Nike Walter1,2, Markus Rupp1, Thilo Hinterberger2, Volker Alt3. 1. Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. 2. Abteilung für Psychosomatische Medizin, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, Regensburg, 93053, Deutschland. 3. Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland. volker.alt@ukr.de.
Abstract
BACKGROUND: Periprosthetic joint infection (PJI) is a devastating complication in orthopedics and trauma surgery. A potential increase in PJI diagnoses, especially in combination with psychological comorbidities may become a significant challenge for healthcare stakeholders. So far, the prevalence for Germany is unknown, which makes it difficult to estimate future treatment demand or to predict developments that can be influenced by adapting prevention and treatment measures. OBJECTIVES: The present study provides a detailed overview of the epidemiology of periprosthetic joint infections and psychological comorbidities. MATERIALS AND METHODS: A dataset provided by the Federal Statistical Office (Destatis) consisting of annual, Germany-wide ICD-10 diagnosis codes from 2009 through 2019 was analyzed. Incidences of the code "T84.5-Infection and inflammatory reaction due to joint arthroplasty" were quantified, and a detailed breakdown of this data by age group and gender was performed. Prevalence rates of secondary diagnoses of the ICD-10 chapter F were determined. RESULTS: PJI diagnoses have been steadily increasing since 2009. The incidence declined in 2018. In 2019, 16,174 cases were registered, corresponding to a prevalence of 23.8/100,000 population. A trend towards more diagnoses in elderly patients became evident. Twenty-five percent of all patients had a secondary diagnosis regarding mental and behavioural disorders. The number of patients with psychological comorbidities doubled in the last decade. CONCLUSIONS: Guidelines on prevention strategies as well as psychological support services should be implemented in trauma surgery.
BACKGROUND: Periprosthetic joint infection (PJI) is a devastating complication in orthopedics and trauma surgery. A potential increase in PJI diagnoses, especially in combination with psychological comorbidities may become a significant challenge for healthcare stakeholders. So far, the prevalence for Germany is unknown, which makes it difficult to estimate future treatment demand or to predict developments that can be influenced by adapting prevention and treatment measures. OBJECTIVES: The present study provides a detailed overview of the epidemiology of periprosthetic joint infections and psychological comorbidities. MATERIALS AND METHODS: A dataset provided by the Federal Statistical Office (Destatis) consisting of annual, Germany-wide ICD-10 diagnosis codes from 2009 through 2019 was analyzed. Incidences of the code "T84.5-Infection and inflammatory reaction due to joint arthroplasty" were quantified, and a detailed breakdown of this data by age group and gender was performed. Prevalence rates of secondary diagnoses of the ICD-10 chapter F were determined. RESULTS: PJI diagnoses have been steadily increasing since 2009. The incidence declined in 2018. In 2019, 16,174 cases were registered, corresponding to a prevalence of 23.8/100,000 population. A trend towards more diagnoses in elderly patients became evident. Twenty-five percent of all patients had a secondary diagnosis regarding mental and behavioural disorders. The number of patients with psychological comorbidities doubled in the last decade. CONCLUSIONS: Guidelines on prevention strategies as well as psychological support services should be implemented in trauma surgery.
Authors: Karin Tritt; Friedrich von Heymann; Michael Zaudig; Irina Zacharias; Wolfgang Söllner; Thomas Loew Journal: Z Psychosom Med Psychother Date: 2008 Impact factor: 0.791
Authors: Peter Helwig; Julia Morlock; Michael Oberst; Oliver Hauschild; Johannes Hübner; Johannes Borde; Norbert P Südkamp; Lukas Konstantinidis Journal: Int Orthop Date: 2014-01-07 Impact factor: 3.075
Authors: Setor K Kunutsor; Andrew D Beswick; Tim J Peters; Rachael Gooberman-Hill; Michael R Whitehouse; Ashley W Blom; Andrew J Moore Journal: PLoS One Date: 2017-01-03 Impact factor: 3.240
Authors: Carmen Moreno; Til Wykes; Silvana Galderisi; Merete Nordentoft; Nicolas Crossley; Nev Jones; Mary Cannon; Christoph U Correll; Louise Byrne; Sarah Carr; Eric Y H Chen; Philip Gorwood; Sonia Johnson; Hilkka Kärkkäinen; John H Krystal; Jimmy Lee; Jeffrey Lieberman; Carlos López-Jaramillo; Miia Männikkö; Michael R Phillips; Hiroyuki Uchida; Eduard Vieta; Antonio Vita; Celso Arango Journal: Lancet Psychiatry Date: 2020-07-16 Impact factor: 27.083
Authors: Jiaqi Xiong; Orly Lipsitz; Flora Nasri; Leanna M W Lui; Hartej Gill; Lee Phan; David Chen-Li; Michelle Iacobucci; Roger Ho; Amna Majeed; Roger S McIntyre Journal: J Affect Disord Date: 2020-08-08 Impact factor: 4.839