Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California 90095, USA.
Arthroscopy. 2013 Apr;29(4):661-5. doi: 10.1016/j.arthro.2012.11.005. Epub 2013 Feb 1.
The purpose of this study was to evaluate the trends and report on the demographics of patients undergoing hip arthroscopy in the United States.
Patients who underwent hip arthroscopy from 2004 to 2009 were identified by searching Current Procedural Terminology codes in the PearlDiver Patient Records Database (PearlDiver Technologies, Fort Wayne, IN), a national database of orthopaedic insurance records. The year of procedure, age, gender, and region of the United States were recorded for each patient. Results were reported for each variable as the incidence of procedures identified per 10,000 patients searched in the database.
In total, 3,447 cases of hip arthroscopy were identified between 2004 and 2009. The incidence of procedures increased significantly over the study period, from 1.20 cases per 10,000 patients in 2004 to 5.58 in 2009 (P < .001). Hip arthroscopy was performed most commonly in patients aged 20 to 39 years (P < .05), with an incidence of 4.45 cases in each age group. In contrast to other common arthroscopic procedures searched, no gender differences were observed, with a male-to-female ratio of 0.89 (P = .18). The greatest incidence of hip arthroscopy was observed in the Western region with an incidence of 5.24 cases identified compared with 2.94, 2.70, and 2.56 in the Northeast, Midwest, and South, respectively (P < .001).
A 365% increase in the rate of hip arthroscopy was observed in the examined cohort of patients between 2004 and 2009. The majority of cases were performed in patients aged 20 to 39 years, with no difference in gender. The Western region of the United States was found to have a higher incidence of hip arthroscopy compared with the Midwest, South, and Northeast.
Level IV, cross-sectional study.
本研究旨在评估美国髋关节镜手术患者的趋势，并报告其人口统计学数据。
通过在 PearlDiver 患者记录数据库（PearlDiver Technologies，印第安纳州韦恩堡）中搜索当前程序术语（Current Procedural Terminology）代码，确定 2004 年至 2009 年期间接受髋关节镜手术的患者。记录每位患者的手术年份、年龄、性别和美国地区。结果以数据库中每 10000 名患者中确定的手术发生率报告给每个变量。
在 2004 年至 2009 年期间，共确定了 3447 例髋关节镜手术。在此研究期间，手术数量显著增加，从 2004 年的每 10000 名患者 1.20 例增加到 2009 年的 5.58 例（P<.001）。髋关节镜手术最常发生在 20 至 39 岁的患者中（P<.05），每个年龄组的发生率为 4.45 例。与其他常见的关节镜手术相比，未观察到性别差异，男女比例为 0.89（P=.18）。髋关节镜手术发生率最高的是西部地区，与东北地区、中西部地区和南部地区相比，分别为 5.24 例、2.94 例、2.70 例和 2.56 例（P<.001）。
在 2004 年至 2009 年期间，接受髋关节镜手术的患者队列中，手术率增加了 365%。大多数病例发生在 20 至 39 岁的患者中，性别无差异。与中西部、南部和东北部相比，美国西部地区髋关节镜手术的发生率更高。
IV 级，横断面研究。
