Declining incidence of acromioplasty in Finland
Paloneva, Juha; Lepola, Vesa; Karppinen, Jaro; Ylinen, Jari; Äärimaa, Ville; Mattila, Ville M (2015)
Paloneva, Juha
Lepola, Vesa
Karppinen, Jaro
Ylinen, Jari
Äärimaa, Ville
Mattila, Ville M
2015
Acta Orthopaedica 86 2
220-224
Lääketieteen yksikkö - School of Medicine
CC-BY-NC-ND 3.0
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:uta-201606272021
https://urn.fi/URN:NBN:fi:uta-201606272021
Tiivistelmä
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 nonsurgical
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.
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 nonsurgical
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.
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