Impact of ultrasound on inguinal hernia repair rates in Australia: a population-based analysis
| Autor: | Sarah J. Lord, Alexander S. E. McCarthy, Geoffrey L. Brooke-Cowden, Michael L. Williams, Thomas Aczel |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
National Health Programs Population Hernia Inguinal Population based 030230 surgery 03 medical and health sciences 0302 clinical medicine medicine Humans education Health policy Herniorrhaphy Aged education.field_of_study Groin business.industry Obstetrics Open surgery Ultrasound Australia General Medicine medicine.disease Inguinal hernia medicine.anatomical_structure 030220 oncology & carcinogenesis Surgery Laparoscopy business Healthcare system |
| Zdroj: | ANZ journal of surgeryReferences. 91(7-8) |
| ISSN: | 1445-2197 |
| Popis: | BACKGROUND Inguinal hernias are a common pathology that often requires surgical management. The use of groin ultrasound (GU) to investigate inguinal hernias is a growing area of concern as an inefficient use of healthcare resources. Our aim was to assess changes in the rates of GU and the impact on surgical practice. METHODS Medicare Item Reports and the Australian Institute of Health and Welfare Database were used to estimate annual GU and inguinal hernia repair (IHR) rates per 100 000 population for the period 2000/2001-2017/2018. Pearson's correlation coefficients and linear regression analyses were performed to assess associations between these variables. RESULTS Over the 18-year period, GU rates increased 13-fold from 88 to 1174 per 100 000 population. Overall, total IHR rates decreased from 217 to 192 per 100 000. Overall, unilateral IHR rates have decreased (182-146 per 100 000), bilateral IHRs have increased (35-46 per 100 000), laparoscopic IHR has increased (30-86 per 100 000) and open surgery has declined (187-106 per 100 000). The increase in GU rates were strongly associated with the decrease in unilateral (r = -0.936, P = |
| Databáze: | OpenAIRE |
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