Ho Gavin, Tantigate Direk, Kirschenbaum Josh, Greisberg Justin K, Vosseller J Turner
Columbia University Medical Center/New York Presbyterian Hospital, 622 West 168th Street, PH-11, New York, NY 10032, United States.
Columbia University Medical Center/New York Presbyterian Hospital, 622 West 168th Street, PH-11, New York, NY 10032, United States.
Injury. 2017 Jul;48(7):1701-1709. doi: 10.1016/j.injury.2017.04.007. Epub 2017 Apr 24.
The changing demographics of Achilles tendon rupture (ATR) patients have not fully been investigated. However, there has been a general suspicion that this injury is occurring in an increasingly older population, in terms of mean age. The aim of this study was to objectively show an increase in age in Achilles tendon rupture patients over time.
Published literature on Achilles tendon ruptures was searched for descriptive statistics on the demographics of patients in the studies, specifically mean and median age of Achilles tendon rupture patients, gender ratio, percentage of athletics-related injuries, percentage of smokers, and BMI. Linear regression analyses were performed to determine the trend of patient demographics over time. A Welch one-way ANOVA was carried out to identify any possible differences in data obtained from different types of studies.
The patient demographics from 142 studies were recorded, with all ATR injuries occurring between the years 1953 and 2014. There was no significant difference in the mean age data reported by varying study types, i.e. randomized controlled trial, cohort study, case series, etc. (P=0.182). There was a statistically significant rise in mean age of ATR patients over time (P<0.0005). There was also a statistically significant drop in percentage of male ATR patients (P=0.02). There is no significant trend for percentage of athletics-related injuries, smoking or BMI.
Since 1953 to present day, the mean age at which ATR occurs has been increasing by at least 0.721 years every five years. In the same time period, the percentage of female study patients with ATR injuries has also been increasing by at least 0.6% every five years.
Level III; Retrospective cohort study.
跟腱断裂（ATR）患者的人口统计学变化尚未得到充分研究。然而，人们普遍怀疑，就平均年龄而言，这种损伤在年龄越来越大的人群中发生。本研究的目的是客观地显示跟腱断裂患者的年龄随时间增加。
检索已发表的关于跟腱断裂的文献，以获取研究中患者人口统计学的描述性统计数据，特别是跟腱断裂患者的平均年龄和中位数年龄、性别比、与运动相关损伤的百分比、吸烟者的百分比和体重指数。进行线性回归分析以确定患者人口统计学随时间的趋势。进行韦尔奇单向方差分析以识别从不同类型研究中获得的数据的任何可能差异。
记录了142项研究的患者人口统计学数据，所有跟腱断裂损伤均发生在1953年至2014年之间。不同研究类型（即随机对照试验、队列研究、病例系列等）报告的平均年龄数据没有显著差异（P = 0.182）。跟腱断裂患者的平均年龄随时间有统计学显著上升（P < 0.0005）。男性跟腱断裂患者的百分比也有统计学显著下降（P = 0.02）。与运动相关损伤、吸烟或体重指数的百分比没有显著趋势。
从1953年至今，跟腱断裂发生的平均年龄每五年至少增加0.721岁。在同一时期，患有跟腱断裂损伤的女性研究患者的百分比也每五年至少增加0.6%。
三级；回顾性队列研究。
