从2010年到2021年,开放式与内镜性手腕道释放的趋势
Philip P Ratnasamy1, Katelyn E Rudisill, Peter Y Joo
1From the Department of Orthopaedics & Rehabilitation, Yale School of Medicine, New Haven, CT.
概括
从2010年到2021年,内镜道释放 (ECTR) 的使用显著增加,到2021年,超过四分之一的手术是内镜的. 诸如保险和地理等因素影响ECTR与开放的手腕道释放 (OCTR) 的选择.
科学领域:
- 整形外科的趋势 整形外科的趋势
- 最少侵入性的外科手术技术.
- 医疗服务研究 医疗服务研究
背景情况:
- 带道综合征是一种常见的疾病,需要手术干预.
- 开放的手腕道释放 (OCTR) 是传统的手术方法.
- 内镜手掌道释放 (ECTR) 提供了一个最小侵入性的替代方案.
研究的目的:
- 将ECTR与OCTR的利用趋势从2010年到2021年进行比较.
- 确定选择ECTR而不是OCTR的预测因素.
- 分析ECTR和OCTR之间的90天退款差异.
主要方法:
- 从2010年到2021年使用国家行政数据库 (PearlDiver M151Ortho).
- 从数值和比例上对程序使用情况进行了分析.
- 进行多变量分析以确定ECTR的预测因素,并比较90天的退款.
主要成果:
- 分析了超过220万个手腕道释放 (441,023个ECTR,1,767,820个OCTR).
- 在ECTR的比例使用率从2010年的15.7%增加到2021年的26.1%.
- 预测ECTR的预测因素包括地理位置,保险类型 (医疗保险/商业保险),女性性别和较少的并发病. 报销金额相似 (ECTR为3,114.82美元,OCTR为3,087.62美元).
结论:
- 到2021年,内镜道释放占所有道释放的25%以上.
- 地理差异,保险覆盖,患者人口统计和并发症负担是影响ECTR和OCTR之间选择的重要预测因素.
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