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丹麦髋关节镜注册中心:对前2000例手术的流行病学及围手术期描述

Danish Hip Arthroscopy Registry: an epidemiologic and perioperative description of the first 2000 procedures.

作者信息

Mygind-Klavsen Bjarne, Grønbech Nielsen Torsten, Maagaard Niels, Kraemer Otto, Hölmich Per, Winge Søren, Lund Bent, Lind Martin

机构信息

1. Department of Orthopaedics, Aarhus University Hospital THG, Aarhus C 8000, Denmark.

2. Department of Orthopaedics, Odense University Hospital, Odense 5000, Denmark.

出版信息

J Hip Preserv Surg. 2016 Feb 25;3(2):138-45. doi: 10.1093/jhps/hnw004. eCollection 2016 Jul.

Abstract

Danish Hip Arthroscopy Registry (DHAR) was initiated in 2012 as a web-based prospective registry. The purpose of this study was to evaluate and report the epidemiologic and perioperative data of the first 2000 procedures in a Danish hip arthroscopy population and to describe the development of DHAR. We describe the use of various Patient Related Outcome Measures related to non-arthritic hip patients. The 2000 procedures consisted of 56% females and 44% males. Mean age 37.5 years, mean surgical time was 86.5 min and mean traction time 50.5 min. The most frequently performed procedure was CAM and Pincer resection in 93.5% of the cases. Labral refixation or repair was done in 70.3% of the cases. The most common type of acetabular chondral damage was grade II lesions (36.6%). Grade III and IV changes were seen in 36.1% of the cases. The preoperative iHOT12 was 45 (mean) based on all 12 items. EQ-5D was 0.65 and HAGOS sub-scores were 51 (pain), 49 (symptoms), 53 (ADL), 35 (sport), 20 (physical activity) and 29, respectively. We conclude that patients undergoing hip arthroscopy report considerable pain, loss of function, reduced level of activity and reduced quality-of-life prior to surgery. The problems with development and maintaining a large clinical registry are described and further studies are needed to validate data completeness. We consider the development of a national clinical registry for hip arthroscopy as a successful way of developing and maintaining a valuable clinical and scientific tool.

摘要

丹麦髋关节镜注册中心(DHAR)于2012年启动,是一个基于网络的前瞻性注册中心。本研究的目的是评估并报告丹麦髋关节镜手术人群中前2000例手术的流行病学和围手术期数据,并描述DHAR的发展情况。我们描述了与非关节炎性髋关节患者相关的各种患者相关结局指标的使用情况。这2000例手术中,女性占56%,男性占44%。平均年龄37.5岁,平均手术时间为86.5分钟,平均牵引时间为50.5分钟。最常进行的手术是凸轮成形术和钳夹切除术,占93.5%的病例。70.3%的病例进行了盂唇固定或修复。髋臼软骨损伤最常见的类型是II级病变(36.6%)。36.1%的病例出现III级和IV级改变。基于所有12项指标,术前iHOT12评分为45(平均值)。EQ-5D评分为0.65,HAGOS子评分分别为疼痛51分、症状49分、日常生活活动53分、运动35分、身体活动20分和29分。我们得出结论,接受髋关节镜手术的患者在手术前报告有相当程度的疼痛、功能丧失、活动水平降低和生活质量下降。描述了建立和维护大型临床注册中心存在的问题,需要进一步研究以验证数据的完整性。我们认为建立一个全国性的髋关节镜临床注册中心是开发和维护一个有价值的临床和科学工具的成功方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ee/5005047/fad2ba21d1c1/hnw004f1p.jpg

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