Skip to main content
PMC home page
Public Health Reports logoLink to Public Health Reports
. 1993 Jan-Feb;108(1):70–75.

Prevalence of artificial hip implants and use of health services by recipients.

C M Sharkness 1, S Hamburger 1, R M Moore Jr 1, R G Kaczmarek 1
PMCID: PMC1403333  PMID: 8434101

Abstract

Data from the 1988 Medical Device Implant Supplement to the National Health Interview Survey are used to summarize information about the prevalence of artificial hips among adults in the United States. The 1988 National Health Interview Survey was a cross-sectional survey of the civilian noninstitutionalized United States population, and included 122,310 persons in 47,485 households in a multistage probability sample. The supplement supplied the first population-based estimates of prevalence and morbidity of selected medical devices. Projected to the United States population, the survey results indicate that an estimated 674,000 adults were using 811,000 hip implants. Hip implant recipients were significantly more likely to be older, to be white, and to have lower educational, income, and activity levels than the general population of adults. After age-stratification, however, only differences in activity limitation and race remained. Current economic outlays for hip replacement surgery are substantial. With the aging population, use of health services by patients with artificial hips will probably increase unless measures to reduce the need for replacement surgery are instituted. These measures include reducing injuries and improving biomaterials. Further investigation is needed to examine the activity limitation and racial difference in prevalence found in this study.

Full text

PDF

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burton B. T., Foster W. R., Hirsch J., Van Itallie T. B. Health implications of obesity: an NIH Consensus Development Conference. Int J Obes. 1985;9(3):155–170. [PubMed] [Google Scholar]
  2. Cotton P. Orthopedics research now asks, 'does it work?' rather than just, 'how is procedure performed?'. JAMA. 1991 May 1;265(17):2164–2165. [PubMed] [Google Scholar]
  3. Felts W., Yelin E. The economic impact of the rheumatic diseases in the United States. J Rheumatol. 1989 Jul;16(7):867–884. [PubMed] [Google Scholar]
  4. Fisher E. S., Baron J. A., Malenka D. J., Barrett J. A., Kniffin W. D., Whaley F. S., Bubolz T. A. Hip fracture incidence and mortality in New England. Epidemiology. 1991 Mar;2(2):116–122. doi: 10.1097/00001648-199103000-00005. [DOI] [PubMed] [Google Scholar]
  5. Gittelsohn A. M., Halpern J., Sanchez R. L. Income, race, and surgery in Maryland. Am J Public Health. 1991 Nov;81(11):1435–1441. doi: 10.2105/ajph.81.11.1435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kasiske B. L., Neylan J. F., 3rd, Riggio R. R., Danovitch G. M., Kahana L., Alexander S. R., White M. G. The effect of race on access and outcome in transplantation. N Engl J Med. 1991 Jan 31;324(5):302–307. doi: 10.1056/NEJM199101313240505. [DOI] [PubMed] [Google Scholar]
  7. Melton L. J., 3rd, Stauffer R. N., Chao E. Y., Ilstrup D. M. Rates of total hip arthroplasty; a population-based study. N Engl J Med. 1982 Nov 11;307(20):1242–1245. doi: 10.1056/NEJM198211113072004. [DOI] [PubMed] [Google Scholar]
  8. Moore R. M., Jr, Hamburger S., Jeng L. L., Hamilton P. M. Orthopedic implant devices: prevalence and sociodemographic findings from the 1988 National Health Interview Survey. J Appl Biomater. 1991 Summer;2(2):127–131. doi: 10.1002/jab.770020208. [DOI] [PubMed] [Google Scholar]
  9. Morrey B. F. Orthopedics. JAMA. 1991 Jun 19;265(23):3151–3152. [PubMed] [Google Scholar]
  10. Nevitt M. C., Epstein W. V., Masem M., Murray W. R. Work disability before and after total hip arthroplasty. Assessment of effectiveness in reducing disability. Arthritis Rheum. 1984 Apr;27(4):410–421. doi: 10.1002/art.1780270408. [DOI] [PubMed] [Google Scholar]
  11. Schneider E. L., Guralnik J. M. The aging of America. Impact on health care costs. JAMA. 1990 May 2;263(17):2335–2340. [PubMed] [Google Scholar]
  12. Taylor D. G. The costs of arthritis and the benefits of joint replacement surgery. Proc R Soc Lond B Biol Sci. 1976 Jan 20;192(1107):145–155. doi: 10.1098/rspb.1976.0002. [DOI] [PubMed] [Google Scholar]
  13. Teperman L., Scantlebury V., Tzakis A., Staschak A., Todo S., Starzl T. E. Liver transplantation in black recipients: Pittsburgh. Transplant Proc. 1989 Dec;21(6):3963–3965. [PMC free article] [PubMed] [Google Scholar]
  14. Wenneker M. B., Epstein A. M. Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts. JAMA. 1989 Jan 13;261(2):253–257. [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES