Decade-long Trends in Incidence of Slipped Capital Femoral Epiphysis in the United States: A Nationwide Database Analysis of Over 33 Million Patients.

Aaron Singh, Travis Kotzur, Beltran Torres-Izquierdo, David Momtaz, Rishi Gonuguntla, Amir Human Hoveidaei, Ali Seifi, María Galán-Olleros, Pooya Hosseinzadeh
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Abstract

Purpose: Slipped capital femoral epiphysis (SCFE) is a prevalent pediatric hip disorder linked to severe complications, with childhood obesity as a crucial risk factor. Despite the rising obesity rates, contemporary data on SCFE's epidemiology remain scarce in the United States. This study examined SCFE incidence trends and demographic risk factors in the United States over a decade.

Methods: A decade-long (2011 to 2020) retrospective cohort study was undertaken using the Healthcare Cost and Utilization Project National Inpatient Sample. Patients aged younger than 18 years were identified and further analyzed if diagnosed with SCFE through ICD-9 or ICD-10 codes. Key metrics included demographics variables, with multivariate regression assessing demographic factors tied to SCFE, and yearly incidence calculated.

Results: Of 33,180,028 pediatric patients, 11,738 (0.04%) were diagnosed with SCFE. The incidence escalated from 2.46 to 5.96 per 10,000 children, from 2011 to 2020, mirroring childhood obesity trends. Lower socioeconomic status children were predominantly affected. Multivariate analysis revealed reduced SCFE risk in female patients, while Black and Hispanic ethnicities, alongside the Western geographic location, had an increased risk.

Conclusion: This study underscores a twofold increase in SCFE incidence over the past decade, aligning with childhood obesity upsurge. Moreover, SCFE disproportionately affects lower SES children, with male sex, Black and Hispanic ethnicities amplifying the risk. This calls for targeted interventions to mitigate SCFE's effect, especially amidst the vulnerable populations.

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美国股骨头骺滑脱发病率的十年趋势:对3300多万名患者的全国性数据库分析。
目的:股骨头骺滑脱(SCFE)是一种常见的小儿髋关节疾病,与严重的并发症有关,而儿童肥胖症是一个重要的风险因素。尽管肥胖率不断上升,但美国有关 SCFE 流行病学的当代数据仍然很少。本研究探讨了十年来美国 SCFE 的发病趋势和人口风险因素:方法:利用医疗成本与利用项目全国住院病人样本进行了一项长达十年(2011 年至 2020 年)的回顾性队列研究。通过ICD-9或ICD-10编码对年龄小于18岁的SCFE患者进行识别和进一步分析。关键指标包括人口统计学变量,多变量回归评估与 SCFE 相关的人口统计学因素,并计算每年的发病率:在33,180,028名儿科患者中,有11,738人(0.04%)被诊断为SCFE。从2011年到2020年,发病率从每万名儿童2.46例上升到5.96例,反映了儿童肥胖的趋势。受影响的主要是社会经济地位较低的儿童。多变量分析表明,女性患者患 SCFE 的风险降低,而黑人和西班牙裔以及西部地区的患者患 SCFE 的风险增加:这项研究强调,在过去十年中,SCFE 的发病率增加了两倍,这与儿童肥胖症的激增是一致的。此外,SCFE 对社会经济地位较低的儿童的影响尤为严重,男性、黑人和西班牙裔儿童患 SCFE 的风险更大。这就要求采取有针对性的干预措施,以减轻 SCFE 的影响,尤其是对弱势群体的影响。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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