Evidence map›Paper›PMID 34930197›Full record

ArticleBMC musculoskeletal disorders2021

Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile.

Catalina Vidal, María Jesús Lira, Rodrigo de Marinis, Rodrigo Liendo, Julio J Contreras

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Catalina VidalDepartment of Orthopedics and Trauma, Pontifical Catholic University of Chile, Diagonal Paraguay #362, 8330077, Santiago, PC, Chile.ORCID https://orcid.org/0000-0002-4700-7360
María Jesús LiraDepartment of Orthopedics and Trauma, Pontifical Catholic University of Chile, Diagonal Paraguay #362, 8330077, Santiago, PC, Chile.
Rodrigo de MarinisDepartment of Orthopedics and Trauma, Pontifical Catholic University of Chile, Diagonal Paraguay #362, 8330077, Santiago, PC, Chile.ORCID https://orcid.org/0000-0003-1888-8928
Rodrigo LiendoDepartment of Orthopedics and Trauma, Pontifical Catholic University of Chile, Diagonal Paraguay #362, 8330077, Santiago, PC, Chile.ORCID https://orcid.org/0000-0001-6172-5396
Julio J ContrerasDepartment of Orthopedics and Trauma, Pontifical Catholic University of Chile, Diagonal Paraguay #362, 8330077, Santiago, PC, Chile. juliocontrerasmd@gmail.com.ORCID https://orcid.org/0000-0002-0115-1711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rotator cuff surgery (RCS) incidence is rising rapidly in North America, Europe, Asia, and Australia. Despite this, multiple factors limit patients' access to surgery. In Latin America, barriers to orthopedic surgery have been largely ignored. The purpose of this study was to calculate the rate of RCS in Chile between 2008 and 2018, investigating possible associated factors to access such as age, sex, and the health insurance.

methodsAn ecological study was carried out with nationwide data obtained from the Database of Hospital Discharges of the Department of Statistics. All Chilean inhabitants aged 25 years or more were included. We used the ICD-10 codes M751, M754, and S460. The annual incidence rate of surgeries and the incidence rate for the period studied per 100,000 inhabitants were calculated. Data were analyzed stratified by age, sex, year of study, and the health insurance. Negative binomial regression was used to compare rates. Statistical analyzes were performed with Stata v.14 software.

results39,366 RCSs were performed, with a total rate for the period of 32.36 per 100,000 inhabitants. The annual rate of surgeries from 2008 to 2018 increased from 24.55 to 49.11 per 100,000/year. When adjusting for year, an annual increase in surgery rates of 8.19% (95% CI 6.7-9.6) and 101% growth between 2008 and 2018 (95% CI 90-109%, p < 0.001) was observed. When comparing the global rates according to the health insurance, the public system corresponds to 21.3 per 100,000 and the private system to 72 per 100,000, the latter being 3.4-times higher (95% CI 2.7-4.4; p < 0.001).

conclusionRCS rates are increasing in Chile concordantly with previous reports of other western countries. The most important factor associated with RCS rate found was the patients' health insurance, with higher rates observed for the private sector.

Indexed as

Private SectorRotator CuffChileHumansIncidenceRegistriesChileHealth insuranceNationwide RegistryRotator Cuff Surgery

Identifiers

PMID34930197
PMCPMC8690465

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.