Regional variations in incidence and treatment trends of Achilles tendon ruptures in Finland: a nationwide study.

IF 2.5 2区医学 Q1 ORTHOPEDICS

Acta Orthopaedica Pub Date : 2024-07-17 DOI:10.2340/17453674.2024.41089

Marjukka Hallinen, Henri Sallinen, Heli Keskinen, Markus Matilainen, Elina Ekman

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引用次数: 0

Abstract

Background and purpose: The aim of our study was to assess the regional variations in Achilles tendon rupture incidence and treatment methods in Finland during the period 1997-2019.

Methods: The Finnish National Hospital Discharge Register (NHDR) and the Finnish Register of Primary Health Care Visits (PHCR) were searched to identify all adult patients diagnosed with Achilles tendon rupture during our study period. The population-based annual incidence and incidences of surgically and non-surgically treated Achilles tendon ruptures were calculated for each hospital district.

Results: Achilles tendon rupture incidence increased from 17.3 per 105 person-years in 1997 to 32.3 per 105 in 2019. The mean incidence of Achilles tendon ruptures ranged from 26.4 per 105 (North Savo) to 37.2 per 105 (Central Ostrobothnia). The incidence of Achilles tendon ruptures increased in all areas. The proportion of non-surgical treatment of Achilles tendon ruptures ranged in 1997 from 7% (Vaasa) to 67% (Åland) and in 2019 from 73% (Southwest Finland) to 100% (East Savo, Kainuu, Länsi-Pohja, Åland). During the study period, a shift towards non-surgical treatment was evident in all hospital districts.

Conclusion: Regional variations in Achilles tendon rupture incidence exist in Finland; however, the incidence increased in all areas during the follow-up period. More Achilles tendon rupture patients are currently being treated non-surgically throughout the country.

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芬兰跟腱断裂发病率和治疗趋势的地区差异：一项全国性研究。

背景与目的：我们的研究旨在评估1997-2019年间芬兰跟腱断裂发病率和治疗方法的地区差异：我们搜索了芬兰国家医院出院登记册（NHDR）和芬兰初级卫生保健就诊登记册（PHCR），以确定研究期间诊断为跟腱断裂的所有成年患者。结果显示，跟腱断裂的发病率呈上升趋势：跟腱断裂发病率从 1997 年的每 105 人年 17.3 例增加到 2019 年的每 105 人年 32.3 例。跟腱断裂的平均发生率从每 105 人中 26.4 例（北萨沃）到每 105 人中 37.2 例（中奥斯特罗布尼亚）不等。跟腱断裂的发病率在所有地区都有所上升。1997年，跟腱断裂的非手术治疗比例从7%（瓦萨）到67%（奥兰）不等，2019年则从73%（芬兰西南部）到100%（东萨沃、凯努乌、兰斯-波赫亚、奥兰）不等。在研究期间，所有医院地区都明显转向非手术治疗：结论：芬兰跟腱断裂的发病率存在地区差异，但在随访期间，所有地区的发病率都有所上升。目前，全国有更多跟腱断裂患者接受非手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Orthopaedica 医学-整形外科

CiteScore

6.40

自引率

8.10%

发文量

105

审稿时长

4-8 weeks

期刊介绍： Acta Orthopaedica (previously Acta Orthopaedica Scandinavica) presents original articles of basic research interest, as well as clinical studies in the field of orthopedics and related sub disciplines. Ever since the journal was founded in 1930, by a group of Scandinavian orthopedic surgeons, the journal has been published for an international audience. Acta Orthopaedica is owned by the Nordic Orthopaedic Federation and is the official publication of this federation.