Riganti Andrea, Bigoni Marco, Pierpaoli Edoardo, Caliandro Marco, Piscitelli Daniele, Nicolaou Nicolas, Rigamonti Luca, Turati Marco
Department of Economics, University of Insubria, Varese, Italy.
School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Heliyon. 2024 Jul 27;10(15):e35353. doi: 10.1016/j.heliyon.2024.e35353. eCollection 2024 Aug 15.
Over the last two decades the incidence of meniscal injuries has grown amongst the pediatric population predominantly due to greater involvement in sporting activities. The treatment and the natural history represent a socioeconomic burden for healthcare systems. This study demonstrates the epidemiology of meniscal tears treated surgically in Italy from 2010 to 2019 in a population up to 18 years.
Data was collected from the National Archive of Hospital Discharges. ICD9-CM classification was used to select surgically treated meniscal injuries. Concomitant treatment of associated lesions were excluded. Data on the national population was retrieved from the Italian National Institute for Statistics (ISTAT). Statistical analyses were performed.
17,449 isolated meniscal tears were surgically treated with a mean incidence of 20.6 per 100.000 in the Italian population aged up to 18 from 2010 to 2019. The mean age of patients was 15.85 with 89 % aged 14 or older. 30 % of the population was female. The incidence of medial meniscal surgery was higher than for the lateral meniscus. A declining trend in surgical incidence was observed. The mean hospitalization time was 1.53 days.
Our study reveals a reduction in the total number of surgeries performed over the time frame and a significant rise in the incidence of meniscal lesions in pediatric patient above at the age of 13, especially in males. Despite a worldwide shift towards meniscal preservation, this trend is not evident in Italy as the current ICD9-CM classification does not differentiate between meniscectomy and meniscal repair, although an overall reduction in surgery may imply better management.
Cohort study; Level of evidence III.
在过去二十年中，半月板损伤在儿童人群中的发病率有所上升，主要原因是他们更多地参与体育活动。治疗和自然病程给医疗系统带来了社会经济负担。本研究展示了2010年至2019年期间，意大利18岁以下人群中接受手术治疗的半月板撕裂的流行病学情况。
数据收集自国家医院出院档案。使用ICD9-CM分类法选择接受手术治疗的半月板损伤。排除相关病变的联合治疗。从意大利国家统计局（ISTAT）获取全国人口数据并进行统计分析。
2010年至2019年期间，意大利18岁以下人群中有17449例孤立性半月板撕裂接受了手术治疗，平均发病率为每10万人20.6例。患者的平均年龄为15.85岁，其中89%的患者年龄在14岁及以上。30%的患者为女性。内侧半月板手术的发病率高于外侧半月板。观察到手术发病率呈下降趋势。平均住院时间为1.53天。
我们的研究表明，在该时间段内手术总数有所减少，13岁以上儿童患者，尤其是男性，半月板损伤的发病率显著上升。尽管全球范围内都在向半月板保留方向转变，但在意大利这一趋势并不明显，因为目前的ICD9-CM分类并未区分半月板切除术和半月板修复术，不过手术总体减少可能意味着管理有所改善。
队列研究；证据等级III。
