イカリ　カツノリ   猪狩　勝則    所属   医学部 医学科（東京女子医科大学病院）    職種   寄附部門教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Recent trends in orthopedic surgery performed in Japan for rheumatoid arthritis.
掲載誌名	正式名：Modern rheumatology 略　 称：Mod Rheumatol ISSNコード：(1439-7609)1439-7595(Linking)
巻・号・頁	21(4),pp.337-342
著者・共著者	Momohara Shigeki, Tanaka Sakae, Nakamura Hiroshi, Mibe Junya, Iwamoto Takuji, Ikari Katsunori, Nishino Jinju, Kadono Yuho, Yasui Tetsuro, Takahashi Kenji, Takenouchi Kenji, Hashizume Kenzo, Nakahara Ryuichi, Kubota Ayako, Nakamura Takashi, Nishida Keiichiro, Suguro Toru
発行年月	2011/08
概要	The aim of this report was to review the use of orthopedic surgeries performed to manage rheumatoid arthritis (RA). Our review of studies published in English indicates that there has been a decrease in RA-associated surgeries in Western countries. Improvements in medical treatment may partly explain the reduction in numbers of orthopedic joint surgeries, which also suggests a worldwide trend toward improved long-term outcomes. However, the results of our multicenter study in Japan indicate that the number of RA-associated operations has not decreased, and that the numbers of operations performed annually have been relatively stable from 1998 to 2008. Although there definitely has been a decline in the numbers of synovectomy surgeries, the numbers of operations on the upper limbs and foot arthroplasties have increased. With the trend toward milder disease because of improved medical treatment, we speculate that RA patients may want and need better function for the activities of daily living. The combination of medical treatment and surgical intervention is thought to improve outcomes in RA patients who will develop joint destruction. Additional studies, including analyses of RA databases containing long-term data on a variety of surgical interventions, are needed.
DOI	10.1007/s10165-011-0426-7
PMID	21347802