Karlson Nicholas W, Nezwek Teron A, Menendez Mariano E, Tybor David, Salzler Matthew J
Tufts University School of Medicine (Mr. Karlson, Mr. Nezwek, and Dr. Tybor), and the Department of Orthopaedic Surgery (Dr. Menendez and Dr. Salzler), Tufts Medical Center, Boston, MA.
J Am Acad Orthop Surg Glob Res Rev. 2018 Nov 16;2(11):e076. doi: 10.5435/JAAOSGlobal-D-18-00076. eCollection 2018 Nov.
Administrative databases and clinical registries provide large sample sizes that characterize specific outcomes and trends over time in orthopaedic surgery.
A literature review of all English-language orthopaedic surgery journals was conducted. All publications from 1996 to 2016 were reviewed for the utilization of an administrative database or clinical registry. We performed a linear regression with logarithmic transformation to identify trends in database utilization.
Eight hundred forty-nine publications used a database from 1996 to 2016. Each year, 35.3% more database publications are reported than the previous year (95% confidence interval, 30.0 to 40.7), from zero articles in 1996 to 286 in 2016. The ratio of database research publications to overall orthopaedic publications increased from zero in 1996 to 2% in 2016. The most commonly used databases included the National Inpatient Sample and the National Surgical Quality Improvement Program.
Database research in orthopaedics has grown at a faster rate than orthopaedic literature as a whole.
行政数据库和临床登记处提供了大量样本，可用于描述骨科手术特定结果及随时间的趋势。
对所有英文骨科手术期刊进行文献综述。回顾了1996年至2016年期间所有利用行政数据库或临床登记处的出版物。我们进行了对数变换的线性回归，以确定数据库利用的趋势。
1996年至2016年期间有849篇出版物使用了数据库。每年报告的数据库出版物比上一年多35.3%（95%置信区间为30.0至40.7），从1996年的零篇文章增加到2016年的286篇。数据库研究出版物与骨科总体出版物的比例从1996年的零增加到2016年的2%。最常用的数据库包括国家住院患者样本和国家外科质量改进计划。
骨科领域的数据库研究增长速度比整个骨科文献的增长速度更快。
