Declining incidence of acromioplasty in Finland

Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on su...

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Vydáno v:	ACTA ORTHOPAEDICA Ročník 86; číslo 2; s. 220 - 224
Hlavní autoři:	Paloneva, Juha, Lepola, Vesa, Karppinen, Jaro, Ylinen, Jari, Äärimaa, Ville, Mattila, Ville M
Médium:	Journal Article Publikace
Jazyk:	angličtina
Vydáno:	England Nordic Orthopaedic Federation 01.04.2015 Informa Healthcare
Témata:	Acromion - surgery Adult Aged Arthroplasty - trends Databases, Factual Female Finland Hospitals, Private - statistics & numerical data Hospitals, Proprietary - statistics & numerical data Hospitals, Public - statistics & numerical data Humans Male Middle Aged Orthopedic Procedures - trends Practice Patterns, Physicians' - trends Shoulder Shoulder Impingement Syndrome - surgery Finland
ISSN:	1745-3674, 1745-3682, 1745-3682
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Abstract	Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. Results - The incidence of acromioplasty increased by 117% from 75 to 163 per 105 person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 105 person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics. Interpretation - We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.
AbstractList	Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. Results - The incidence of acromioplasty increased by 117% from 75 to 163 per 105 person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 105 person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics. Interpretation - We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011. Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. Patients and methods - During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. Results - The incidence of acromioplasty increased by 117% from 75 to 163 per 10 5 person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10 5 person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics. Interpretation - We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011. An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register.BACKGROUND AND PURPOSEAn increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register.During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older.PATIENTS AND METHODSDuring the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older.The incidence of acromioplasty increased by 117% from 75 to 163 per 10(5) person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10(5) person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics.RESULTSThe incidence of acromioplasty increased by 117% from 75 to 163 per 10(5) person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10(5) person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics.We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.INTERPRETATIONWe propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011. An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. During the 14-year study period (1998-2011), 68,877 acromioplasties without rotator cuff repair were performed on subjects aged 18 years or older. The incidence of acromioplasty increased by 117% from 75 to 163 per 10(5) person years between 1998 and 2007. The highest incidence was observed in 2007, after which the incidence rate decreased by 20% to 131 per 10(5) person years in 2011. The incidence declined even more at non-profit public hospitals from 2007 to 2011. In contrast, it continued to rise at profit-based private orthopedic clinics. We propose that this change in clinical practice is due to accumulating high-quality scientific evidence that shows no difference in outcome between acromioplasty and non-surgical interventions for rotator cuff disease with subacromial impingement syndrome. However, the exact cause of the declining incidence cannot be defined based solely on a registry study. Interestingly, this change was not observed at private clinics, where the number of operations increased steadily from 2007 to 2011.
Author	Äärimaa, Ville Karppinen, Jaro Paloneva, Juha Mattila, Ville M Ylinen, Jari Lepola, Vesa
Author_xml	– sequence: 1 givenname: Juha surname: Paloneva fullname: Paloneva, Juha email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Department of Surgery, Central Finland Hospital, Keskussairaalantie 19 – sequence: 2 givenname: Vesa surname: Lepola fullname: Lepola, Vesa email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Division of Orthopedics and Traumatology, Department of Trauma, Musculoskeletal Surgery and Rehabilitation – sequence: 3 givenname: Jaro surname: Karppinen fullname: Karppinen, Jaro email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Medical Research Center Oulu – sequence: 4 givenname: Jari surname: Ylinen fullname: Ylinen, Jari email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Department of Physical and Rehabilitation Medicine – sequence: 5 givenname: Ville surname: Äärimaa fullname: Äärimaa, Ville email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Department of Orthopaedics and Traumatology – sequence: 6 givenname: Ville M surname: Mattila fullname: Mattila, Ville M email: juha.paloneva@ksshp.fi, juha.paloneva@ksshp.fi organization: Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Division of Orthopedics and Biotechnology, Karolinska Institutet and Department of Orthopedics at Karolinska University Hospital Huddinge, Sweden, and Department of Orthopedics
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Snippet	Background and purpose - An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge... An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register. During the 14-year... An increased incidence rate of acromioplasty has been reported; we analyzed data from the Finnish National Hospital Discharge Register.BACKGROUND AND PURPOSEAn...
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SubjectTerms	Acromion - surgery Adult Aged Arthroplasty - trends Databases, Factual Female Finland Hospitals, Private - statistics & numerical data Hospitals, Proprietary - statistics & numerical data Hospitals, Public - statistics & numerical data Humans Male Middle Aged Orthopedic Procedures - trends Practice Patterns, Physicians' - trends Shoulder Shoulder Impingement Syndrome - surgery
Title	Declining incidence of acromioplasty in Finland
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