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BMC Surg ; 24(1): 172, 2024 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-38822306

RESUMEN

BACKGROUND: Several studies have compared the pros and cons of simultaneous bilateral versus staged bilateral hip and knee replacement but the outcomes of these two surgical options remains a matter of controversy. This study aimed to evaluate demographic features, incidence and hospitalization rates of bilateral one stage total hip and knee arthroplasty in Italy. METHODS: The Italian Ministry of Health's National Hospital Discharge Reports (SDO) were used to gather data. This study referred to the adult population (+ 20 years of age) from 2001 to 2015 for hip arthroplasty and from 2001 to 2016 for knee arthroplasty. RESULTS: Overall, 1,544 bilateral simultaneous hip replacement were carried out. The incidence rate was 0.21 cases per 100,000 adult Italian residents. Male/female ratio was 1.1. The average days of hospital stay was 11.7 ± 11.8 days. The main primary codified diagnosis was: osteoarthrosis, localized, primary, pelvic region and thigh (ICD code: 715.15). 2,851 bilateral simultaneous knee replacement were carried out. The incidence rate was 0.37 cases per 100,000 adult Italian residents. Male/female ratio was 0.6. The average days of hospital stay was 7.7 ± 5.8 days. The main primary codified diagnosis was: osteoarthrosis, localized, primary, lower leg (ICD code: 715.16). CONCLUSIONS: The burden of hip and knee osteoarthrosis as a leading cause of bilateral joint replacement is significant in Italy. The national registers' longitudinal analysis may provide data for establishing international guidelines regarding the appropriate indications for one stage bilateral simultaneous hip or knee replacement versus two stage.


Asunto(s)
Artroplastia de Reemplazo de Cadera , Artroplastia de Reemplazo de Rodilla , Tiempo de Internación , Humanos , Masculino , Artroplastia de Reemplazo de Cadera/estadística & datos numéricos , Femenino , Artroplastia de Reemplazo de Rodilla/estadística & datos numéricos , Italia/epidemiología , Persona de Mediana Edad , Anciano , Incidencia , Adulto , Tiempo de Internación/estadística & datos numéricos , Osteoartritis de la Cadera/cirugía , Osteoartritis de la Cadera/epidemiología , Anciano de 80 o más Años , Osteoartritis de la Rodilla/cirugía , Osteoartritis de la Rodilla/epidemiología , Estudios Retrospectivos , Hospitalización/estadística & datos numéricos
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