International survey of primary and revision total knee replacement
International survey of primary and revision total knee replacement
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DOI：
10.1007/s00264-011-1235-5
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发表时间：
2011-12-01
影响因子：
2.7
通讯作者：
Roeder, Christoph
中科院分区：
文献类型：
--
作者：
Kurtz, Steven M.;Ong, Kevin L.;Roeder, Christoph
全膝关节置换术（TKA）是目前治疗退行性和风湿性膝关节疾病以及某些膝关节骨折的国际护理标准。我们试图回答以下三个研究问题：(1)世界各地的原始和修订TKA率的国际差异是什么？(2)患者人口统计数据（如年龄、性别）在国际上有何差异？(3) TKA利用率如何随时间变化？该调查包括18个国家，总人口为7.55亿，估计每年有132.4万例全膝关节初级和翻修手术。本研究查询了来自加拿大、美国、芬兰、法国、德国、意大利、荷兰、葡萄牙、西班牙和瑞士的10个国家的住院患者数据库。住院患者数据还与8个有关节置换术登记的国家（丹麦、英格兰和威尔士、挪威、罗马尼亚、苏格兰、瑞典、澳大利亚和新西兰）公布的登记数据进行了比较。初次和翻修（联合）全膝关节置换术的平均和中位数分别为175例和149例/10万人，介于8.8例和234例/10万人之间。我们观察到，在有历史数据的国家，手术率随着时间的推移显着增加。TKA发病率的复合年增长率在不同国家从5.3%（法国）到17%（葡萄牙）不等。我们观察到，在调查的18个不同国家中，TKA的使用率相差近27倍。从这项研究的结果可以明显看出，在过去十年中，世界各国对TKA的需求大幅上升。
Total knee arthroplasty (TKA) is currently the international standard of care for treating degenerative and rheumatologic knee joint disease, as well as certain knee joint fractures. We sought to answer the following three research questions: (1) What is the international variance in primary and revision TKA rates around the world? (2) How do patient demographics (e.g., age, gender) vary internationally? (3) How have the rates of TKA utilization changed over time?The survey included 18 countries with a total population of 755 million, and an estimated 1,324,000 annual primary and revision total knee procedures. Ten national inpatient databases were queried for this study from Canada, the United States, Finland, France, Germany, Italy, the Netherlands, Portugal, Spain, and Switzerland. Inpatient data were also compared with published registry data for eight countries with operating arthroplasty registers (Denmark, England & Wales, Norway, Romania, Scotland, Sweden, Australia, and New Zealand).The average and median rate of primary and revision (combined) total knee replacement was 175 and 149 procedures/100,000 population, respectively, and ranged between 8.8 and 234 procedures/100,000 population. We observed that the procedure rate significantly increased over time for the countries in which historical data were available. The compound annual growth in the incidence of TKA ranged by country from 5.3% (France) to 17% (Portugal). We observed a nearly 27-fold range of TKA utilization rates between the 18 different countries included in the survey.It is apparent from the results of this study that the demand for TKA has risen substantially over the past decade in countries around the world.