National Trends in Rotator Cuff Repair
National Trends in Rotator Cuff Repair
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DOI：
10.2106/jbjs.j.01886
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发表时间：
2012-02-01
影响因子：
5.3
通讯作者：
Flatow, Evan L.
中科院分区：
文献类型：
--
作者：
Colvin, Alexis Chiang;Egorova, Natalia;Flatow, Evan L.
背景资料：最近的出版物表明，关节镜和开放性肩袖修复具有可比的临床结果，尽管每种技术都有明显的优缺点。国家医院和门诊手术数据库进行了审查，以确定实践模式肩袖repair.Methods：肩袖病理的医疗访问率，开放和关节镜下肩袖修复率，进行了检查，1996年和2006年在美国。肩袖修复术的全国发病率和相关数据来自住院患者（全国出院调查，NHDS）和门诊手术（全国门诊手术调查，NSAS）数据库。使用国际疾病分类第九版（ICD-9）关节镜（ICD-9代码83.63和80.21）和开放（代码83.63，无代码80.21）肩袖修复术的手术代码对这些数据库进行了查询。我们还检查了手术的位置（住院与门诊手术中心）和患者的特征，包括年龄，性别和合并症。结果：在1996年至2006年的十年间，所有肩袖修复的未调整量增加了141%。在此期间，未调整的关节镜手术数量增加了600%，而开放性修复仅增加了34%。有一个显着的转变，从住院到门诊手术（p < 0.001）。结论：在过去的十年中，肩袖修复的国家率的增加是显着的，特别是关节镜辅助修复。
Background: Recent publications suggest that arthroscopic and open rotator cuff repairs have had comparable clinical results, although each technique has distinct advantages and disadvantages. National hospital and ambulatory surgery databases were reviewed to identify practice patterns for rotator cuff repair.Methods: The rates of medical visits for rotator cuff pathology, and the rates of open and arthroscopic rotator cuff repair, were examined for the years 1996 and 2006 in the United States. The national incidence of rotator cuff repairs and related data were obtained from inpatient (National Hospital Discharge Survey, NHDS) and ambulatory surgery (National Survey of Ambulatory Surgery, NSAS) databases. These databases were queried with use of International Classification of Diseases, Ninth Revision (ICD-9) procedure codes for arthroscopic (ICD-9 codes 83.63 and 80.21) and open (code 83.63 without code 80.21) rotator cuff repair. We also examined where the surgery was performed (inpatient versus ambulatory surgery center) and characteristics of the patients, including age, sex, and comorbidities.Results: The unadjusted volume of all rotator cuff repairs increased 141% in the decade from 1996 to 2006. The unadjusted number of arthroscopic procedures increased by 600% while open repairs increased by only 34% during this time interval. There was a significant shift from inpatient to outpatient surgery (p < 0.001).Conclusions: The increase in national rates of rotator cuff repair over the last decade has been dramatic, particularly for arthroscopic assisted repair.