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The epidemiology of reoperation after flexor tendon repair.
- Source :
-
The Journal of hand surgery [J Hand Surg Am] 2012 May; Vol. 37 (5), pp. 919-24. Date of Electronic Publication: 2012 Mar 28. - Publication Year :
- 2012
-
Abstract
- Purpose: To describe the incidence of reoperation and the demographic factors that may be associated with reoperation after flexor tendon repair.<br />Methods: Using a New York statewide hospital administrative database covering an 8-year period, we examined unique patient discharges with an index procedure of flexor tendon repair for reoperation (re-repair or tenolysis). We compared the age, sex, race, and insurance type by reoperation status using standard univariate statistics and multivariate regression analysis. We performed trend analysis using the Cochran-Armitage trend test.<br />Results: From 1998 to 2005, there were 5,229 flexor tendon repairs with a frequency of reoperation of 6%; of these, 91% were in the first year after the primary procedure. Those who underwent reoperation were significantly older than those who did not undergo reoperation. Patients with workers' compensation were 63% more likely to undergo reoperation than those with other forms of insurance. Patients who had concomitant nerve repair during the index procedure were 26% less likely to undergo reoperation. The rate of reoperation did not change during the study period.<br />Conclusions: These results may be useful in shaping research agendas to evaluate sociodemographic factors contributing to reoperations.<br />Type of Study/level of Evidence: Prognostic II.<br /> (Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1531-6564
- Volume :
- 37
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of hand surgery
- Publication Type :
- Academic Journal
- Accession number :
- 22459656
- Full Text :
- https://doi.org/10.1016/j.jhsa.2012.02.003