韩国腕管综合征和扳机指的流行病学：一项基于全国人口的研究。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-01 Epub Date: 2024-07-05 DOI:10.4055/cios23281

Min-Seo Kim, Jae Kwang Kim, Ye-Jee Kim, Young Ho Shin

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引用次数: 0

摘要

背景：腕管综合征（CTS）和扳机指是手部的代表性病症。虽然有几项研究对这些疾病的流行病学进行了评估，但这些研究是以全国人群为基础的研究，具有数据陈旧、研究时间短等局限性：我们利用韩国健康保险审查和评估服务数据库，对 2009 年至 2019 年期间确诊为 CTS 或扳机指的年龄≥ 20 岁的患者进行了一项回顾性队列研究。这些疾病的年发病率根据年龄和性别进行了标准化。每年计算确诊后1年内接受皮质类固醇注射或手术的患者比例：CTS 的年平均发病率为每 10 万人年 360.26 例，扳机指的年平均发病率为每 10 万人年 63.09 例。CTS（发病率比 [IRR]，0.979；95% 置信区间 [CI]，0.972-0.985；P < 0.001）和扳机指（IRR，0.976；95% 置信区间 [CI]，0.967-0.985；P < 0.001）的年发病率显著下降。接受皮质类固醇注射治疗的 CTS 患者比例明显增加（相对风险 [RR]，1.025；95% CI，1.020-1.031；P < 0.001），而手术次数明显减少（RR，0.949；95% CI，0.940-0.957；P < 0.001）。接受皮质类固醇注射治疗扳机指的患者比例明显增加（RR，1.021；95% CI，1.009-1.033；P <0.001），而手术次数没有明显变化（RR，1.006；95% CI，0.988-1.023；P = 0.523）：结论：在过去的 10 年中，CTS 和扳机指的发病率有所下降。结论：在过去 10 年中，CTS 和扳机指的发病率有所下降，两种疾病接受皮质类固醇注射的患者比例均有所上升，但确诊后 1 年内接受手术治疗的 CTS 患者比例有所下降。这项研究有助于深入了解这些疾病在亚洲人群中的流行病学，并可为估算医疗成本提供参考。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Epidemiology of Carpal Tunnel Syndrome and Trigger Finger in South Korea: A Nationwide Population-Based Study.

Background: Carpal tunnel syndrome (CTS) and trigger finger are representative pathologic conditions of the hand. Although several studies have evaluated the epidemiology of these diseases as nationwide population-based research, they had several limitations including old data and short study period.

Methods: We conducted a retrospective cohort study of patients aged ≥ 20 years diagnosed with CTS or trigger finger between 2009 and 2019 using the Korean Health Insurance Review and Assessment Service database. The annual incidence of these diseases was standardized based on age and sex. The proportion of patients who received corticosteroid injections or surgery within 1 year of their diagnoses was calculated annually.

Results: The mean annual incidence of CTS was 360.26 per 100,000 person-years and that of trigger finger was 63.09 per 100,000 person-years. The annual incidence of CTS (incidence rate ratio [IRR], 0.979; 95% confidence interval [CI], 0.972-0.985; p < 0.001) and trigger finger (IRR, 0.976; 95% CI, 0.967-0.985; p < 0.001) significantly decreased. The proportion of patients who received corticosteroid injections for CTS significantly increased (relative risk [RR], 1.025; 95% CI, 1.020-1.031; p < 0.001), while the number of surgeries significantly decreased (RR, 0.949; 95% CI, 0.940-0.957; p < 0.001). The proportion of patients who received corticosteroid injections for trigger finger significantly increased (RR, 1.021; 95% CI, 1.009-1.033; p < 0.001), while the number of surgeries did not change significantly (RR, 1.006; 95% CI, 0.988-1.023; p = 0.523).

Conclusions: In the past 10 years, the incidence of CTS and trigger finger decreased. The portion of patients who received corticosteroid injections increased for both diseases, but the portion of patients who had surgery decreased for CTS within 1 year after diagnosis. This study provides insight into the epidemiology of these diseases in an Asian population and may inform estimates of healthcare costs.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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