Kenneth G Jamieson Department of Neurosurgery, Royal Brisbane and Women's Hospital, Herston, Queensland 4029, Australia.
Kenneth G Jamieson Department of Neurosurgery, Royal Brisbane and Women's Hospital, Herston, Queensland 4029, Australia; Neurosciences Centre, Mater Hospital Brisbane, South Brisbane 4101, Australia.
J Clin Neurosci. 2022 Mar;97:127-135. doi: 10.1016/j.jocn.2022.01.013. Epub 2022 Jan 29.
Intracranial aneurysms (ICAs) can be treated by surgical or endovascular techniques. Endovascular procedures have become common in many specialties, including neurosurgery. In this paper we aim to examine the overall numbers and trends in treatment of IA in Australia. This study was a ten-year retrospective analysis of the Medicare Benefits Schedule (MBS) and Australian Institute of Health and Welfare (AIHW) National Hospital Morbidity databases. These databases were searched for codes corresponding to clipping of ICAs and endovascular coiling of ICAs from the financial years 2008-2009 to 2018-2019. The total number of procedures increased from 2.25 to 3.37 per 100,000 from 2008 to 2009 to 2018-2019 financial years in the MBS database and 7.90 to 10.35 per 100,000 people in the AIHW database for the same financial years. The rate of change of MBS was 0.12 (0.08- 0.16, p < 0.0001) and for AIHW 0.23 (0.19- 0.28, p < 0.0001). Endovascular coiling reached parity with surgical clipping in the 2010-2011 financial year. Women were over twice as likely as men to be treated. The frequency of treatment per 100,000 people peaked in the 55-64 year-old age group. Tasmania performed the most number of treatments per capita compared to other Australian states and territories, according to the MBS database. These figures from Australian databases are in line with other countries from studies around the world that examine preferences of intervention and demographics.
颅内动脉瘤（ICAs）可通过手术或血管内技术进行治疗。血管内治疗在许多专业领域已变得普遍，包括神经外科。本文旨在研究澳大利亚治疗 ICA 的总体数量和趋势。本研究对医疗保险福利计划（MBS）和澳大利亚卫生和福利研究所（AIHW）国家医院发病率数据库进行了十年回顾性分析。从财政年度 2008-2009 年至 2018-2019 年，在这些数据库中搜索了与夹闭 ICA 和血管内线圈治疗 ICA 相对应的代码。在 MBS 数据库中，从 2008 年至 2009 年到 2018-2019 年财政年度，手术数量从每 10 万人 2.25 例增加到 3.37 例，AIHW 数据库中的数字从每 10 万人 7.90 例增加到 10.35 例。MBS 的变化率为 0.12（0.08-0.16，p<0.0001），AIHW 的变化率为 0.23（0.19-0.28，p<0.0001）。血管内线圈在 2010-2011 财政年度达到与手术夹闭同等的水平。女性接受治疗的可能性是男性的两倍多。每 10 万人的治疗频率在 55-64 岁年龄组达到峰值。根据 MBS 数据库，塔斯马尼亚与其他澳大利亚州和地区相比，每 10 万人的治疗次数最多。这些来自澳大利亚数据库的数据与来自世界各地研究的其他国家的数据一致，这些研究检查了干预措施和人口统计学方面的偏好。
