Total hip arthroplasty: Use and select complications in the US Medicare population
Total hip arthroplasty: Use and select complications in the US Medicare population
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DOI：
10.2105/ajph.86.1.70
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发表时间：
1996-01-01
影响因子：
12.7
通讯作者：
Liang, MH
中科院分区：
文献类型：
--
作者：
Baron, JA;Barrett, J;Liang, MH
在1986-1989年间，通过随机抽取5%的样本，对65岁以上的美国医疗保险接受者的初次全髋关节置换术的使用和结果进行了调查。涉及髋部骨折或髋部现有整形外科装置的证据被省略。女性的使用率高于男性，黑人的使用率明显低于白人。主要并发症(死亡、进一步的髋关节手术、感染、肺栓塞)并不常见。这些数据证明了全髋关节置换术的频繁使用，并证实了严重不良后果的罕见。进一步的研究应该调查黑人中全髋关节置换术使用率较低的情况。
Use and outcomes of primary total hip arthroplasty among US Medicare recipients more than 65 years of age were investigated by means of physician and hospital claims for a 5% random sample during 1986 through 1989. Cases involving hip fracture or evidence of existing orthopedic devices in the hip were omitted. Use rates were higher for women than for men and were substantially lower for Blacks than Whites. Major complications (death, further hip surgery, infection, pulmonary embolism) were uncommon. These data document the frequent use of total hip arthroplasty, and confirm the rarity of serious adverse outcomes. Further studies should investigate the lower use of total hip arthroplasty among Blacks.