Erivan Roger, Tardieu Anna, Villatte Guillaume, Ollivier Matthieu, Jacquet Christophe, Descamps Stéphane, Boisgard Stéphane
Université Clermont-Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, ICCF, 63000 Clermont-Ferrand, France.
Université Clermont-Auvergne, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Orthop Traumatol Surg Res. 2020 Sep;106(5):893-902. doi: 10.1016/j.otsr.2020.02.018. Epub 2020 Jun 4.
Knee surgery makes up a large share of the orthopedic surgery practice. Data on how this activity has changed over time is not available in France, thus we wanted to do a study to determine 1) how many knee surgeries were performed in France in 2018, 2) how this changed between 2012 and 2018, and 3) how it is projected to change by 2070. The hypothesis is that the number of knee surgeries will increase over the next 50 years.
This was an epidemiology study analysing coding data for surgical procedures in France between 2012 and 2018. Two scenarios were defined to assess the change over time: the first only considered population growth and how the age distribution changes over time, and the second extrapolated the trends observed over the past few years.
In 2018, 321,179 procedures were coded as a main knee surgery procedure. The three most frequent were primary knee arthroplasty with 113,600 procedures (31.2% of procedures) then meniscus surgery (110,510 procedures or 30.3%) and then ligament surgery (57,053 procedures or 15.7%). The number of primary knee arthroplasty procedures increased by 32.2% between 2012 and 2018. Between 2018 and 2050, the different scenarios suggested an increase of 30.8% to 152.8%. The number of ligament surgery procedures increased by 17.3% between 2012 and 2018. Between 2018 and 2050, an increase of 1.2% to 49.2% is expected. The number of meniscus procedures decreased by 14.2% between 2012 and 2018. Between 2018 and 2050, scenario 1 projects a 5.6% increase and scenario 2 a 73.6% reduction.
The number of knee surgery procedures per year has increased over the past few years in France and should continue to increase.
IV, descriptive epidemiology study.
膝关节手术在骨科手术业务中占很大比例。法国没有关于这项业务随时间如何变化的数据，因此我们想进行一项研究来确定：1）2018年法国进行了多少例膝关节手术；2）2012年至2018年期间情况如何变化；3）预计到2070年情况会如何变化。假设是未来50年膝关节手术数量将会增加。
这是一项流行病学研究，分析了2012年至2018年法国外科手术的编码数据。定义了两种情况来评估随时间的变化：第一种仅考虑人口增长以及年龄分布随时间如何变化，第二种推断过去几年观察到的趋势。
2018年，321,179例手术被编码为主膝关节手术。最常见的三种手术是初次膝关节置换术，共113,600例（占手术的31.2%），其次是半月板手术（110,510例或30.3%），然后是韧带手术（57,053例或15.7%）。2012年至2018年期间，初次膝关节置换术的数量增加了32.2%。2018年至2050年期间，不同情况表明增加30.8%至152.8%。2012年至2018年期间，韧带手术的数量增加了17.3%。2018年至2050年期间，预计增加1.2%至49.2%。2012年至2018年期间，半月板手术的数量减少了14.2%。2018年至2050年期间，情况1预计增加5.6%，情况2预计减少73.6%。
在过去几年中，法国每年的膝关节手术数量有所增加，并且应该会继续增加。
IV级，描述性流行病学研究。
