A1 Journal article – refereed
Declining incidence of acromioplasty in Finland




List of Authors: Juha Paloneva, Vesa Lepola, Jaro Karppinen, Jari Ylinen, Ville Äärimaa, Ville M Mattila
Publication year: 2015
Journal: Acta Orthopaedica
Volume number: 86
Issue number: 2
Number of pages: 5
ISSN: 1745-3674
eISSN: 1745-3682

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.








Read More: http://informahealthcare.com/doi/full/10.3109/17453674.2014.977703



 




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Last updated on 2019-21-08 at 20:51