美国关节置换注册数据是否与部和膝盖关节整形术的国际生存率一致? 一个比较分析
Bryan D Springer1, Kyle P Mullen2, Patrick C Donnelly2
1OrthoCarolina Hip and Knee Center and Atrium Musculoskeletal Institute, Charlotte, North Carolina.
The Journal of arthroplasty
|February 28, 2024
概括
美国关节置换注册表 (AJRR) 和英国国家关节注册表 (NJR) 显示出一致的部和膝盖关节整形术生存结果. 这证实了AJRR报告的全球患者安全改善患者结果的可靠性.
科学领域:
- 整形外科手术 整形外科手术
- 生物统计学 生物统计学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国关节置换注册 (AJRR) 与骨科数据评估小组 (ODEP) 合作.
- 在AJRR和英国国家联合注册表 (NJR) 之间调查了部和膝盖关节整形术存活率数据的一致性.
研究的目的:
- 为了比较AJRR和NJR之间的关节整形术存活率数据的可靠性和一致性.
- 为了验证AJRR的患者结果报告与大型国际注册表相对应.
主要方法:
- AJRR和ODEP选择了三个主要的部和三个主要的膝盖设备,具有已知的性能变化.
- 植入物制造商使用NJR数据生成了卡普兰-梅尔生存率分析.
- AJRR反映了该方法,结果被分层分为所有年龄,65岁以下和65岁以上的队列进行比较.
主要成果:
- 膝盖 (AJRR: 42,671; NJR: 60,439) 和关节整形手术 (AJRR: 70,169; NJR: 422,657) 的患者病例数量有显著的重叠.
- 在大多数队列中,在全膝关节整形术 (TKA) 和全关节整形术 (THA) 中,在AJRR和NJR之间观察到一致的生存趋势和统计学一致性.
- 幸存率的微小变化 (例如,THA的平均差异为0.18%) 与高统计一致,除了一种股骨器械外.
结论:
- AJRR和NJR在部和膝盖关节整形手术中显示出类似的性能趋势和生存率.
- 在所有年龄和≥65岁的年龄队伍中发现了最大的一致性.
- 这些发现支持AJRR患者结局数据的可靠性,有助于在关节置换手术中的全球患者安全.
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