髋关节置换术使用和数量的长期趋势。
Long-term trends in hip arthroplasty use and volume.
机构信息
Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, USA.
出版信息
J Arthroplasty. 2012 Feb;27(2):278-285.e2. doi: 10.1016/j.arth.2011.04.043. Epub 2011 Jul 12.
Abstract
We used Medicare administrative data to examine trends in primary and revision total hip arthroplasty (THA) use and hospital volume. Between 1991 and 2005, primary and revision THA use increased by 40.9% and 16.8%, respectively. The percentage of primary THA procedures performed in high-volume hospitals (those in the highest quintile of volume) increased slightly from 58.0% of all procedures in 1991 to 58.7% in 2005 (P < .01). The percentage of revisions performed in high-volume hospitals increased from 60.9% to 62.4% (P < .01). The percentage of primary THA procedures performed by low-volume hospitals remained relatively stable (P = .36), whereas the percentage of revision THA performed by low-volume hospitals declined (P < .001). In aggregate, these results suggest minimal evidence that regionalization of THA is occurring.
摘要
我们使用医疗保险管理数据来研究初次和翻修全髋关节置换术（THA）使用和医院量的趋势。在 1991 年至 2005 年期间，初次和翻修 THA 的使用分别增加了 40.9%和 16.8%。在高容量医院（即处于量的最高五分位数的医院）进行的初次 THA 手术的百分比从 1991 年所有手术的 58.0%略有增加到 2005 年的 58.7%（P<.01）。在高容量医院进行的翻修手术的百分比从 60.9%增加到 62.4%（P<.01）。低容量医院进行的初次 THA 手术的百分比保持相对稳定（P=.36），而低容量医院进行的翻修 THA 手术的百分比下降（P<.001）。总的来说，这些结果表明，THA 的区域化几乎没有证据。
相似文献
1
Long-term trends in hip arthroplasty use and volume.髋关节置换术使用和数量的长期趋势。
J Arthroplasty. 2012 Feb;27(2):278-285.e2. doi: 10.1016/j.arth.2011.04.043. Epub 2011 Jul 12.
2
Primary and revision arthroplasty surgery caseloads in the United States from 1990 to 2004.1990年至2004年美国初次和翻修关节成形术手术病例数
J Arthroplasty. 2009 Feb;24(2):195-203. doi: 10.1016/j.arth.2007.11.015. Epub 2008 Apr 15.
3
The Epidemiology of Primary and Revision Total Hip Arthroplasty in Teaching and Nonteaching Hospitals in the United States.美国教学医院和非教学医院初次及翻修全髋关节置换术的流行病学
J Am Acad Orthop Surg. 2016 Jun;24(6):393-8. doi: 10.5435/JAAOS-D-15-00596.
4
Projected Medicare Savings Associated With Lowering the Risk of Total Hip Arthroplasty Revision: An Administrative Claims Data Analysis.降低全髋关节置换翻修风险所带来的预计医疗保险节省：一项行政索赔数据分析。
Orthopedics. 2019 Jan 1;42(1):e86-e92. doi: 10.3928/01477447-20181120-03. Epub 2018 Nov 28.
5
Rates and outcomes of primary and revision total hip replacement in the United States medicare population.美国医疗保险人群初次和翻修全髋关节置换术的发生率及结果。
J Bone Joint Surg Am. 2003 Jan;85(1):27-32. doi: 10.2106/00004623-200301000-00005.
6
Is the Rise of Medicare Advantage Impacting the Fidelity of Traditional Medicare Claims Data? Implications for Reporting of Long-Term Total Hip Arthroplasty Survivorship.医疗保险优势计划的兴起是否影响了传统医疗保险索赔数据的真实性？对长期全髋关节置换术生存率报告的影响。
J Arthroplasty. 2024 Sep;39(9S2):S241-S245. doi: 10.1016/j.arth.2024.03.014. Epub 2024 Mar 15.
7
Trends in the use of dual mobility bearings in hip arthroplasty.髋关节置换术中双动式关节假体的使用趋势。
Bone Joint J. 2020 Jul;102-B(7_Supple_B):27-32. doi: 10.1302/0301-620X.102B7.BJJ-2019-1669.R1.
8
Short-term Risk of Revision THA in the Medicare Population Has Not Improved With Time.医疗保险人群中翻修全髋关节置换术的短期风险并未随时间改善。
Clin Orthop Relat Res. 2016 Jan;474(1):156-63. doi: 10.1007/s11999-015-4520-6. Epub 2015 Sep 23.
9
Time trends in case-mix and risk of revision following hip and knee arthroplasty in public and private hospitals: a cross-sectional analysis based on 476,312 procedures from the Dutch Arthroplasty Register.髋膝关节置换术后在公立医院和私立医院的病例组合和翻修风险的时间趋势：基于荷兰关节置换登记处的 476312 例的横断面分析。
Acta Orthop. 2024 Jun 17;95:307-318. doi: 10.2340/17453674.2024.40906.
10
Choice of hospital for revision total hip replacement.择期行全髋关节翻修术的医院选择。
J Bone Joint Surg Am. 2010 Dec 1;92(17):2829-34. doi: 10.2106/JBJS.J.00182.
引用本文的文献
1
A retrospective analysis of trends in primary knee arthroplasty in Germany from 2008 to 2018.2008 年至 2018 年德国初次膝关节置换术趋势的回顾性分析。
Sci Rep. 2021 Mar 4;11(1):5225. doi: 10.1038/s41598-021-84710-y.
2
Lifetime risk of knee and hip replacement following a diagnosis of RA: findings from a cohort of 13 961 patients from England.类风湿关节炎患者膝关节和髋关节置换的终身风险：来自英格兰 13961 例患者队列的研究结果。
Rheumatology (Oxford). 2019 Nov 1;58(11):1950-1954. doi: 10.1093/rheumatology/kez143.
3
Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers.2009年和2014年全膝关节置换手术的医院再入院情况及费用：对医疗保健管理人员的潜在影响
Health Care Manag (Frederick). 2019 Jan/Mar;38(1):24-28. doi: 10.1097/HCM.0000000000000246.
4
Descriptive Epidemiology of Patients Undergoing Total Hip Arthroplasty in Korea with Focus on Incidence of Femoroacetabular Impingement: Single Center Study.韩国全髋关节置换术患者的描述性流行病学：聚焦股骨髋臼撞击症发病率的单中心研究。
J Korean Med Sci. 2017 Apr;32(4):581-586. doi: 10.3346/jkms.2017.32.4.581.
5
Could Patient Undergwent Surgical Treatment for Periprosthetic Femoral Fracture after Hip Arthroplasty Return to Their Status before Trauma?髋关节置换术后假体周围股骨骨折接受手术治疗的患者能否恢复到创伤前的状态？
Hip Pelvis. 2016 Jun;28(2):90-7. doi: 10.5371/hp.2016.28.2.90. Epub 2016 Jun 30.
6
Trend Toward High-Volume Hospitals and the Influence on Complications in Knee and Hip Arthroplasty.膝关节和髋关节置换术中高容量医院的趋势及其对并发症的影响。
J Bone Joint Surg Am. 2016 May 4;98(9):707-12. doi: 10.2106/JBJS.15.00399.
7
Universal Health Insurance Coverage in Massachusetts Did Not Change the Trajectory of Arthroplasty Use or Costs.马萨诸塞州的全民医疗保险覆盖范围并未改变关节置换术的使用轨迹或成本。
Clin Orthop Relat Res. 2016 May;474(5):1090-8. doi: 10.1007/s11999-015-4643-9. Epub 2015 Dec 18.
8
Changes in Payment Regulation and Acute Care Use for Total Hip Replacement: Trends in Length of Stay, Costs, and Discharge, 1997-2012.全髋关节置换术支付规定及急性护理使用情况的变化：1997 - 2012年住院时长、费用及出院情况趋势
Rehabil Nurs. 2016 Mar-Apr;41(2):67-77. doi: 10.1002/rnj.210. Epub 2015 Mar 27.
9
Bone remodeling after a mean of 10 years in diaphyseal cortical defects repaired with femoral revision using bypass fixation of extensively porous-coated stems with high stiffness.
Eur J Orthop Surg Traumatol. 2015 May;25(4):741-7. doi: 10.1007/s00590-014-1582-1. Epub 2015 Jan 4.
10
Epidemiology of hip replacements in Korea from 2007 to 2011.2007年至2011年韩国髋关节置换术的流行病学
J Korean Med Sci. 2014 Jun;29(6):852-8. doi: 10.3346/jkms.2014.29.6.852. Epub 2014 May 30.
本文引用的文献
1
Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006.1993-2006 年 Medicare 心力衰竭住院患者住院时间和短期结局的趋势。
JAMA. 2010 Jun 2;303(21):2141-7. doi: 10.1001/jama.2010.748.
2
Relation between hospital orthopaedic specialisation and outcomes in patients aged 65 and older: retrospective analysis of US Medicare data.65 岁及以上患者的医院骨科专业与结局的关系：美国医疗保险数据的回顾性分析。
BMJ. 2010 Feb 11;340:c165. doi: 10.1136/bmj.c165.
3
Recent national trends in readmission rates after heart failure hospitalization.心力衰竭住院患者再入院率的近期全国趋势。
Circ Heart Fail. 2010 Jan;3(1):97-103. doi: 10.1161/CIRCHEARTFAILURE.109.885210. Epub 2009 Nov 10.
4
Reduction in acute myocardial infarction mortality in the United States: risk-standardized mortality rates from 1995-2006.美国急性心肌梗死死亡率的降低：1995 - 2006年风险标准化死亡率
JAMA. 2009 Aug 19;302(7):767-73. doi: 10.1001/jama.2009.1178.
5
Knee replacement: epidemiology, outcomes, and trends in Southern California: 17,080 replacements from 1995 through 2004.膝关节置换术：南加州的流行病学、手术结果及趋势：1995年至2004年的17080例置换手术
Acta Orthop. 2008 Dec;79(6):812-9. doi: 10.1080/17453670810016902.
6
Yearly incidence of unicompartmental knee arthroplasty in the United States.美国单髁膝关节置换术的年发病率。
J Arthroplasty. 2008 Apr;23(3):408-12. doi: 10.1016/j.arth.2007.04.012. Epub 2007 Nov 26.
7
The CABG surgery volume-outcome relationship: temporal trends and selection effects in California, 1998-2004.冠状动脉搭桥手术的手术量-预后关系：1998 - 2004年加利福尼亚州的时间趋势及选择效应
Health Serv Res. 2008 Feb;43(1 Pt 1):174-92. doi: 10.1111/j.1475-6773.2007.00740.x.
8
A comparison of total hip and knee replacement in specialty and general hospitals.专科医院与综合医院全髋关节置换术和全膝关节置换术的比较。
J Bone Joint Surg Am. 2007 Aug;89(8):1675-84. doi: 10.2106/JBJS.F.00873.
9
Does certificate of need affect cardiac outcomes and costs?需求证明会影响心脏疾病的治疗结果和成本吗？
Int J Health Care Finance Econ. 2006 Dec;6(4):300-24. doi: 10.1007/s10754-007-9008-9. Epub 2007 Mar 6.
10
U.S. trends in CABG hospital volume: the effect of adding cardiac surgery programs.美国冠状动脉旁路移植术（CABG）医院手术量趋势：新增心脏外科项目的影响。
Health Aff (Millwood). 2007 Jan-Feb;26(1):162-8. doi: 10.1377/hlthaff.26.1.162.
Zotero 插件