关于周围假肢关节感染的临床和经济影响的当前概念
Shaan Sadhwani1, Anthony Kamson1, Andrew J Frear2
1Arthritis and Arthroplasty Design Group, Department of Orthopaedic Surgery, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15219, USA; Department of Orthopaedic Surgery, UPMC Central PA, Harrisburg, PA 17109, USA.
The Orthopedic clinics of North America
|February 25, 2024
概括
全关节整形术 (TJA) 在全球范围内正在上升,增加了周围假肢关节感染 (PJIs) 的风险. 了解PJI的负担对于更好的患者结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
背景情况:
- 整体关节整形术 (TJA) 是全球流行的一种手术程序,用于管理部和膝盖疼痛.
- 预测表明TJA程序的大幅增加,到2030年预计将超过190万,到2040年仅在美国预计将超过500万.
- 这种TJA的增加预计将导致周围假肢关节感染 (PJI) 的发病率更高.
研究的目的:
- 要突出与全关节整形术 (TJA) 相关的周围假肢关节感染 (PJIs) 的日益增长的挑战.
- 强调需要了解PJI的经济和临床负担.
- 强调管理PJI的重要性,以获得最佳的患者结果.
主要方法:
- 本研究是对TJA和相关PJI发病率的预测趋势的审查和分析.
- 它综合了目前对PJI临床和经济影响的理解.
- 没有产生新的临床数据;重点是流行病学和经济影响.
主要成果:
- 预计在未来几十年内,关节整形手术的数量将大幅增加.
- 因此,预计周围假肢关节感染 (PJI) 的发生率将相应增加.
- 后关节炎是一种严重的并发症,具有相当大的临床和经济后果.
结论:
- 随着整关节整形术的数量不断增加,需要采取积极的方法来管理周围假肢关节感染.
- 对PJI负担的全面理解对于制定有效的预防和治疗策略至关重要.
- 尽量减少PJI的发生和影响对于改善患者的治疗结果和管理医疗保健成本至关重要.
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