Trends in arthroplasty in Japan by a complete survey, 2014-2017

Trends in arthroplasty in Japan by a complete survey, 2014-2017
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DOI:
10.1016/j.jos.2020.07.022
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发表时间:
2021-09-06
影响因子:
1.7
通讯作者:
Sekiya, Ichiro
Sekiya, Ichiro
中科院分区:
医学4区
文献类型:
--
作者:
Katano, Hisako;Ozeki, Nobutake;Sekiya, Ichiro

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背景:准确了解关节成形术的流行和趋势有助于设计有效治疗的医疗计划。日本国家健康保险索赔和特定健康检查数据库(NDB)Open Data Japan通过这些手术的健康保险索赔编号提供有关关节成形术(膝关节、髋关节、肩关节、手指、肘关节和足/踝关节)的年度数量的统计数据。本研究的目的是记录2014年至2017年日本的年度关节置换术数量,并分析其四年的趋势,性别差异,年龄分布和地区差异,如完整的调查所揭示的。方法:关节置换术的数量提取自NDB开放数据日本2014-2017年。对于“膝”、“髋”、“肩”、“指”、“肘”和“足/踝”关节置换术,我们显示了每年的关节置换术数量、按年龄组划分的每年关节置换术数量、各都道府县的每年关节置换术数量以及各都道府县每10万人口的每年关节置换术数量。2017年,所有关节的年度关节置换术数量为146,189例,膝关节82,304例,髋关节59,029例,肩关节2454例,手指1551例,肘关节536例,脚/踝关节291例。在截至2017年的四年中,关节置换术数量的变化率为:全关节置换术+14%,膝关节置换术+9%,髋关节置换术(垂直杆断裂)21%,肩关节置换术(垂直杆断裂)97%,手指置换术(垂直杆断裂)8%,肘关节置换术10%,脚/踝关节置换术25%。女性比例为70-90%,所有关节的高峰年龄在60年代末和70年代末之间。每个人口的变化,每个县的关节成形术的数量似乎是小的膝盖和髋关节和大的其他joints.Conclusions:我们揭示了每年的关节成形术的总数为每个关节在日本使用NDB开放数据日本首次。(C)2020年,任作家。由Elsevier B. V.代表日本骨科协会出版。
Background: Precise knowledge of the prevalence and trends of arthroplasty can facilitate the design of medical plans for efficient treatments. The National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) Open Data Japan provides statistics about the annual number of arthroplasties (knee, hip, shoulder, finger, elbow, and foot/ankle) through health insurance claim numbers for these surgeries. The purpose of this study was to document the annual arthroplasty numbers between 2014 and 2017 in Japan and to analyze their four-year trends, gender differences, age distributions, and regional differences as revealed by the complete survey.Methods: Numbers of arthroplasty surgeries were extracted from the NDB Open Data Japan for 2014-2017. For "knee", "hip", "shoulder", "finger", "elbow", and "foot/ankle" arthroplasties, we showed the annual arthroplasty numbers, annual arthroplasty numbers by age group, annual arthroplasty numbers in individual prefectures, and annual arthroplasty numbers per 100,000 population in individual prefectures.Results: The annual arthroplasty numbers in 2017 were 146,189 for all joints, 82,304 for knees, 59,029 for hips, 2454 for shoulders, 1551 for fingers, 536 for elbows, and 291 for feet/ankles. For the four years up to 2017, the rate of alteration in the number of arthroplasties was +14% for total arthroplasties, +9% for knees, (broken vertical bar)21% for hip joints, (broken vertical bar)97% for shoulders, (broken vertical bar)8% for fingers, 10% for elbows, and thorn25% for feet/ankles. The proportion of females was 70-90% and the peak age was between the late 60s and late 70s for all joints. Variations in arthroplasty numbers per population by prefecture appeared to be small for knees and hips and large for other joints.Conclusions: We revealed the annual total number of arthroplasties for each joint in Japan using the NDB Open Data Japan for the first time. (C) 2020 The Authors. Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association.