Longo Umile Giuseppe, Nagai Kanto, Salvatore Giuseppe, Cella Eleonora, Candela Vincenzo, Cappelli Francesca, Ciccozzi Massimo, Denaro Vincenzo
Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, 00128 Rome, Italy.
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 1-1 Rokkodai-cho, Nada-ku, Kobe 657-8501, Japan.
J Clin Med. 2021 Jan 10;10(2):223. doi: 10.3390/jcm10020223.
There remains little information on the epidemiology of anterior cruciate ligament reconstruction (ACL-R), therefore, we performed an epidemiological evaluation on the ACL-R procedures performed in Italy from 2001 to 2015 to highlight potential disparities in access to healthcare. The National Hospital Discharge records (SDO) maintained at the Italian Ministry of Health were analyzed from 2001 to 2015; 248,234 ACL-Rs were performed in Italy over the 15-year study period in the adult population (starting from 15 years old), and the incidence rate per year in 100,000 persons ranged from 21.70 to 33.60 over the study period. The overall male/female ratio was 4.54. The length of hospitalization ranged from four days in 2001 to two days in 2015. Italy is historically divided into north, center, and south regions, and more than half of ACL-R surgery was performed in the north (67.2%); 95.2% of ACL-Rs were underwent in public institutions. The predicted model projected a slight growth in the number of ACL-Rs in the next 10 years (2016-2025). The number of ACL-R procedures increased in the adult population from 2001 to 2015. The ACL-R procedures were concentrated in the north of Italy, suggesting that efforts on regionalization of ACL-Rs should turn toward improving quality in hospitals in the south of Italy.
关于前交叉韧带重建（ACL-R）的流行病学信息仍然很少，因此，我们对2001年至2015年在意大利进行的ACL-R手术进行了流行病学评估，以突出医疗保健可及性方面的潜在差异。分析了意大利卫生部保存的2001年至2015年的国家医院出院记录（SDO）；在15年的研究期内，意大利成年人口（从15岁开始）共进行了248,234例ACL-R手术，研究期间每10万人的年发病率在21.70至33.60之间。总体男女比例为4.54。住院时间从2001年的4天到2015年的2天不等。意大利历史上分为北部、中部和南部地区，超过一半的ACL-R手术在北部进行（67.2%）；95.2%的ACL-R手术在公共机构进行。预测模型预计未来10年（2016 - 2025年）ACL-R手术数量将略有增长。2001年至2015年，成年人口中ACL-R手术数量增加。ACL-R手术集中在意大利北部，这表明ACL-R区域化的努力应转向提高意大利南部医院的质量。
