PDF(Pubmed)
Abstract：
UNASSIGNED: Proximal humerus fractures are the third most common fracture type for patients between the ages of 65 and 89 and occur more frequently in women than men. Given the variety of surgical treatments for proximal humerus fractures, the aim of this study was to (1) report United States national volume and incidence estimates for surgical management of proximal humerus fractures to better understand the changing practice over the past decade and (2) to analyze differences in volume and incidence among age groups, sex, and geographic region.
UNASSIGNED: Using IBM Marketscan national database, all patients that underwent open reduction internal fixation (ORIF), hemiarthroplasty, or reverse total shoulder arthroplasty (RTSA) between 2010 and 2019 were identified with Current Procedural Terminology codes. The dataset was further stratified to identify patients treated for proximal humerus fractures. IBM Marketscan provided discharge weights that were used to determine estimated national annual volumes of each procedure in IBM SPSS Statistics software (IBM Corp., Armonk, NY, USA). Volume and incidence were adjusted per 1,000,000 persons and calculated for subgroups according to age group, sex, and geographical region. The United States Census Bureau annual population data was used for all incidence calculations.
UNASSIGNED: Over the past decade, the total volume and incidence of surgically treated proximal humerus fractures increased by 13% and 5%, respectively. Although overall incidence decreased, ORIF remained the most common surgical treatment. The greatest decrease in volume and incidence of ORIF occurred in patients ≥75. The incidence of ORIF treatment increased in the South and West while it decreased in the Northeast and Midwest. Total volume and incidence of HA decreased between 2010 and 2019 and this trend remained among all subgroups. Total volume and incidence of RTSA increased by over 300%. The incidence of males and females receiving RTSA increased by 266% and 320%, respectively. Volume and incidence of RTSA increased across all age groups. Volume and incidence of RTSA increased in the Midwest, South, and Western regions while it remained unchanged in the Northeast.
UNASSIGNED: Surgical management trends of proximal humerus fractures have changed greatly over the past decade. ORIF remains the most common surgical treatment for proximal humerus fractures. HA has fallen out of favor while RTSA has seen significant increases in usage across sex, age groups, and geographic regions. These trends represent a change in practice for treating proximal humerus fractures by considering all patient and fracture characteristics when opting for surgical management.
UNASSIGNED: Using IBM Marketscan national database, all patients that underwent open reduction internal fixation (ORIF), hemiarthroplasty, or reverse total shoulder arthroplasty (RTSA) between 2010 and 2019 were identified with Current Procedural Terminology codes. The dataset was further stratified to identify patients treated for proximal humerus fractures. IBM Marketscan provided discharge weights that were used to determine estimated national annual volumes of each procedure in IBM SPSS Statistics software (IBM Corp., Armonk, NY, USA). Volume and incidence were adjusted per 1,000,000 persons and calculated for subgroups according to age group, sex, and geographical region. The United States Census Bureau annual population data was used for all incidence calculations.
UNASSIGNED: Over the past decade, the total volume and incidence of surgically treated proximal humerus fractures increased by 13% and 5%, respectively. Although overall incidence decreased, ORIF remained the most common surgical treatment. The greatest decrease in volume and incidence of ORIF occurred in patients ≥75. The incidence of ORIF treatment increased in the South and West while it decreased in the Northeast and Midwest. Total volume and incidence of HA decreased between 2010 and 2019 and this trend remained among all subgroups. Total volume and incidence of RTSA increased by over 300%. The incidence of males and females receiving RTSA increased by 266% and 320%, respectively. Volume and incidence of RTSA increased across all age groups. Volume and incidence of RTSA increased in the Midwest, South, and Western regions while it remained unchanged in the Northeast.
UNASSIGNED: Surgical management trends of proximal humerus fractures have changed greatly over the past decade. ORIF remains the most common surgical treatment for proximal humerus fractures. HA has fallen out of favor while RTSA has seen significant increases in usage across sex, age groups, and geographic regions. These trends represent a change in practice for treating proximal humerus fractures by considering all patient and fracture characteristics when opting for surgical management.
摘要：
■肱骨近端骨折是65至89岁患者的第三大常见骨折类型，女性比男性更常见。鉴于肱骨近端骨折的手术治疗方法多种多样，这项研究的目的是（1）报告美国国家对肱骨近端骨折手术治疗的数量和发生率估计，以更好地了解过去十年中不断变化的实践；（2）分析年龄组之间的数量和发生率差异，性别,和地理区域。
■使用IBMMarketscan国家数据库，所有接受切开复位内固定（ORIF）的患者，半髋关节置换术,2010年至2019年期间或反向全肩关节置换术（RTSA）与当前程序术语代码一起确定。进一步对数据集进行分层，以确定接受肱骨近端骨折治疗的患者。IBMMarketscan提供了排放重量，用于确定IBMSPSSStatistics软件中每个程序的国家年度估算量（IBMCorp.,Armonk,NY,美国）。每1,000,000人调整数量和发病率，并根据年龄组计算亚组，性别,和地理区域。美国人口普查局的年度人口数据用于所有发病率计算。
■在过去的十年中，手术治疗的肱骨近端骨折的总体积和发生率分别增加了13%和5%，分别。虽然总体发病率下降，ORIF仍然是最常见的手术治疗方法。ORIF的体积和发生率的最大下降发生在≥75的患者中。ORIF治疗的发病率在南部和西部增加，而在东北部和中西部减少。2010年至2019年间，HA的总量和发病率下降，并且在所有亚组中都保持这种趋势。RTSA的总体积和发生率增加了300%以上。接受RTSA的男性和女性的发病率分别增加了266%和320%，分别。RTSA的体积和发病率在所有年龄组都增加。中西部地区RTSA的数量和发病率增加，南,和西部地区，而东北地区保持不变。
肱骨近端骨折的手术治疗趋势在过去十年中发生了很大变化。ORIF仍然是肱骨近端骨折最常见的手术治疗方法。HA已失宠，而RTSA的性别使用量显着增加，年龄组,和地理区域。这些趋势代表了在选择手术治疗时，通过考虑所有患者和骨折特征来治疗肱骨近端骨折的实践变化。
■使用IBMMarketscan国家数据库，所有接受切开复位内固定（ORIF）的患者，半髋关节置换术,2010年至2019年期间或反向全肩关节置换术（RTSA）与当前程序术语代码一起确定。进一步对数据集进行分层，以确定接受肱骨近端骨折治疗的患者。IBMMarketscan提供了排放重量，用于确定IBMSPSSStatistics软件中每个程序的国家年度估算量（IBMCorp.,Armonk,NY,美国）。每1,000,000人调整数量和发病率，并根据年龄组计算亚组，性别,和地理区域。美国人口普查局的年度人口数据用于所有发病率计算。
■在过去的十年中，手术治疗的肱骨近端骨折的总体积和发生率分别增加了13%和5%，分别。虽然总体发病率下降，ORIF仍然是最常见的手术治疗方法。ORIF的体积和发生率的最大下降发生在≥75的患者中。ORIF治疗的发病率在南部和西部增加，而在东北部和中西部减少。2010年至2019年间，HA的总量和发病率下降，并且在所有亚组中都保持这种趋势。RTSA的总体积和发生率增加了300%以上。接受RTSA的男性和女性的发病率分别增加了266%和320%，分别。RTSA的体积和发病率在所有年龄组都增加。中西部地区RTSA的数量和发病率增加，南,和西部地区，而东北地区保持不变。
肱骨近端骨折的手术治疗趋势在过去十年中发生了很大变化。ORIF仍然是肱骨近端骨折最常见的手术治疗方法。HA已失宠，而RTSA的性别使用量显着增加，年龄组,和地理区域。这些趋势代表了在选择手术治疗时，通过考虑所有患者和骨折特征来治疗肱骨近端骨折的实践变化。
