Nationwide analysis of pelvic and acetabular fracture surgeries in Japan: The impact of aging and healthcare resources

IF 2.2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-04-02 DOI:10.1016/j.injury.2025.112316

Kaori Endo

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Abstract

Purpose

This study investigates Japanese trends in Open Reduction and Internal Fixation (ORIF) surgeries for acetabular and pelvic fractures, focusing on age, gender, regional disparities, and how orthopedic surgeon distribution affects surgical volumes, aiming to identify factors contributing to geographic variations.

Methods

Surgical volumes for acetabular (K124–2) and pelvic (K125) fractures were categorized by age, gender, and prefecture in the National Database of Health Insurance Claims and Specific Health Checkups of Japan (2016–2022). Correlation analyses assessed relationships between surgical volumes, aging populations, and orthopedic surgeon availability.

Results

Surgical volumes of the elderly increased among individuals over 65, with a notable rise in female pelvic fractures. Acetabular fractures were more prevalent in younger males. Urban areas with more orthopedic surgeons showed higher surgical volumes (p < 0.0001), while aging population rates correlated negatively (p < 0.0001).

Conclusion

ORIF for acetabular and pelvic fractures is increasing in Japan's aging population. Surgeon distribution influences surgical volumes, highlighting the need for treatment guidelines in primary care and telemedicine-based strategies.

Abstract Image

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日本骨盆和髋臼骨折手术的全国分析：老龄化和医疗资源的影响

目的本研究调查了日本髋臼和骨盆骨折切开复位内固定（ORIF）手术的趋势，重点关注年龄、性别、地区差异，以及骨科医生分布如何影响手术量，旨在确定导致地理差异的因素。方法在日本国家健康保险索赔和特定健康检查数据库（2016-2022）中按年龄、性别和地区对髋臼（K124-2）和骨盆（K125）骨折的手术量进行分类。相关分析评估了手术量、人口老龄化和骨科医生可用性之间的关系。结果65岁以上老年人手术量增加，女性骨盆骨折明显增加。髋臼骨折在年轻男性中更为普遍。城市地区骨科医生较多，手术量也较高(p <；0.0001)，而人口老龄化率呈负相关(p <；0.0001)。结论随着日本人口老龄化，髋臼和骨盆骨折的orif治疗呈上升趋势。外科医生的分布影响手术量，强调需要在初级保健和远程医疗为基础的策略治疗指南。

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

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.