Decreasing Incidence of Partial Meniscectomy and Increasing Incidence of Meniscus Preservation Surgery From 2010 to 2020 in the United States.

IF 4.4 1区医学 Q1 ORTHOPEDICS

Arthroscopy-The Journal of Arthroscopic and Related Surgery Pub Date : 2024-08-10 DOI:10.1016/j.arthro.2024.07.030

Victoria E Bergstein, Uzoma Ahiarakwe, Mark Haft, Jacob D Mikula, Matthew J Best

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引用次数: 0

Abstract

Purpose: To characterize the incidence of meniscus surgery from 2010 to 2020 in the United States, using the metrics of age, sex, type of meniscus surgery, and Charlson Comorbidity Index (CCI).

Methods: A retrospective analysis was performed using the PearlDiver national insurance claims database from 2010 to 2020. Meniscus surgeries were identified using Current Procedural Terminology codes. Patients were stratified by procedure type, age, biological sex, and CCI scores. Compound annual growth rate analysis and analysis of variance were performed to analyze the trends and demographic variables between cohorts.

Results: Of 2,053,884 meniscus surgeries, 94.7% were meniscectomies, 0.3% were open repairs, 4.9% were arthroscopic repairs, and 0.1% were meniscal transplantations. Compound annual growth rate analysis displayed a 4.0% decrease per year in total meniscus surgery. For individual procedure types, the largest decrease was in meniscectomy, and the largest increase was in open repair. Patients undergoing meniscal transplantation were youngest, with the lowest CCI. Meniscectomy patients were oldest, and open repair patients had the highest average CCI. Most procedures were performed on female patients (52.4%) and patients in the 50- to 59-year age group (30.4%).

Conclusions: There was a sustained decrease in the incidence of total meniscus surgeries from 2010 to 2020. Meniscectomy was the procedure with the highest incidence, but it showed the most significant decline in usage over the study period. Conversely, meniscal repair and transplantation procedures increased during the study period.

Level of evidence: Level IV, epidemiologic study.

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2010-2020 年美国半月板部分切除手术的发生率下降，半月板保留手术的发生率上升。

目的：本研究旨在利用年龄、性别、半月板手术类型和夏尔森综合指数（CCI）等指标，描述 2010 年至 2020 年美国半月板手术发病率的特征：方法：利用 2010-2020 年 PearlDiver 国家保险理赔数据库进行了一项回顾性分析。半月板手术使用当前手术术语代码进行识别。根据手术类型、年龄、生理性别和夏尔森综合症指数（Charlson Comorbidity Index，CCI）评分对患者进行分层。进行了复合年增长率（CAGR）分析和方差分析（ANOVA），以分析不同组群之间的趋势和人口统计学变量：在 2,053,884 例半月板手术中，94.7% 为半月板切除术，0.3% 为开放式修复术，4.9% 为关节镜修复术，0.1% 为半月板移植术。年均复合增长率分析显示，半月板手术总数每年减少4.0%。就单个手术类型而言，半月板切除术的降幅最大，而开放式修复术的增幅最大。接受半月板移植手术的患者年龄最小，CCI最低。半月板切除术患者年龄最大，开放式修复术患者的平均CCI最高。大多数手术是在女性患者（52.4%）和50-59岁年龄组患者（30.4%）身上进行的：结论：2010-2020年间，全半月板手术的发生率持续下降。半月板切除术是发病率最高的手术，但在研究期间其使用率下降最为明显。相反，半月板修复和移植手术在研究期间有所增加。

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

Arthroscopy-The Journal of Arthroscopic and Related Surgery 医学-外科

CiteScore

9.30

自引率

17.00%

发文量

555

审稿时长

58 days

期刊介绍： Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.

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