Milcent Carine, Couralet Pierre-Emmanuel, Zbiri Saad, Tchalla Achille
Paris-Jourdan Sciences Economiques, French National Centre for Scientific Research (CNRS), Paris, France.
Paris School of Economics (PSE), Paris, France.
Front Health Serv. 2025 Jun 5;5:1564007. doi: 10.3389/frhs.2025.1564007. eCollection 2025.
This study investigates the Total Hip Arthroplasty (THA) activity and the associated rehabilitation care in France over the period 2013-2022, with particular attention to the COVID-19 pandemic. In 2020, scheduled THA activity was 17% lower than predicted based on the 2013-2019 trend (-19,000 THAs). In 2022, this activity was close to the pre-2019 trend, but there has been no catch-up of scheduled THAs that did not occur in 2020 and 2021. There is no obvious explanation for this absence of catch-up. In addition, in 2020, THA activity for recent trauma was only 3.1% lower than predicted based on the 2013-2019 trend. Activity in 2022 shows a return to the pre-2019 trend, without any catch-up effect, as would be expected in such a case. Finally, the proportion of scheduled THAs followed by an associated rehabilitation stay declined sharply in 2020 (-4 percentage points compared to 2019) whereas the downward trend in this proportion had previously been much slower (-10 percentage points from 2013 to 2019). These results underscore the major effect of the COVID-19 pandemic on surgical activity, though further investigation is needed to fully understand the long-term effects on patients' health and life expectancy.
本研究调查了2013年至2022年期间法国的全髋关节置换术（THA）活动及相关康复护理情况，尤其关注了新冠疫情。2020年，计划性THA活动比基于2013 - 2019年趋势预测的低17%（少19,000例THA）。2022年，该活动接近2019年之前的趋势，但2020年和2021年未进行的计划性THA手术量并未得到弥补。对于这种未弥补的情况，没有明显的解释。此外，2020年，近期创伤性THA活动仅比基于2013 - 2019年趋势预测的低3.1%。2022年的活动显示恢复到2019年之前的趋势，没有任何预期中的弥补效应。最后，计划性THA手术后接受相关康复住院治疗的比例在2020年大幅下降（与2019年相比下降4个百分点），而此前该比例的下降趋势要慢得多（2013年至2019年下降10个百分点）。这些结果凸显了新冠疫情对外科手术活动的重大影响，不过仍需进一步调查以全面了解其对患者健康和预期寿命的长期影响。
