数字肌肉骨程序与关节置换率的降低有关
Louie Lu1, Laura S Gold, Karl M Koenig
1Hinge Health, Inc, 455 Market St, Suite 700, San Francisco, CA 94105.
The American journal of managed care
|April 11, 2024
概括
与传统护理相比,数字肌肉骨 (MSK) 计划在12个月内显著降低了骨关节炎患者的全膝盖 (TKA) 和全部 (THA) 关节整形术率,超过10%,与传统护理相比.
科学领域:
- 整形外科 整形外科 整形外科
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨关节炎 (OA) 是导致残疾的主要原因,通常通过物理治疗或手术进行管理.
- 关节整形术 (TKA和THA) 是高级膝关节和关节OA的常见手术.
- 数字肌肉骨 (MSK) 计划提供了传统护理途径的替代或补充.
研究的目的:
- 为了比较数字MSK计划成员的12个月全膝关节整形 (TKA) 和全关节整形 (THA) 率,与接受传统膝关节或关节OA护理的患者相比.
主要方法:
- 这是一项回顾性,纵向性研究,使用商业医疗索赔数据从超过1亿人的生命.
- 倾向性得分匹配用于比较数字MSK计划成员与接受传统护理的对照组.
- 确定了膝盖OA (M17.x) 或部OA (M16.x) 的参与者,并分析了入学后12个月的TKA/THA比率.
主要成果:
- 在膝关节OA队列中,数字MSK计划的参与者在12个月后TKA率降低了10.42% (3.79%vs14.21%,P<.001).
- 在关节OA队列中,数字MSK计划的参与者在12个月内THA率降低了16.31% (16.31%对32.62%,P = .001).
结论:
- 数字MSK计划与膝关节和关节骨关节炎的全关节整形术率降低有关.
- 这些发现表明,数字MSK程序可以有效地管理OA,并可能降低手术干预率.
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