Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors

Background: India, with its aging population is going to face a major health-care burden due to osteoarthritis (OA) knee in the coming decades. Total knee replacement (TKR) is the most effective way of treating severe OA knee and has a wide variation in its utilization. Objective: The objective of t...

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Main Authors: Naman Jain, Yogesh Preet Singh, G C Yathish, Lokesh Veerappa, G Mallinath, Hemant Kalyan, Ishita Shah, Vaibhavi Velangi
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=4;spage=384;epage=387;aulast=Jain
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author Naman Jain
Yogesh Preet Singh
G C Yathish
Lokesh Veerappa
G Mallinath
Hemant Kalyan
Ishita Shah
Vaibhavi Velangi
author_facet Naman Jain
Yogesh Preet Singh
G C Yathish
Lokesh Veerappa
G Mallinath
Hemant Kalyan
Ishita Shah
Vaibhavi Velangi
author_sort Naman Jain
collection DOAJ
description Background: India, with its aging population is going to face a major health-care burden due to osteoarthritis (OA) knee in the coming decades. Total knee replacement (TKR) is the most effective way of treating severe OA knee and has a wide variation in its utilization. Objective: The objective of this survey was to gain insight into the factors that influence the treating doctor in considering TKR for a patient and barriers to its utilization. Methods: Rheumatologists, orthopedicians, and physicians were invited to complete a 14-item web-based survey. Results: A total of 217 variable responses were received. The majority were rheumatologists (n = 143; 67.45%). Most felt that TKR was underutilized (n = 134; 62.9%). Functional demands of the patient were the most important patient factor which influenced TKR referral (84%; n = 178). Annual income and availability of health insurance were important socioeconomic factors influencing TKR referral by 105 (50.5%) and 73 (35.1%) respondents, respectively. Financial status (n = 76; 35.8%) was an important patient-related factor influencing TKR decision. High cost was considered the biggest barrier for the underutilization of TKR by 117 (55.5%). Price regulation on knee implants had mixed views, with 94 (46.3%) saying that it had improved access of TKR to a larger population and 90 (44.3%) saying it had not had any impact. Conclusion: High cost and the nonaffordable population remain the biggest barrier to utilization of TKR in OA knee.
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spelling doaj-art-1980c14cd6c64e41ad7f327ab22d7b9c2025-02-03T10:55:00ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012022-01-0117438438710.4103/injr.injr_289_21Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctorsNaman JainYogesh Preet SinghG C YathishLokesh VeerappaG MallinathHemant KalyanIshita ShahVaibhavi VelangiBackground: India, with its aging population is going to face a major health-care burden due to osteoarthritis (OA) knee in the coming decades. Total knee replacement (TKR) is the most effective way of treating severe OA knee and has a wide variation in its utilization. Objective: The objective of this survey was to gain insight into the factors that influence the treating doctor in considering TKR for a patient and barriers to its utilization. Methods: Rheumatologists, orthopedicians, and physicians were invited to complete a 14-item web-based survey. Results: A total of 217 variable responses were received. The majority were rheumatologists (n = 143; 67.45%). Most felt that TKR was underutilized (n = 134; 62.9%). Functional demands of the patient were the most important patient factor which influenced TKR referral (84%; n = 178). Annual income and availability of health insurance were important socioeconomic factors influencing TKR referral by 105 (50.5%) and 73 (35.1%) respondents, respectively. Financial status (n = 76; 35.8%) was an important patient-related factor influencing TKR decision. High cost was considered the biggest barrier for the underutilization of TKR by 117 (55.5%). Price regulation on knee implants had mixed views, with 94 (46.3%) saying that it had improved access of TKR to a larger population and 90 (44.3%) saying it had not had any impact. Conclusion: High cost and the nonaffordable population remain the biggest barrier to utilization of TKR in OA knee.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=4;spage=384;epage=387;aulast=Jainepidemiologyknee osteoarthritissurgerysurveytherapeutic usetherapytotal knee replacement
spellingShingle Naman Jain
Yogesh Preet Singh
G C Yathish
Lokesh Veerappa
G Mallinath
Hemant Kalyan
Ishita Shah
Vaibhavi Velangi
Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
Indian Journal of Rheumatology
epidemiology
knee osteoarthritis
surgery
survey
therapeutic use
therapy
total knee replacement
title Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
title_full Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
title_fullStr Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
title_full_unstemmed Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
title_short Factors influencing the utilization of total knee replacement in osteoarthritis knee: A web-based survey of treating doctors
title_sort factors influencing the utilization of total knee replacement in osteoarthritis knee a web based survey of treating doctors
topic epidemiology
knee osteoarthritis
surgery
survey
therapeutic use
therapy
total knee replacement
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2022;volume=17;issue=4;spage=384;epage=387;aulast=Jain
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