桡骨远端骨折-治疗方案的地域差异。
Distal radius fractures-Regional variation in treatment regimens.
机构信息
Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
Department of Orthopaedic Surgery, Södersjukhuset Hospital, Stockholm, Sweden.
出版信息
PLoS One. 2018 Nov 16;13(11):e0207702. doi: 10.1371/journal.pone.0207702. eCollection 2018.
OBJECTIVES
After recent technical innovations of fracture surgery implants, treatment traditions are changing for distal radius fractures, the most common orthopaedic injury. The aim of this study was to determine if the choice of surgical method for treatment of distal radius fractures differ between healthcare regions in Sweden.
METHOD
The study was based on all (n = 22 378) adult patients who were registered with a surgical procedure due to a distal radius fracture during 2010-2013 in Sweden. Consecutive data was collected from the Swedish National Patient Registry.
RESULTS
The proportions of use of surgical method varied among the 21 healthcare regions between 41% and 95% for internal fixation, between 2.3% and 44% for percutaneous fixation and between 0.6% and 19% for external fixation. Differences between regions were statistically significant in all but 6 comparisons when controlled for age and gender. Incidence rates of surgical treatment of a distal radius fracture varied between 4.2 and 9.2/10 000 person-years.
CONCLUSION
We conclude that there is a large variation in operative management of distal radius fractures between Swedish healthcare regions.
目的
骨折手术植入物的最新技术创新后，桡骨远端骨折的治疗传统正在发生变化，桡骨远端骨折是最常见的骨科损伤。本研究旨在确定瑞典不同医疗保健地区治疗桡骨远端骨折的手术方法选择是否存在差异。
方法
该研究基于 2010 年至 2013 年期间在瑞典因桡骨远端骨折接受手术治疗的所有（n=22378）成年患者。连续数据来自瑞典国家患者登记处。
结果
21 个医疗保健地区的手术方法使用率存在差异，内固定的比例为 41%至 95%，经皮固定的比例为 2.3%至 44%，外固定的比例为 0.6%至 19%。除 6 项年龄和性别调整后比较外，所有地区之间的差异均具有统计学意义。桡骨远端骨折手术治疗的发生率在每 10000 人年 4.2 至 9.2 例之间变化。
结论
我们得出结论，瑞典不同医疗保健地区在桡骨远端骨折的手术治疗管理方面存在很大差异。
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