髋关节骨关节炎治疗中不必要的干预:一项基于人群的队列研究。

IF 2.2 4区 医学 Q2 SURGERY
Canadian Journal of Surgery Pub Date : 2024-08-01 Print Date: 2024-07-01 DOI:10.1503/cjs.001624
Olawale A Sogbein, Aaron G Chen, J Andrew McClure, Jennifer Reid, Blayne Welk, Brent A Lanting, Ryan M Degen
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引用次数: 0

摘要

背景:需要进行全髋关节置换术(THA)的 40-60 岁患者通常会首先接受无指征的髋关节镜检查或磁共振成像(MRI)检查。我们的目的是识别全髋关节置换术前潜在的不当资源利用,特别是报告 40-60 岁患者在全髋关节置换术前一年接受髋关节镜检查或磁共振成像检查的比例:我们在省一级开展了一项基于人口的回顾性研究。我们从加拿大健康信息研究所(CIHI)获取了数据。我们纳入了所有在 2004 年 4 月 1 日至 2016 年 3 月 31 日期间因骨关节炎接受选择性初级 THA 的安大略居民。我们确定了在指数 THA 之前接受 MRI 或髋关节镜检查的患者比例和时间:在研究期间,在THA前接受磁共振成像的患者比例显著增加,从2004年的8.7%增至2015年的23.8%。在THA前接受髋关节镜检查的患者比例也有明显的变化趋势:我们的研究结果表明,接受髋关节磁共振成像检查的患者比例较高,且呈逐渐上升趋势;在THA前接受髋关节镜检查的患者比例较低,但呈上升趋势。多学科合作可改善知识转化,有助于降低需要接受 THA 的这部分患者中临床上不必要的诊断和治疗干预的比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unnecessary interventions for the management of hip osteoarthritis: a population-based cohort study.

Background: Patients aged 40-60 years who require total hip arthroplasty (THA) often first receive unindicated hip arthroscopy or magnetic resonance imaging (MRI). Our objective was to identify potentially inappropriate resource utilization before THA, specifically reporting on the proportion of patients aged 40-60 years who underwent hip arthroscopy or MRI in the year before THA.

Methods: We conducted a retrospective, population-based study at the provincial level. We retrieved data from the Canadian Institute for Health Information (CIHI). We included all Ontario residents who underwent an elective, primary THA for osteoarthritis between Apr. 1, 2004, and Mar. 31, 2016. We identified the rates and timing of patients who underwent an MRI or hip arthroscopy before their index THA.

Results: The percentage of patients who underwent an MRI before THA increased significantly over the study period, from 8.7% in 2004 to 23.8% in 2015. There was also a significant but variable trend in the percentage of patients who underwent a hip arthroscopy before THA.

Conclusion: Our results demonstrate a high, gradually increasing proportion of patients who received a hip MRI and a low but increasing proportion of patients who received hip arthroscopy in close proximity to THA. Multidisciplinary collaboration may improve knowledge translation and help reduce the rate of clinically unnecessary diagnostic and therapeutic interventions in this population of patients who require THA.

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来源期刊
CiteScore
3.00
自引率
8.00%
发文量
120
审稿时长
6-12 weeks
期刊介绍: The mission of CJS is to contribute to the meaningful continuing medical education of Canadian surgical specialists, and to provide surgeons with an effective vehicle for the dissemination of observations in the areas of clinical and basic science research.
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