Bashinskaya Bronislava, Zimmerman Ryan M, Walcott Brian P, Antoci Valentin
Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA ; Boston University, Boston, MA 02215, USA.
ISRN Orthop. 2012;2012. doi: 10.5402/2012/185938.
Osteoarthritis is a common indication for hip and knee arthroplasty. An accurate assessment of current trends in healthcare utilization as they relate to arthroplasty may predict the needs of a growing elderly population in the United States. First, incidence data was queried from the United States Nationwide Inpatient Sample from 1993 to 2009. Patients undergoing total knee and hip arthroplasty were identified. Then, the United States Census Bureau was queried for population data from the same study period as well as to provide future projections. Arthroplasty followed linear regression models with the population group >64 years in both hip and knee groups. Projections for procedure incidence in the year 2050 based on these models were calculated to be 1,859,553 cases (hip) and 4,174,554 cases (knee). The need for hip and knee arthroplasty is expected to grow significantly in the upcoming years, given population growth predictions.
骨关节炎是髋关节和膝关节置换术的常见适应症。准确评估当前医疗保健利用趋势与置换术的关系,可以预测美国日益增加的老年人口的需求。首先,查询了1993年至2009年美国全国住院患者样本中的发病率数据。确定了接受全膝关节和髋关节置换术的患者。然后,向美国人口普查局查询了同一研究期间的人口数据,并要求提供未来预测。髋关节和膝关节组中年龄>64岁的人群的置换术遵循线性回归模型。根据这些模型计算出的2050年手术发病率预测为1,859,553例(髋关节)和4,174,554例(膝关节)。鉴于人口增长预测,预计未来几年对髋关节和膝关节置换术的需求将大幅增长。