2014 至 2020 年日本脊柱手术及相关死亡人数估计

IF 1.5 4区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Science Pub Date : 2025-01-01 DOI:10.1016/j.jos.2023.12.006

Kosei Nagata , Chang Chang , Mitsuhiro Nishizawa , Koji Yamada

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引用次数: 0

摘要

方法我们回顾性地查看了2014年4月至2021年3月期间日本全国健康保险索赔和特定健康检查数据库（NDB），该数据库涵盖了全科医生99.9%的健康保险索赔收据。每年的手术数量使用日本特有的手术分类 K 代码进行统计，并分为以下六类：经皮椎体成形术、内窥镜手术、开放式椎间盘切除术、椎板成形术/椎板切除术、器械手术及其他。数据分布还按性别和年龄进行了汇总。此外，通过查阅DPC数据库相关论文，评估日本脊柱手术后的死亡率，计算出脊柱手术相关死亡人数。结果国家统计局显示，本研究分析的脊柱手术数量从2014年的170,081例增加到2019年的193,903例，2020年略有下降。器械手术比例从2014年的33.0%增至2020年的37.9%。75岁或以上患者的比例从31.6%增至39.6%。将这些结果与显示死亡率为 0.1 % 至 0.4 % 的 DPC 数据相结合，可得出日本每年与脊柱手术相关的死亡人数估计为 200 至 800 人。

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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Estimated number of spine surgeries and related deaths in Japan from 2014 to 2020

Background

The total number of spine surgeries per year and their related deaths in Japan has not been adequately estimated in the literature.

Methods

We retrospectively reviewed the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) between April 2014 to March 2021, which covers 99.9 % of health insurance claim receipts by general practitioners. The annual number of surgeries was counted using K codes, a procedure classification unique to Japan, and classified into the following six categories; percutaneous vertebroplasty, endoscopic surgery, open discectomy, laminoplasty/laminectomy, instrumentation surgery, and others. The data distribution was also summarized by sex and age. Additionally, by reviewing DPC database-related papers for evaluation of the mortality rate after spine surgery in Japan, the number of spine surgery-related deaths was calculated.

Results

The NDB showed that the number of spine surgeries analyzed in this study increased from 170,081 in 2014 to 193,903 in 2019, with a slight decrease in 2020. The ratio of instrumentation surgery increased from 33.0 % in 2014 to 37.9 % in 2020. The rate of patients aged 75 or older increased 31.6 % to 39.6 %. Combining these findings with DPC data showing a mortality rate of 0.1 % to 0.4 % revealed that the estimated number of deaths related to spine surgery in Japan ranged from 200 to 800 per year.

Conclusions

Approximately 200,000 spine surgeries and 200 to 800 spine surgery-related inpatient deaths were estimated to have occurred in Japan around 2020.

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来源期刊

Journal of Orthopaedic Science 医学-整形外科

CiteScore

3.00

自引率

0.00%

发文量

290

审稿时长

90 days

期刊介绍： The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.