Decreasing incidence of knee arthroscopy in Sweden between 2002 and 2016: a nationwide register-based study.

IF 2.5 2区医学 Q1 ORTHOPEDICS

Acta Orthopaedica Pub Date : 2023-01-25 DOI:10.2340/17453674.2023.7131

Lukas Berglund, Cecilia Liu, Johanna Adami, Mårten Palme, Abdul Rashid Qureshi, Li Felländer-Tsai

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引用次数: 0

Abstract

Background and purpose: Several randomized trials have demonstrated the lack of effect of arthroscopic lavage as treatment for knee osteoarthritis (OA). These results have in turn resulted in a change in Swedish guidelines and reimbursement. We aimed to investigate the use of knee arthroscopies in Sweden between 2002 and 2016. Patient demographics, regional differences, and the magnitude of patients with knee OA undergoing knee arthroscopy were also analyzed.

Patients and methods: Trends in knee arthroscopy were investigated using the Swedish Hospital Discharge Register (SHDR) to conduct a nationwide register-based study including all adults (>18 years of age) undergoing any knee arthroscopy between 2002 and 2016.

Results: The total number of knee arthroscopies performed during the studied period was 241,055. The annual surgery rate declined in all age groups, for males and females as well as patients with knee OA. The incidence dropped from 247 to 155 per 105 inhabitants. Over 50% of arthroscopies were performed in metropolitan regions.

Conclusion: We showed a dramatic decline in knee arthroscopy. There is variability in the surgery rate between males and females and among the regions of Sweden.

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2002年至2016年期间瑞典膝关节镜检查发病率下降:一项全国性的基于登记的研究。

背景和目的:几项随机试验表明，关节镜下灌洗治疗膝关节骨性关节炎(OA)缺乏效果。这些结果又导致了瑞典指导方针和报销的变化。我们的目的是调查2002年至2016年期间瑞典膝关节镜的使用情况。患者人口统计学、地区差异和膝关节OA患者接受膝关节镜检查的程度也进行了分析。患者和方法:使用瑞典医院出院登记(SHDR)进行一项全国性的基于登记的研究，调查膝关节镜检查的趋势，该研究包括2002年至2016年间接受任何膝关节镜检查的所有成年人(>18岁)。结果:研究期间共行膝关节镜检查241,055例。在所有年龄组中，无论是男性还是女性，以及膝关节OA患者，年手术率都有所下降。发病率从每105名居民247人下降到155人。超过50%的关节镜检查是在大都市地区进行的。结论:我们发现膝关节镜检查的数量急剧下降。男性和女性之间以及瑞典各地区之间的手术率存在差异。

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.