Temporal trends in hip and knee replacement in the United Kingdom 1991 TO 2006
Temporal trends in hip and knee replacement in the United Kingdom 1991 TO 2006
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DOI：
10.1302/0301-620x.92b1.22654
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发表时间：
2010-01-01
影响因子：
--
通讯作者：
Arden, N. K.
中科院分区：
文献类型：
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作者：
Culliford, D. J.;Maskell, J.;Arden, N. K.
利用全科医学研究数据库，我们研究了1991年至2006年英国初次全髋关节（THR）和全膝关节（TKR）置换率、手术年龄和男女比例的时间变化。我们确定了27113例THR患者和23843例TKR患者。在16年期间，THR和TKR的性能率显著增加（两者p < 0.0001），TKR的性能率更高，尤其是在过去5年。女性的平均手术年龄大于男性，并且在整个研究期间保持稳定。全髋关节置换术和全膝关节置换术的女性与男性的比例较高，并且保持稳定。数据支持英国关节置换率正在增加的观点，其中全膝关节置换率上升最快。TKR的平均年龄随时间推移而降低的观点不受支持。
Using the General Practice Research Database, we examined the temporal changes in the rates of primary total hip (THR) and total knee (TKR) replacement, the age at operation and the female-to-male ratio between 1991 and 2006 in the United Kingdom.We identified 27 113 patients with THR and 23 843 with TKR. The rate of performance of THR and TKR had increased significantly (p < 0.0001 for both) during the 16-year period and was greater for TKR, especially in the last five years. The mean age at operation was greater for women than for men and had remained stable throughout the period of study. The female-to-male ratio was higher for THR and TKR and had remained stable.The data support the notion that the rate of joint replacement is increasing in the United Kingdom with the rate of TKR rising at the highest rate. The perception that the mean age for TKR has decreased over time is not supported.