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Declining use of synovectomy surgery for patients with rheumatoid arthritis in Japan
  1. S Momohara,
  2. K Ikari,
  3. T Mochizuki,
  4. K Kawamura,
  5. S Tsukahara,
  6. H Toki,
  7. M Hara,
  8. N Kamatani,
  9. H Yamanaka,
  10. T Tomatsu
  1. Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan
  1. S Momohara, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada, Shinjuku, Tokyo 162-0054, Japan; smomohara{at}ior.twmu.ac.jp

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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 …

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