دورية أكاديمية
A Lack of Generalizability-Total Knee Demographics in the Active Duty Population.
العنوان: | A Lack of Generalizability-Total Knee Demographics in the Active Duty Population. |
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المؤلفون: | Olsen AA; Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Portsmouth, VA 23708, USA., Junge JM; Department of Anesthesia, Naval Medical Center, Portsmouth, VA 23708, USA., Booth G; Department of Anesthesia, Naval Medical Center, Portsmouth, VA 23708, USA., Abraham VM; Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Portsmouth, VA 23708, USA., Balazs GC; Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Portsmouth, VA 23708, USA., Goldman AH; Department of Orthopaedic Surgery, Bone and Joint Sports Medicine Institute, Portsmouth, VA 23708, USA. |
المصدر: | Military medicine [Mil Med] 2024 May 18; Vol. 189 (5-6), pp. e1161-e1165. |
نوع المنشور: | Journal Article; Observational Study |
اللغة: | English |
بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
مواضيع طبية MeSH: | Military Personnel*/statistics & numerical data , Arthroplasty, Replacement, Knee*/statistics & numerical data , Arthroplasty, Replacement, Knee*/trends, Humans ; Male ; Female ; Retrospective Studies ; Middle Aged ; Adult ; Aged ; Demography/statistics & numerical data ; Demography/methods ; United States/epidemiology ; Risk Factors ; Reoperation/statistics & numerical data ; Reoperation/trends |
مستخلص: | Introduction: Age and sex are known demographic risk factors for requiring revision surgery following primary total knee arthroplasty (TKA). Military service members are a unique population with barriers to long-term follow up after surgery. This study aims to compare demographic data between active duty military personnel and a nationwide sample to identify differences that may impact clinical and economic outcomes. Methods: A retrospective observational analysis was performed using the Military Health System Data Repository (MDR) and the National Surgical Quality Improvement Program (NSQIP). Databases were queried for patients undergoing primary TKA between January 1, 2015 and December 31, 2020. The MDR was queried for demographic data including age, sex, duty status, facility type, geographic region, history of prior military deployment, history of deployment-related health condition, branch of military service, and military rank. National Surgical Quality Improvement Program was queried for age and sex. Median age between populations was compared with the Mann-Whitney U test, and gender was compared with a chi-squared test. Results: During the study period, 2,094 primary TKA patients were identified from the MDR, and 357,865 TKA patients were identified from the NSQIP database. Military TKA patients were 79.4% male with a median age of 49.0, and NSQIP TKA patients were 38.9% were male, with a median age of 67. Military TKA patients were significantly more likely to be male (P < .001) and younger (P < .001). Conclusion: Patients undergoing TKA in the military are younger and more likely to be male compared to national trends. Current evidence suggests these factors may place them at a significant revision risk in the future. The application of quality metrics based on nationwide demographics may not be applicable to military members within the Military Health System. (© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
تواريخ الأحداث: | Date Created: 20231115 Date Completed: 20240522 Latest Revision: 20240710 |
رمز التحديث: | 20240711 |
DOI: | 10.1093/milmed/usad437 |
PMID: | 37966515 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1930-613X |
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DOI: | 10.1093/milmed/usad437 |