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An epidemiological study of rotator cuff pathology using The Health Improvement Network database
J J E White1, A G Titchener, A Fakis
1Royal Derby Hospital, Uttoxeter New Road, Derby, DE22 3NE, UK.
Rotator cuff pathology affects 87 per 100,000 people annually, with higher incidence in women and older adults. This condition has quadrupled since 1987, indicating a rising public health concern.
Area of Science:
- Epidemiology
- Orthopaedics
- Public Health
Background:
- Limited data exists on rotator cuff pathology incidence and demographics in the general population.
- Understanding these epidemiological factors is crucial for healthcare planning.
Purpose of the Study:
- To determine the incidence and demographic associations of rotator cuff pathology in the UK general population.
- To analyze trends and regional variations in rotator cuff pathology.
Main Methods:
- Utilized The Health Improvement Network (THIN) database for a large-scale epidemiological study.
- Analyzed incidence rates across different demographics, socioeconomic groups, and UK regions.
Main Results:
- Overall incidence of rotator cuff pathology was 87 per 100,000 person-years.
- Higher incidence observed in women (90/100,000) versus men (83/100,000), and in the 55-59 age group (198/100,000).
- Wales showed a significantly higher incidence (122/100,000), and the lowest socioeconomic group had the highest rates (98/100,000).
Conclusions:
- Rotator cuff pathology incidence has quadrupled since 1987 and continues to rise.
- Findings provide crucial insights into the epidemiology of rotator cuff pathology.
- Results can inform future upper limb orthopaedic service planning and resource allocation.
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