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Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study

There remains little information on the epidemiology of anterior cruciate ligament reconstruction (ACL-R), therefore, we performed an epidemiological evaluation on the ACL-R procedures performed in Italy from 2001 to 2015 to highlight potential disparities in access to healthcare. The National Hospi...

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Autores principales: Longo, Umile Giuseppe, Nagai, Kanto, Salvatore, Giuseppe, Cella, Eleonora, Candela, Vincenzo, Cappelli, Francesca, Ciccozzi, Massimo, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826510/
https://www.ncbi.nlm.nih.gov/pubmed/33435155
http://dx.doi.org/10.3390/jcm10020223
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author Longo, Umile Giuseppe
Nagai, Kanto
Salvatore, Giuseppe
Cella, Eleonora
Candela, Vincenzo
Cappelli, Francesca
Ciccozzi, Massimo
Denaro, Vincenzo
author_facet Longo, Umile Giuseppe
Nagai, Kanto
Salvatore, Giuseppe
Cella, Eleonora
Candela, Vincenzo
Cappelli, Francesca
Ciccozzi, Massimo
Denaro, Vincenzo
author_sort Longo, Umile Giuseppe
collection PubMed
description There remains little information on the epidemiology of anterior cruciate ligament reconstruction (ACL-R), therefore, we performed an epidemiological evaluation on the ACL-R procedures performed in Italy from 2001 to 2015 to highlight potential disparities in access to healthcare. The National Hospital Discharge records (SDO) maintained at the Italian Ministry of Health were analyzed from 2001 to 2015; 248,234 ACL-Rs were performed in Italy over the 15-year study period in the adult population (starting from 15 years old), and the incidence rate per year in 100,000 persons ranged from 21.70 to 33.60 over the study period. The overall male/female ratio was 4.54. The length of hospitalization ranged from four days in 2001 to two days in 2015. Italy is historically divided into north, center, and south regions, and more than half of ACL-R surgery was performed in the north (67.2%); 95.2% of ACL-Rs were underwent in public institutions. The predicted model projected a slight growth in the number of ACL-Rs in the next 10 years (2016–2025). The number of ACL-R procedures increased in the adult population from 2001 to 2015. The ACL-R procedures were concentrated in the north of Italy, suggesting that efforts on regionalization of ACL-Rs should turn toward improving quality in hospitals in the south of Italy.
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spelling pubmed-78265102021-01-25 Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study Longo, Umile Giuseppe Nagai, Kanto Salvatore, Giuseppe Cella, Eleonora Candela, Vincenzo Cappelli, Francesca Ciccozzi, Massimo Denaro, Vincenzo J Clin Med Article There remains little information on the epidemiology of anterior cruciate ligament reconstruction (ACL-R), therefore, we performed an epidemiological evaluation on the ACL-R procedures performed in Italy from 2001 to 2015 to highlight potential disparities in access to healthcare. The National Hospital Discharge records (SDO) maintained at the Italian Ministry of Health were analyzed from 2001 to 2015; 248,234 ACL-Rs were performed in Italy over the 15-year study period in the adult population (starting from 15 years old), and the incidence rate per year in 100,000 persons ranged from 21.70 to 33.60 over the study period. The overall male/female ratio was 4.54. The length of hospitalization ranged from four days in 2001 to two days in 2015. Italy is historically divided into north, center, and south regions, and more than half of ACL-R surgery was performed in the north (67.2%); 95.2% of ACL-Rs were underwent in public institutions. The predicted model projected a slight growth in the number of ACL-Rs in the next 10 years (2016–2025). The number of ACL-R procedures increased in the adult population from 2001 to 2015. The ACL-R procedures were concentrated in the north of Italy, suggesting that efforts on regionalization of ACL-Rs should turn toward improving quality in hospitals in the south of Italy. MDPI 2021-01-10 /pmc/articles/PMC7826510/ /pubmed/33435155 http://dx.doi.org/10.3390/jcm10020223 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Longo, Umile Giuseppe
Nagai, Kanto
Salvatore, Giuseppe
Cella, Eleonora
Candela, Vincenzo
Cappelli, Francesca
Ciccozzi, Massimo
Denaro, Vincenzo
Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title_full Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title_fullStr Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title_full_unstemmed Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title_short Epidemiology of Anterior Cruciate Ligament Reconstruction Surgery in Italy: A 15-Year Nationwide Registry Study
title_sort epidemiology of anterior cruciate ligament reconstruction surgery in italy: a 15-year nationwide registry study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826510/
https://www.ncbi.nlm.nih.gov/pubmed/33435155
http://dx.doi.org/10.3390/jcm10020223
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