Increasing incidence of rotator cuff surgery : a nationwide registry study in Chile

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dc.article.number1052
dc.contributor.authorVidal Olate, Catalina Victoria
dc.contributor.authorLira Salas, María Jesús
dc.contributor.authorMarinis Acle, Rodrigo Ignacio de
dc.contributor.authorLiendo Verdugo, Rodrigo Javier
dc.contributor.authorContreras, Julio J.
dc.date.accessioned2022-03-16T13:40:11Z
dc.date.available2022-03-16T13:40:11Z
dc.date.issued2021
dc.date.updated2021-12-26T01:02:11Z
dc.description.abstractBackground: 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.
dc.format.extent7 páginas
dc.fuente.origenAutoarchivo
dc.identifier.citationBMC Musculoskeletal Disorders. 2021 Dec 20;22(1):1052
dc.identifier.doi10.1186/s12891-021-04938-7
dc.identifier.urihttps://doi.org/10.1186/s12891-021-04938-7
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/63365
dc.information.autorucEscuela de Medicina ; Vidal Olate, Catalina Victoria ; 0000-0002-4700-7360 ; 224002
dc.information.autorucEscuela de Medicina ; Lira Salas, María Jesús ; S/I ; 195663
dc.information.autorucEscuela de Medicina ; Marinis Acle, Rodrigo Ignacio de ; 0000-0003-1888-8928 ; 237996
dc.information.autorucEscuela de Medicina ; Liendo Verdugo, Rodrigo Javier ; 0000-0001-6172-5396 ; 1052242
dc.language.isoen
dc.nota.accesoContenido completo
dc.pagina.final7
dc.pagina.inicio1
dc.revistaBMC Musculoskeletal Disorderses_ES
dc.rightsacceso abierto
dc.rights.holderThe Author(s)
dc.subjectRotator cuf surgeryes_ES
dc.subjectNationwide registryes_ES
dc.subjectChilees_ES
dc.subjectHealth insurancees_ES
dc.subject.ddc617.9
dc.subject.deweyMedicina y saludes_ES
dc.titleIncreasing incidence of rotator cuff surgery : a nationwide registry study in Chilees_ES
dc.typeartículo
dc.volumen22
sipa.codpersvinculados224002
sipa.codpersvinculados195663
sipa.codpersvinculados237996
sipa.codpersvinculados1052242
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