Baron J A, Barrett J, Katz J N, Liang M H
Department of Medicine, Dartmouth Medical School, Hanover, NH 03755-3861, USA.
Am J Public Health. 1996 Jan;86(1):70-2. doi: 10.2105/ajph.86.1.70.
Use and outcomes of primary total hip arthroplasty among US Medicare recipients more than 65 years of age were investigated by means of physician and hospital claims for a 5% random sample during 1986 through 1989. Cases involving hip fracture or evidence of existing orthopedic devices in the hip were omitted. Use rates were higher for women than for men and were substantially lower for Blacks than Whites. Major complications (death, further hip surgery, infection pulmonary embolism) were uncommon. These data document the frequent use of total hip arthroplasty, and confirm the rarity of serious adverse outcomes. Further studies should investigate the lower use of total hip arthroplasty among Blacks.
通过对1986年至1989年期间5%随机样本的医生和医院索赔记录进行调查，研究了美国65岁以上医疗保险受益人中初次全髋关节置换术的使用情况和结果。涉及髋部骨折或髋部已有骨科器械证据的病例被排除。女性的使用率高于男性，黑人的使用率则远低于白人。主要并发症（死亡、再次髋关节手术、感染、肺栓塞）并不常见。这些数据证明了全髋关节置换术的频繁使用，并证实了严重不良后果的罕见性。进一步的研究应调查黑人中全髋关节置换术使用率较低的原因。
