You are not logged in.
Openly accessible

Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: a multi-level study of Australian registry data

Brennan-Olsen, Sharon, Page, Richard, Lane, Stephen E., Lorimer, Michelle, Buchbinder, Rachelle, Osborne, Richard H., Pasco, Julie A., Wluka, Anita E., Sanders, Kerrie M., Ebeling, Peter R. and Graves, Stephen E. 2016, Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: a multi-level study of Australian registry data, BMC musculoskeletal disorders, vol. 17, Article number : 291, pp. 1-9, doi: 10.1186/s12891-016-1134-4.

Attached Files
Name Description MIMEType Size Downloads
brennanolsen-fewgeographic-2016.pdf Published version application/pdf 971.41KB 19

Title Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: a multi-level study of Australian registry data
Author(s) Brennan-Olsen, Sharon
Page, RichardORCID iD for Page, Richard orcid.org/0000-0002-2225-7144
Lane, Stephen E.
Lorimer, Michelle
Buchbinder, Rachelle
Osborne, Richard H.ORCID iD for Osborne, Richard H. orcid.org/0000-0002-9081-2699
Pasco, Julie A.ORCID iD for Pasco, Julie A. orcid.org/0000-0002-8968-4714
Wluka, Anita E.
Sanders, Kerrie M.
Ebeling, Peter R.
Graves, Stephen E.
Journal name BMC musculoskeletal disorders
Volume number 17
Season Article number : 291
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2016-07-16
Keyword(s) arthroplasty
socioeconomic factors
shoulder joint
geographic locality
Australia
Summary BACKGROUND:Associations between socioeconomic position (SEP) and the uptake of primary total shoulder arthroplasty (TSA) is not well understood in the Australian population, thus potentially limiting equitable allocation of healthcare resources. We used the Australian Orthopaedic Association National Joint Replacement Registry (AOA NJRR) to examine whether geographic or socioeconomic variations exist in TSA performed for a diagnosis of osteoarthritis 2007-11 for all Australians aged ≥40 years.

METHODS:Primary anatomical and reverse TSA data were extracted from the AOA NJRR which captures >99 % of all TSA nationally. Residential addresses were cross-referenced to Australian Bureau of Statistics 2011 Census data to identify SEP measured at the area-level (categorised into deciles), and geographic location defined as Australian State/Territory of residence. We used a Poisson distribution for the number of TSA over the study period, and modelled the effects of age, SEP and geographic location using multilevel modelling.

RESULTS:During 2007-11, we observed 6,123 TSA (62.2 % female). For both sexes, TSA showed a proportional increase with advancing age. TSA did not vary by SEP or geographic location, with the exception of greater TSA among men in New South Wales.

CONCLUSIONS:Using a national registry approach we provide the first reliable picture of TSA at a national level. The uptake of TSA was equitable across SEP; however, there was some variation between the States/Territories. With an aging population, it is imperative that monitoring of major surgical procedures continues, and be focused toward determining whether TSA uptake correlates with need across different social and area-based groups.
Language eng
DOI 10.1186/s12891-016-1134-4
Field of Research 110314 Orthopaedics
111799 Public Health and Health Services not elsewhere classified
1103 Clinical Sciences
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085251

Document type: Journal Article
Collections: School of Medicine
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 65 Abstract Views, 20 File Downloads  -  Detailed Statistics
Created: Thu, 18 Aug 2016, 12:24:24 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.