Department of Orthopedic Surgery, Soon Chun Hyang University Seoul Hospital, Seoul 04401, Korea.
Department of Biostatistics, Soonchunhyang University Seoul Hospital, Seoul 04401, Korea.
Int J Environ Res Public Health. 2021 Dec 20;18(24):13397. doi: 10.3390/ijerph182413397.
Total Knee Arthroplasty (TKA) is one of the most commonly performed surgeries worldwide since it can improve pain, quality of life, and functional outcome. Due to the expansion of hospitals specialized in joint surgery, the topography of TKA implementation in Korea is changing. This study analyzed longitudinal trends of TKA based on changes in age distribution, sex, hospital, and region based on the Health Insurance Review and Assessment Service (HIRA) of Korea database. Data were collected from the National Health Insurance Service (NHIS), the Korean Statistical Information Service (KOSIS), and the Health Insurance Review and Assessment Service (HIRA) in Korea for the period 2011-2018. Results show the total number of surgeries increased and the number of patients by age decreased in those under the age of 70, while the number of patients over 70 years of age increased. A remarkable increase in women was found, and there was no significant difference between regions. TKA is spreading in a more universal and easily accessible form in Korea and has increased more in other relatively small medical institutions compared to tertiary referral medical centers. Due to the increase of orthopedics' specialized hospitals and clinics, TKA is becoming more prominent in those hospitals.
全膝关节置换术（TKA）是全球最常见的手术之一，因为它可以改善疼痛、生活质量和功能结果。由于专门从事关节手术的医院数量不断增加，韩国 TKA 实施的格局正在发生变化。本研究基于韩国健康保险审查与评估服务（HIRA）数据库，根据年龄分布、性别、医院和地区的变化，分析了 TKA 的纵向趋势。数据来自韩国国家健康保险服务（NHIS）、韩国统计信息服务（KOSIS）和健康保险审查与评估服务（HIRA），时间范围为 2011-2018 年。结果表明，70 岁以下患者的手术总数增加，年龄在 70 岁以下的患者数量减少，而 70 岁以上的患者数量增加。女性患者显著增加，且各地区之间无显著差异。TKA 在韩国以更普及和更容易获得的形式传播，并在其他相对较小的医疗机构中比在三级转诊医疗中心增加更多。由于骨科专科医院和诊所的增加，TKA 在这些医院中变得更加突出。
