COVID-19 大流行导致 2020 年至 2021 年瑞典膝关节手术率按性别下降。

IF 2 Q2 ORTHOPEDICS Journal of Experimental Orthopaedics Pub Date : 2024-10-03 DOI:10.1002/jeo2.70030

Michael Axenhus, Martin Magnéli

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引用次数: 0

摘要

目的：膝关节手术发生率的变化对于利益相关者和医疗服务提供者来说是一个重要因素。本研究旨在探讨 2010 年至 2022 年瑞典膝关节手术的趋势和模式。研究重点是膝关节手术的性别比例和总体比例：分析基于国家医疗记录中的数据集。数据根据手术率进行分层，并按性别、年份和使用的特定膝关节置换术技术进行分类。我们跟踪手术率的逐年变化，以确定总体模式。我们使用泊松回归法预测未来趋势。我们还对各种手术子类别进行了比较，如膝关节置换手术中使用和不使用骨水泥的手术：2010 年，每 10 万人年膝关节手术率男性为 518.7 例，女性为 448.0 例。随着时间的推移，这些比率出现波动，2020 年达到最低点，原因是大流行病破坏了选择性手术，每 10 万名男性和女性分别接受了 386.4 例和 386.3 例手术。2022 年，手术率再次回升。初级膝关节置换术的比例有所上升，2010 年，每 10 万名居民中男性的手术比例为 106.2 例，女性为 150.7 例，到 2022 年，男性的手术比例将上升至 126.8 例，女性为 166.2 例：这项关于瑞典膝关节手术的全国性综合开源数据分析显示，COVID-19大流行对瑞典的膝关节手术率产生了重大影响，导致2020年的手术率明显下降，随后在2022年再次上升。此外，虽然男性的手术率高于女性，但与女性相比，他们的膝关节手术发生率下降幅度更大。了解这些趋势对于利益相关者和医疗服务提供者改善资源分配、解决性别差异以及在面临干扰时保持外科手术服务的弹性至关重要：证据等级：III 级。

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The COVID-19 pandemic caused gender-specific declines in knee surgery rates in Sweden from 2020 to 2021

Purpose

Changes in knee surgery incidence are important factors for stakeholders and healthcare providers. The aim of this study was to examine trends and patterns in knee surgeries in Sweden from 2010 to 2022. The study focuses on gender-specific and overall rates of knee surgeries.

Methods

The analysis is based on a data set sourced from national healthcare records. The data was stratified based on surgical rates and categorized by gender, year and the specific knee arthroplasty technique used. We tracked year-to-year changes in surgical rates to identify overarching patterns. We used Poisson regression to predict future trends. Comparisons were made between various surgical subcategories, such as those with and without cement in knee arthroplasty surgeries.

Results

In 2010, the rate of knee surgeries per 100,000 person-years was 518.7 for males and 448.0 for females. These rates exhibited fluctuations over time, reaching their lowest point in 2020, attributed to the pandemic's disruption of elective procedures, with 386.4 surgeries per 100,000 males and 386.3 surgeries per 100,000 females. A resurgence was observed in 2022. The rates of primary knee arthroplasty increased, with a male rate of 106.2 and a female rate of 150.7 surgeries per 100,000 inhabitants in 2010, rising to 126.8 for males and 166.2 for females in 2022.

Conclusion

This comprehensive nationwide open-source data analysis of knee surgeries in Sweden shows that the COVID-19 pandemic significantly impacted knee surgery rates in Sweden, causing a notable decline in 2020, followed by a resurgence in 2022. Furthermore, while men had higher surgery rates than women, they experienced a larger decline in the incidence of knee surgeries compared to women. Understanding these trends is crucial for stakeholders and healthcare providers to improve resource allocation, address gender disparities, and maintain the resilience of surgical services in the face of disruptions.