意大利踝关节镜检查的趋势:国家官方数据库分析

Umile Giuseppe Longo , Alessandro Mazzola , Sergio De Salvatore , Ilaria Piergentili , Alessandro Tancioni , Valentina Piccioni , Antonio Sarubbi , Riccardo Picozzi , MaCalus V. Hogan
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引用次数: 0

摘要

目的:踝关节镜作为一种创伤较小的外科诊断和治疗方法,越来越受到人们的青睐,它可以治疗以前需要开刀手术才能治愈的各种踝关节疾病。尽管文献报道了令人鼓舞的结果和较低的并发症发生率,但对全国范围内踝关节镜手术趋势的调查却很少。为了充分了解这种新兴手术方法所带来的负担,并帮助制定全球踝关节疾病诊断和治疗标准,本研究旨在评估 2001 年至 2016 年期间意大利接受踝关节镜手术患者的发病率和人口统计学特征:数据来自意大利卫生部提供的全国医院出院记录(SDO)。匿名数据包括患者的年龄、性别、住院时间、主要诊断和主要手术。人口数据来自国家统计局(ISTAT)。根据《国际疾病分类,第九版,临床修正》(ICD-9-CM),踝关节镜手术由以下手术代码定义:80.27.结果:结果:意大利共进行了 23,644 例手术。接受此类手术最多的年龄段为 25-29 岁和 30-34 岁。大多数患者为男性。住院时间中位数为 2.1 ± 2.3 天。在意大利,这种手术每年的平均费用为 2,133,401 欧元 ± 342,143 欧元。主要编纂诊断为"关节挛缩,踝关节和足部"(13.4%)、"关节软骨紊乱,踝关节和足部"(8.6%)、"扭伤和拉伤的晚期影响,未提及肌腱损伤"(7.5%)和 "其他关节失调,未在别处分类,踝关节和足部"(6.4%):本研究评估了踝关节镜手术对国家医疗系统造成的负担,以及需要此类手术的主要疾病的分布情况。外科医生和政策制定者可以通过更好地了解全国的实践模式,更有效地分配医疗资源,为患者提供高质量的医疗服务:证据等级:III.
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Trends of ankle arthroscopy in Italy: Analysis of an official national database

Objectives

Ankle arthroscopy has become increasingly popular as a less invasive surgical diagnostic and therapeutic procedure for a variety ankle disorder previously managed with open surgery. Despite literature reports encouraging outcomes and low complication rates, nationwide trends in ankle arthroscopy have been poorly investigated. To fully understand the burden of an emerging surgical approach as well as helping to create global standards for the diagnosis and treatment of ankle diseases, this study aimed to evaluate the incidence and demographics of patients undergoing ankle arthroscopy in Italy from 2001 to 2016.

Methods

Data were obtained from the National Hospital Discharge Records (SDO) provided by the Italian Ministry of Health. The patient's age, gender, length of hospital stays, primary diagnosis, and primary procedure are among the anonymized data. Population data were obtained from the National Institute for Statistics (ISTAT). According to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) ankle arthroscopy was defined by the following procedure code: 80.27.

Results

A total of 23,644 procedures were performed in Italy. The 25 to 29 and 30 to 34 age groups underwent this type of surgery at most. The majority of patients were males. The median length of hospital stay was 2.1 ​± ​2.3 days. Each year in Italy, this surgery costs an average of 2,133,401€ ± 342,143€. The main primary codified diagnoses were: “contracture of joint, ankle and foot” (13.4 ​%), “articular cartilage disorder, ankle and foot” (8.6 ​%), “late effect of sprain and strain without mention of tendon injury” (7.5 ​%) and “other joint derangement, not elsewhere classified, ankle and foot” (6.4 ​%).

Conclusions

The present study evaluated the burden of ankle arthroscopy on the national health care system and the distribution of the main diseases requiring this type of surgery. Surgeons and policy makers can allocate healthcare resources more effectively and provide patients with high-quality care by having a better understanding of national practice patterns.

Level of Evidence

III.
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
61
审稿时长
108 days
期刊最新文献
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