Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile
Abstract Background The rotator cuff surgery (RCS) incidence is rising rapidly in North America, Europe, Asia, and Australia. Despite this, multiple factors limit patients’ access to surgery. In Latin America, barriers to orthopedic surgery have been largely ignored. The purpose of this study was to...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-021-04938-7 |
| _version_ | 1819097823204868096 |
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| author | Catalina Vidal María Jesús Lira Rodrigo de Marinis Rodrigo Liendo Julio J. Contreras |
| author_facet | Catalina Vidal María Jesús Lira Rodrigo de Marinis Rodrigo Liendo Julio J. Contreras |
| author_sort | Catalina Vidal |
| collection | DOAJ |
| description | Abstract Background The rotator cuff surgery (RCS) incidence is rising rapidly in North America, Europe, Asia, and Australia. Despite this, multiple factors limit patients’ access to surgery. In Latin America, barriers to orthopedic surgery have been largely ignored. The purpose of this study was to calculate the rate of RCS in Chile between 2008 and 2018, investigating possible associated factors to access such as age, sex, and the health insurance. Methods An ecological study was carried out with nationwide data obtained from the Database of Hospital Discharges of the Department of Statistics. All Chilean inhabitants aged 25 years or more were included. We used the ICD-10 codes M751, M754, and S460. The annual incidence rate of surgeries and the incidence rate for the period studied per 100,000 inhabitants were calculated. Data were analyzed stratified by age, sex, year of study, and the health insurance. Negative binomial regression was used to compare rates. Statistical analyzes were performed with Stata v.14 software. Results 39,366 RCSs were performed, with a total rate for the period of 32.36 per 100,000 inhabitants. The annual rate of surgeries from 2008 to 2018 increased from 24.55 to 49.11 per 100,000/year. When adjusting for year, an annual increase in surgery rates of 8.19% (95% CI 6.7–9.6) and 101% growth between 2008 and 2018 (95% CI 90–109%, p < 0.001) was observed. When comparing the global rates according to the health insurance, the public system corresponds to 21.3 per 100,000 and the private system to 72 per 100,000, the latter being 3.4-times higher (95% CI 2.7–4.4; p < 0.001). Conclusion RCS rates are increasing in Chile concordantly with previous reports of other western countries. The most important factor associated with RCS rate found was the patients’ health insurance, with higher rates observed for the private sector. |
| first_indexed | 2024-12-22T00:21:13Z |
| format | Article |
| id | doaj.art-acb8890abeeb4441a9c885c4675481ad |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-22T00:21:13Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-acb8890abeeb4441a9c885c4675481ad2022-12-21T18:45:09ZengBMCBMC Musculoskeletal Disorders1471-24742021-12-012211710.1186/s12891-021-04938-7Increasing incidence of rotator cuff surgery: A nationwide registry study in ChileCatalina Vidal0María Jesús Lira1Rodrigo de Marinis2Rodrigo Liendo3Julio J. Contreras4Department of Orthopedics and Trauma, Pontifical Catholic University of ChileDepartment of Orthopedics and Trauma, Pontifical Catholic University of ChileDepartment of Orthopedics and Trauma, Pontifical Catholic University of ChileDepartment of Orthopedics and Trauma, Pontifical Catholic University of ChileDepartment of Orthopedics and Trauma, Pontifical Catholic University of ChileAbstract Background The rotator cuff surgery (RCS) incidence is rising rapidly in North America, Europe, Asia, and Australia. Despite this, multiple factors limit patients’ access to surgery. In Latin America, barriers to orthopedic surgery have been largely ignored. The purpose of this study was to calculate the rate of RCS in Chile between 2008 and 2018, investigating possible associated factors to access such as age, sex, and the health insurance. Methods An ecological study was carried out with nationwide data obtained from the Database of Hospital Discharges of the Department of Statistics. All Chilean inhabitants aged 25 years or more were included. We used the ICD-10 codes M751, M754, and S460. The annual incidence rate of surgeries and the incidence rate for the period studied per 100,000 inhabitants were calculated. Data were analyzed stratified by age, sex, year of study, and the health insurance. Negative binomial regression was used to compare rates. Statistical analyzes were performed with Stata v.14 software. Results 39,366 RCSs were performed, with a total rate for the period of 32.36 per 100,000 inhabitants. The annual rate of surgeries from 2008 to 2018 increased from 24.55 to 49.11 per 100,000/year. When adjusting for year, an annual increase in surgery rates of 8.19% (95% CI 6.7–9.6) and 101% growth between 2008 and 2018 (95% CI 90–109%, p < 0.001) was observed. When comparing the global rates according to the health insurance, the public system corresponds to 21.3 per 100,000 and the private system to 72 per 100,000, the latter being 3.4-times higher (95% CI 2.7–4.4; p < 0.001). Conclusion RCS rates are increasing in Chile concordantly with previous reports of other western countries. The most important factor associated with RCS rate found was the patients’ health insurance, with higher rates observed for the private sector.https://doi.org/10.1186/s12891-021-04938-7Rotator Cuff SurgeryNationwide RegistryChileHealth insurance |
| spellingShingle | Catalina Vidal María Jesús Lira Rodrigo de Marinis Rodrigo Liendo Julio J. Contreras Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile BMC Musculoskeletal Disorders Rotator Cuff Surgery Nationwide Registry Chile Health insurance |
| title | Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile |
| title_full | Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile |
| title_fullStr | Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile |
| title_full_unstemmed | Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile |
| title_short | Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile |
| title_sort | increasing incidence of rotator cuff surgery a nationwide registry study in chile |
| topic | Rotator Cuff Surgery Nationwide Registry Chile Health insurance |
| url | https://doi.org/10.1186/s12891-021-04938-7 |
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