Forssblad Magnus, Weidenhielm Lars, Werner Suzanne
Artro Clinic, S:t Görans Hospital, Stockholm, Sweden.
Scand J Med Sci Sports. 2005 Feb;15(1):43-7. doi: 10.1111/j.1600-0838.2004.00392.x.
The purpose of this study was first, to identify the health costs of knee surgery related to different sports (football, floor ball, European team handball and ice hockey) among players at competitive level in Stockholm 1997. Information was retrieved from three different databases, one containing information on all players in different sports, another one containing information on all surgery performed at S:t Gorans Hospital, Stockholm, and a third one containing information on all surgery performed in Stockholm. The National Registration Number (NRN) was used to identify the patients. The NRN is a unique personal identifier assigned to all Swedish residents, which allows linkage between different registers and databases. In Stockholm in 1997, 6781 surgical procedures related to the knee were performed at a cost of SEK (Swedish Crowns) 39,026,657. On players in all studied sports, 762 knee surgical procedures were performed on 657 patients in Stockholm at a cost of SEK 4,884,076. At S:t Gorans Hospital, 319 knee surgical procedures were performed on 288 patients, and 293 (92%) of these were directly related to sport participation. It was also found that only 74% of anterior cruciate ligament injuries that resulted in a surgical intervention were reported to the insurance company.
The average cost for knee surgery in the studied sports was low. Knee surgery costs for European team handball players were the highest compared with other sports studied.
本研究的目的首先是确定1997年斯德哥尔摩竞技水平运动员中与不同运动(足球、地板球、欧洲男子手球和冰球)相关的膝关节手术的健康成本。信息从三个不同的数据库中检索,一个包含不同运动中所有运动员的信息,另一个包含斯德哥尔摩圣戈兰医院进行的所有手术的信息,第三个包含斯德哥尔摩进行的所有手术的信息。使用国家登记号码(NRN)来识别患者。NRN是分配给所有瑞典居民的唯一个人标识符,它允许不同登记册和数据库之间建立联系。1997年在斯德哥尔摩,进行了6781例与膝关节相关的外科手术,费用为39,026,657瑞典克朗。在所有研究运动的运动员中,斯德哥尔摩对657名患者进行了762例膝关节外科手术,费用为4,884,076瑞典克朗。在圣戈兰医院,对288名患者进行了319例膝关节外科手术,其中293例(92%)与运动参与直接相关。还发现,导致手术干预的前交叉韧带损伤中只有74%报告给了保险公司。
所研究运动中膝关节手术的平均成本较低。与其他研究运动相比,欧洲男子手球运动员的膝关节手术成本最高。