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Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan

We analyzed trends in open and endoscopic carpal tunnel release (CTR) from 2014 to 2019 using the National Database of Health Insurance Claims and Specific Health Checkups in Japan (NDB). Japan has a universal health insurance system and more than 95% of all claims are searchable in the NDB open dat...

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Autores principales: Yamamoto, Michiro, Curley, James, Hirata, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456605/
https://www.ncbi.nlm.nih.gov/pubmed/36078895
http://dx.doi.org/10.3390/jcm11174966
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author Yamamoto, Michiro
Curley, James
Hirata, Hitoshi
author_facet Yamamoto, Michiro
Curley, James
Hirata, Hitoshi
author_sort Yamamoto, Michiro
collection PubMed
description We analyzed trends in open and endoscopic carpal tunnel release (CTR) from 2014 to 2019 using the National Database of Health Insurance Claims and Specific Health Checkups in Japan (NDB). Japan has a universal health insurance system and more than 95% of all claims are searchable in the NDB open data repository. The results revealed that nearly 40,000 CTRs were performed annually in Japan, and open CTR was performed almost 4 times more often than endoscopic CTR. The crude annual incidence of CTR in the general population among people 20 years of age or older was 32.2 per 100,000. The incidence of open CTR peaked in the 80–84 age range for both males and females. The incidence of endoscopic CTR peaked at 80–84 years in females and at 75–79 years in males. There was a mild correlation coefficient between the endoscopic CTRs and the number of hand surgery specialists by prefecture per population (r = 0.32, p = 0.04). However, the number of hand surgeons per capita by region and open CTR per capita was not correlated (r = 0.06, p = 0.67). There were about twice as many outpatient as inpatient surgeries, reflecting a trend toward ambulatory treatment.
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spelling pubmed-94566052022-09-09 Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan Yamamoto, Michiro Curley, James Hirata, Hitoshi J Clin Med Article We analyzed trends in open and endoscopic carpal tunnel release (CTR) from 2014 to 2019 using the National Database of Health Insurance Claims and Specific Health Checkups in Japan (NDB). Japan has a universal health insurance system and more than 95% of all claims are searchable in the NDB open data repository. The results revealed that nearly 40,000 CTRs were performed annually in Japan, and open CTR was performed almost 4 times more often than endoscopic CTR. The crude annual incidence of CTR in the general population among people 20 years of age or older was 32.2 per 100,000. The incidence of open CTR peaked in the 80–84 age range for both males and females. The incidence of endoscopic CTR peaked at 80–84 years in females and at 75–79 years in males. There was a mild correlation coefficient between the endoscopic CTRs and the number of hand surgery specialists by prefecture per population (r = 0.32, p = 0.04). However, the number of hand surgeons per capita by region and open CTR per capita was not correlated (r = 0.06, p = 0.67). There were about twice as many outpatient as inpatient surgeries, reflecting a trend toward ambulatory treatment. MDPI 2022-08-24 /pmc/articles/PMC9456605/ /pubmed/36078895 http://dx.doi.org/10.3390/jcm11174966 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yamamoto, Michiro
Curley, James
Hirata, Hitoshi
Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title_full Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title_fullStr Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title_full_unstemmed Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title_short Trends in Open vs. Endoscopic Carpal Tunnel Release: A Comprehensive Survey in Japan
title_sort trends in open vs. endoscopic carpal tunnel release: a comprehensive survey in japan
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9456605/
https://www.ncbi.nlm.nih.gov/pubmed/36078895
http://dx.doi.org/10.3390/jcm11174966
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