Longo Umile Giuseppe, Mazzola Alessandro, Cardinale Marco Edoardo, De Salvatore Sergio, Piergentili Ilaria, Marx Robert, Papalia Rocco
Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Roma, Italy.
Knee Surg Sports Traumatol Arthrosc. 2025 Feb;33(2):534-543. doi: 10.1002/ksa.12407. Epub 2024 Aug 7.
The purpose of this study was to determine the incidence and hospitalization trends of meniscectomy in Italy from 2001 to 2016. A secondary aim was to investigate the economic burden of the disease on the national healthcare system.
Data were extracted from the Italian Ministry of Health's National Hospital Discharge Reports. Diagnoses are coded according to the ICD-9-CM. Meniscectomy was defined by the following main procedure codes: 806, 8026 and 8145. By dividing the number of annual cases by the size of the adult population reported annually by ISTAT, incidence rates were computed.
Overall, 1,454,891 meniscectomies were performed in the study period between 2001 and 2016. The incidence was 178 procedures for every 100,000 Italian inhabitants. The incidence declined from 202 in 2001 to 106 in 2016. Males were the largest portion of patients undergoing surgery (68.2%). The average age of patients was 46.59 ± 15.07. A decreasing trend in length of hospital stay was observed over the study period. The annual average cost per 100,000 inhabitants was EUR 491.219 ± 122.148 with a range from EUR 291,500 ± 79.500 in 2016 to EUR 610,500 ± 166.500 in 2004.
In Italy, the number of meniscectomies performed in the adult population has almost halved over the study period. Results of the present study in the Italian population seem to reflect how the clinical evidence basis affects surgical technique selection. The economic burden of meniscectomy is relevant in Italy with an estimated expenditure from EUR 181.861.375 to 318.257.406 between 2001 and 2016.
Level III.
本研究旨在确定2001年至2016年意大利半月板切除术的发病率及住院趋势。次要目的是调查该疾病对国家医疗保健系统的经济负担。
数据取自意大利卫生部的国家医院出院报告。诊断依据国际疾病分类第九版临床修订本（ICD - 9 - CM）进行编码。半月板切除术由以下主要手术编码定义：806、8026和8145。通过将年度病例数除以意大利国家统计局（ISTAT）每年报告的成年人口规模，计算发病率。
总体而言，在2001年至2016年的研究期间共进行了1,454,891例半月板切除术。发病率为每10万意大利居民中有178例手术。发病率从2001年的202例降至2016年的106例。男性是接受手术患者的最大组成部分（68.2%）。患者的平均年龄为46.59±15.07岁。在研究期间观察到住院时间呈下降趋势。每10万居民的年度平均费用为491,219欧元±122,148欧元，范围从2016年的291,500欧元±79,500欧元到2004年的610,500欧元±166,500欧元。
在意大利，研究期间成年人口中进行的半月板切除术数量几乎减半。本研究在意大利人群中的结果似乎反映了临床证据基础如何影响手术技术的选择。半月板切除术的经济负担在意大利较为显著，2001年至2016年期间估计支出从181,861,375欧元到318,257,406欧元。
三级。
