Declining use of synovectomy surgery for patients with rheumatoid arthritis in Japan
Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan
Correspondence to:
S Momohara, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada, Shinjuku, Tokyo 162-0054, Japan; smomohara@ior.twmu.ac.jp
Accepted 29 March 2008
| The first 150 words of the full text of this article appear below. |
Several studies from different countries suggest that the rates of orthopaedic surgery have decreased for patients with rheumatoid arthritis (RA) in recent years. From the Rochester Epidemiology Project, there was a reduction in the overall rates for all types of joint-related surgery inpatients.1 The California State Hospitalization Database for 1983–2001 reported a decrease in the rate of total knee arthroplasty for patients with RA.2 From Scandinavian countries, there was a decrease of RA-related surgical procedures to the lower limbs in Swedish patients between 1987 and 2001,3 from Denmark a decrease in the incidence rate of total hip arthroplasties due to RA was reported,4 and the incidence of total joint replacement (TJR) surgery and synovectomies decreased in the Norwegian population from 1994 to 2004.5 These may reflect trends in disease severity, management and health outcomes in each country.
We analysed whether or not the number of orthopaedic surgeries has been decreasing
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