Hip arthroscopy utilization and associated complications: a population-based analysis.
Hip arthroscopy utilization and associated complications: a population-based analysis.
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DOI：
10.1093/jhps/hnx021
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发表时间：
2017-08
影响因子：
1.5
通讯作者：
Lyman S
中科院分区：
文献类型：
--
作者：
Degen RM;Bernard JA;Pan TJ;Ranawat AS;Nawabi DH;Kelly BT;Lyman S
本研究的目的是使用来自全州数据库的数据来回顾髋关节镜手术的趋势，重点关注使用率、患者人口统计学和并发症发生率。查询了纽约州全州规划和研究合作系统（SPARCS）数据库中1998年至2012年的髋关节镜病例。收集患者人口统计学资料和手术详情。随后对患者在30天和90天内的并发症和再入院情况进行了审查。1998年至2012年期间，137家中心的295名外科医生共进行了12194例髋关节镜手术。1998年（n = 24）至2012年（n = 2296）之间，髋关节镜手术的年频率增加了95倍。30天并发症发生率为0.2%（n = 19），而90天并发症发生率为0.3%（n = 30）。全因30天再入院率为0.5%（n = 66），而90天再入院率为1.6%（n = 200）。在观察期间，进行髋关节镜手术的外科医生数量增加了7倍。然而，只有14.9%（n = 44）的外科医生每年进行超过30例手术。低手术量外科医生（<102例/年）的90天再入院率显著高于高手术量外科医生（>163例/年，P < 0.0060）;然而，并发症发生率和再入院率并不因外科医生数量而异。我们的研究结果证实了我们的假设，表明在纽约州髋关节镜的使用率显著增加。我们没有发现年度并发症发生率的增加与使用率的增加有关，尽管在低手术量的外科医生中存在较高的再入院率。需要进一步的研究来确定需要翻修髋关节镜或转换为关节置换术的失败率，并澄清并发症发生率与外科医生数量和病例复杂性之间的关系。 证据等级：III，回顾性队列系列。
The purpose of this study is to review the trends in hip arthroscopy using data from a statewide database, focusing on utilization rates, patient demographics and complication rates. The Statewide Planning and Research Cooperative System (SPARCS) database for New York State was queried for cases of hip arthroscopy from 1998 to 2012. Patient demographics and procedural details were collected. Patients were subsequently reviewed for complications and readmissions within 30 and 90 days. In total, 12 194 hip arthroscopy procedures were performed by 295 surgeons in 137 centers between 1998 and 2012. There was a 95-fold increase in the annual frequency of hip arthroscopy procedures between 1998 (n = 24) and 2012 (n = 2296). Thirty-day complication rates were 0.2% (n = 19), whereas the 90-day complication rate was 0.3% (n = 30). The all-cause 30-day readmission rate was 0.5% (n = 66), whereas the 90-day rate was 1.6% (n = 200). The number of surgeons performing hip arthroscopy increased 7-fold over the observation period. However, only 14.9% (n = 44) of surgeons performed more than 30 procedures annually. Lower volume surgeons (<102 cases/year) demonstrated significantly higher 90-day readmission rates, compared with higher volume surgeons (>163 cases/year, P < 0.0060); however, complication rates and readmission rates did not differ based on surgeon volume. Our findings confirm our hypothesis, demonstrating a significant increase in utilization of hip arthroscopy in the State of New York. We did not identify an associated increase in annual complication rates as hypothesized with increasing utilization, although there was an association of higher readmission rates among lower volume surgeons. Further study is needed to define rates of failure requiring revision hip arthroscopy or conversion to arthroplasty, and to clarify the relationship between complication rates and surgeon volume and case complexity. Level of Evidence: III, retrospective cohort series.
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影响因子：
5.3
作者：
Colvin, Alexis Chiang;Egorova, Natalia;Flatow, Evan L.
通讯作者：
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DOI：
10.1097/01.blo.0000096804.78689.c2
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影响因子：
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