过去十年间，经济合作与发展组织（OECD）国家髋关节置换术的实践情况。
Hip arthroplasty practice across the Organisation for Economic Co-operation and Development (OECD) over the last decade.
机构信息
Cardiff and Vale University Health Board, UK.
University of East Anglia, UK.
出版信息
Ann R Coll Surg Engl. 2023 Sep;105(7):645-652. doi: 10.1308/rcsann.2022.0101.
INTRODUCTION
There are large variations in the number of hip replacements performed between countries, demonstrating large health inequalities; however, there has been limited research on this variation. The aims of this paper were to compare rates of hip replacements using Organisation for Economic Co-operation and Development (OECD) data for the period 2008-2018. The study also compared changes in the number of hip replacements in the total population and in only those aged over 65, and looked for a correlation of health expenditure and gross domestic product (GDP) with rates of hip replacements.
METHODS
The OECD collects annual data from all member countries on the numbers of hip replacements, healthcare expenditure and GDP. Data analysis was undertaken using STATA. Descriptive statistics and Pearson's correlation coefficient were performed.
RESULTS
The mean number of hip replacements performed in OECD countries in 2018 was 191.5 per 100,000 population per year. The largest number was 310.6 in Germany and the lowest was 8.6 in Mexico. There has been a 21.7% increase in the mean number of hip replacements across OECD countries. There was a moderate and significant Pearson coefficient of 0.468 ( = 0.009) between the number of hip replacements performed per 100,000 population in 2018 and GDP per person, and a strong and significant correlation with health expenditure ( = 0.784, < 0.001). There was a moderate correlation ( = 0.645, = 0.003) between the percentage change in the number of hip replacements performed per 100,000 population and the percentage change in healthcare expenditure per person between 2008 and 2018.
CONCLUSIONS
There is 36-fold variation in the practice of hip replacements across the OECD and the number of hip replacements has increased by more than 20% over the past decade. The number of hip replacements performed appears to be correlated with health expenditure in each country and may indicate a need that can only be met by increasing health expenditure.
简介
各国之间髋关节置换手术的数量存在很大差异，这表明存在很大的健康不平等现象；然而，对此类差异的研究有限。本文的目的是使用经济合作与发展组织（OECD）2008-2018 年的数据比较髋关节置换手术的比例。该研究还比较了总人口和 65 岁以上人口中髋关节置换手术数量的变化，并寻找卫生支出和国内生产总值（GDP）与髋关节置换手术比例之间的相关性。
方法
OECD 每年从所有成员国收集髋关节置换手术数量、卫生支出和 GDP 的数据。使用 STATA 进行数据分析。进行描述性统计和 Pearson 相关系数分析。
结果
2018 年 OECD 国家髋关节置换手术的平均数量为每 10 万人每年 191.5 例。数量最多的是德国，为 310.6 例，数量最少的是墨西哥，为 8.6 例。OECD 国家髋关节置换手术的平均数量增加了 21.7%。2018 年每 10 万人中髋关节置换手术的数量与人均 GDP 之间存在中度且显著的 Pearson 系数为 0.468（ = 0.009），与卫生支出之间存在强烈且显著的相关性（ = 0.784， < 0.001）。2008 年至 2018 年，每 10 万人中髋关节置换手术数量的变化百分比与人均卫生支出变化百分比之间存在中度相关性（ = 0.645， = 0.003）。
结论
OECD 国家之间髋关节置换手术的实践存在 36 倍的差异，过去十年髋关节置换手术的数量增加了 20%以上。进行的髋关节置换手术数量似乎与每个国家的卫生支出相关，这可能表明需要通过增加卫生支出来满足这种需求。
Zotero 插件