Incidence of hip replacement among national health insurance enrollees in Taiwan.
Incidence of hip replacement among national health insurance enrollees in Taiwan.
复制标题
DOI：
10.1186/1749-799x-3-42
复制
发表时间：
2008-09-15
影响因子：
2.6
通讯作者：
Cheng CK
中科院分区：
文献类型：
--
作者：
Lai YS;Wei HW;Cheng CK
亚洲国家尚无国家关节置换登记系统，也没有亚洲国家关节置换结局的报告。因此，本研究报告了台湾汉族人髋关节置换术的数量、发病率、髋关节置换术患者的人口统计学特征和髋关节置换术后的短期生存率的全国数据。我们分析了1996年至2004年国民健康保险研究数据库中105，688例髋关节置换术（包括初次部分髋关节置换术、初次全髋关节置换术和髋关节置换术翻修术）。采用Kaplan-Meier方法估计每种疾病的初次髋关节置换术生存率。初次部分髋关节置换术和初次全髋关节置换术的年平均数分别为4，257例和6，206例。初次部分髋关节置换术最常见的两种诊断是股骨颈骨折（73.6%，34%男性，平均年龄76岁）和缺血性坏死（18.0%，84%男性，平均年龄48岁）。在初次全髋关节置换术中，最常见的两种诊断是缺血性坏死（46.9%，79%男性，平均年龄50岁）和骨关节病（41.6%，43%男性，平均年龄60岁）。1996年至2004年，初次部分髋关节置换术和初次全髋关节置换术的数量稳步增加。随访9年，初次部分髋关节置换术和初次全髋关节置换术的累积生存率分别为93.97%和79.47%。缺血性坏死是台湾全髋关节置换术的主要疾病。髋关节疾病的流行病学是不同的汉族人（在台湾）和高加索和髋关节置换术的数量在台湾1996年和2004年之间大幅增加。
There is no national joint replacement registry in the country of Asia and reports of national outcomes of joint replacement in Asia as yet. Therefore, this study was then to report a national data of the number of hip replacements, incidence rate, demographic characteristics of hip replacement patients, and short-time survival rate after hip replacement of Han Chinese in Taiwan. We analyzed 105,688 cases of hip replacements (including primary partial hip replacement, primary total hip replacement and revision of hip replacement) from National Health Insurance research database between 1996 and 2004. The survival rate of primary hip replacement was estimated for each disease by the Kaplan-Meier method. Average annual number of primary partial hip replacement and primary total hip replacement were 4,257 and 6,206 cases, respectively. The most two common diagnosis of primary partial hip replacement were femoral neck fractures (73.6%, 34% men, mean age 76 years) and avascular necrosis (18.0%, 84% men, mean age 48 years). In primary total hip replacements, the most two common diagnosis were avascular necrosis (46.9%, 79% men, mean age 50 years) and osteoarthrosis (41.6%, 43% men, mean age 60 years). Both the number of primary partial hip replacements and primary total hip replacements increased steadily between 1996 and 2004. The cumulative survival of primary partial hip replacements and primary total hip replacements in all patients were 93.97% and 79.47% in 9 years follow-up, respectively. Avascular necrosis is the main disease in total hip replacement in Taiwan. The epidemiology of hip diseases was different between Han Chinese (in Taiwan) and Caucasian and the number of hip replacements increased substantially in Taiwan between 1996 and 2004.