全膝关节置换术与巴西统一卫生系统综述：一个全国性问题。
REVIEW OF TOTAL KNEE ARTHROPLASTY AND THE BRAZILIAN UNIFIED HEALTH SYSTEM: A NATIONAL PROBLEM.
作者信息
Melo Lucas da Ponte, Losso Guilherme Augusto, da Costa Guilherme Henrique Ricardo, Pécora José Ricardo, Demange Marco Kawamura, Helito Camilo Partezani
机构信息
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, Grupo do Joelho, São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2019 Sep-Oct;27(5):252-256. doi: 10.1590/1413-785220192705196164.
OBJECTIVES
To analyze, through DATASUS data, the historical trend of revision of total knee arthroplasty (TKA) in the period between 2008-2016 and to relate them to demographic, regional and national aspects.
METHODS
Elaboration of a historical series between the period 2008-2016, using the database of DATASUS, in the area of Health Information (TABNET). In order to calculate the incidence, the total number of TKA revisions and as denominator the total national, regional or state population for the period studied was used as numerator.
RESULTS
The national rate of procedures per 100,000 inhabitants varied between 0.41 and 0.48 in the analyzed period (mean of 0.44). The Southeast region, with 69% of the SBCJ accredited services and 61% of the SBCJ members, was responsible for 60% of the absolute number of procedures performed in Brazil.
CONCLUSIONS
In absolute numbers, the Southeast region has the highest volume of procedures. However, the highest rate is found in the South region. The North, Northeast and Central-West regions presented unsatisfactory results, well below the others.
目的
通过巴西统一卫生系统（DATASUS）的数据，分析2008年至2016年期间全膝关节置换术（TKA）翻修的历史趋势，并将其与人口、区域和国家层面的因素相关联。
方法
利用巴西统一卫生系统（DATASUS）健康信息领域（TABNET）的数据库，编制2008年至2016年期间的历史序列。为了计算发病率，将TKA翻修的总数作为分子，将所研究期间的全国、区域或州总人口作为分母。
结果
在分析期内，每10万居民的全国手术率在0.41至0.48之间（平均为0.44）。东南部地区拥有69%的巴西关节外科学会（SBCJ）认可服务机构和61%的SBCJ成员，该地区的手术绝对数占巴西全国手术总数的60%。
结论
从绝对数量来看，东南部地区的手术量最高。然而，南部地区的手术率最高。北部、东北部和中西部地区的结果不尽人意，远低于其他地区。
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