with increasing level of care dependency may reflect underdiagnosis, and patients with many other medical problems seem to be at risk for inadequate recognition and treatment of their OA. Keywords: osteoarthritis, total joint replacement, health services research, aged, analgesics, frail elderly 
format article
author Postler A
Luque Ramos A
Goronzy J
Günther K-P
Lange T
Schmitt J
Zink A
Hoffmann F
author_facet Postler A
Luque Ramos A
Goronzy J
Günther K-P
Lange T
Schmitt J
Zink A
Hoffmann F
author_sort Postler A
title Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
title_short Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
title_full Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
title_fullStr Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
title_full_unstemmed Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data
title_sort prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in germany: an analysis based on health insurance claims data
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/a2edb8917c51494d8df771be40171e4c
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