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美国私人保险和医疗保险优势计划参保者中桡骨远端骨折发病率和治疗趋势。

Trends in the Incidence and Treatment of Distal Radius Fractures in the United States in Privately Insured and Medicare Advantage Enrollees.

机构信息

Mayo Clinic, Rochester, MN, USA.

The University of Toledo, OH, USA.

出版信息

Hand (N Y). 2022 Mar;17(2):331-338. doi: 10.1177/1558944720928475. Epub 2020 Jun 7.

Abstract

This study aims to determine the trends in the treatment of distal radius fractures (DRFs) in patients aged 18 years and older. An administrative claims database of more than 100 million patients was used to identify patients aged 18 years and older with a DRF between 2005 and 2014. A total of 137 130 DRFs were identified in 135 128 patients. The proportion and rate of fractures were more predominant in those aged 55 years and older compared with a decreasing incidence in patients younger than 55 years. Age-adjusted rates of surgical treatment have significantly increased in both women and men by 15.9% (absolute change, 4.8%) and 5.0% (absolute change, 1.7%) change over time, respectively. Conversely, age-adjusted rates of nonsurgical treatment have significantly decreased overtime in both women and men by 6.9% and 2.6%, respectively. These data provide better understanding of the epidemiology of DRF, which is important to develop preventive strategies targeting high-risk populations and to develop effective treatment strategies.

摘要

本研究旨在确定 18 岁及以上桡骨远端骨折(DRF)患者的治疗趋势。使用一个超过 1 亿患者的行政索赔数据库,确定了 2005 年至 2014 年间 18 岁及以上的 DRF 患者。在 135128 名患者中,共发现了 137130 例 DRF。与 55 岁以下患者相比,55 岁及以上患者的骨折比例和发生率更高,而 55 岁以下患者的骨折发生率则呈下降趋势。在女性和男性中,手术治疗的年龄调整率分别以 15.9%(绝对变化为 4.8%)和 5.0%(绝对变化为 1.7%)的速度显著增加。相反,女性和男性的非手术治疗的年龄调整率均呈显著下降趋势,分别下降了 6.9%和 2.6%。这些数据提供了对 DRF 流行病学的更好理解,这对于制定针对高危人群的预防策略和开发有效的治疗策略非常重要。

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