Trends in Thumb Carpometacarpal Arthroplasty: A Decade in Review.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-08-29 DOI:10.1177/15589447251360266

Michelle A Richardson, Lawrence J Lin, Andrew S Bi, Eric Mai, Benjamin W Padon, Sophia Jacobi, Samara Moll, Jadie De Tolla

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引用次数: 0

Abstract

Background: Carpometacarpal (CMC) arthroplasty can provide symptomatic relief and improvement in function in patients with CMC osteoarthritis. The study purpose was to identify demographic, 30-day outcome, and reimbursement trends in CMC arthroplasty between 2012 and 2021.

Methods: This was a retrospective cohort study of adult patients undergoing CMC arthroplasty from January 1, 2012, to December 31, 2021, using the National Surgical Quality Improvement Program database. Patients were stratified based on year of index surgery: 2012-2015, 2016-2018, and 2019-2021. Baseline characteristics were collected and compared using the appropriate statistical test. Multivariable logistic regressions controlling for age and sex were performed to identify independent risk factors for 30-day morbidity, readmissions, and reoperations. Economic analyses assessed changes in reimbursement rates over the span of 10 years.

Results: A total of 9046 patients were included in the analysis with mean age of 62.7 ± 9.2 and women comprising 74.9% of the total population. Between 2012 and 2021, the annual volume increased from 433 to 1043. The average body mass index (BMI) and proportion of patients with congestive heart failure (CHF) increased in 2019-2021. Increasing age, BMI, smoking, and length of stay ≥ 1 day were independent risk factors for 30-day readmissions. The Medicare reimbursement fee decreased by an average of 1.15% annually, for a total of 9.90% across 10 years.

Conclusions: The volume of CMC arthroplasty has risen from 2012 to 2021. However, conditions such as obesity and CHF have become more prevalent. Despite the growing patient complexity, Medicare reimbursement fees have markedly decreased.

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拇指手掌骨置换术的发展趋势：十年回顾。

背景：腕骨（CMC）关节置换术可以缓解腕骨关节炎患者的症状并改善其功能。研究目的是确定2012年至2021年间CMC关节置换术的人口统计学、30天结果和报销趋势。方法：这是一项回顾性队列研究，研究对象为2012年1月1日至2021年12月31日接受CMC关节置换术的成年患者，使用国家外科质量改进计划数据库。根据指数手术年份对患者进行分层：2012-2015年、2016-2018年和2019-2021年。收集基线特征并使用适当的统计检验进行比较。采用控制年龄和性别的多变量logistic回归来确定30天发病、再入院和再手术的独立危险因素。经济分析评估了10年间偿还费率的变化。结果：共9046例患者纳入分析，平均年龄为62.7±9.2岁，女性占总人数的74.9%。从2012年到2021年，每年的数量从433个增加到1043个。2019-2021年，平均身体质量指数（BMI）和充血性心力衰竭（CHF）患者比例呈上升趋势。年龄增加、BMI、吸烟和住院时间≥1天是30天再入院的独立危险因素。医保报销费用平均每年下降1.15%，10年累计下降9.90%。结论：从2012年到2021年，CMC关节置换术的数量有所增加。然而，肥胖和心力衰竭等疾病变得更加普遍。尽管病人的情况越来越复杂，医疗保险的报销费用却显著下降。

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

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.