Femoral neck fractures in New York State. Is the rate of THA increasing, and do race or payer influence decision making?

Journal of Orthopaedic Trauma
Jason P HochfelderJames D Slover

Abstract

To evaluate the treatment trends for femoral neck fractures in New York State over the past 10 years. The Statewide Planning and Research Cooperative System database from the New York State Department of Health was used to identify patients who sustained femoral neck fractures from 2000 to 2010. Multivariate logistic regression analysis was performed with the dependent variable being total hip arthroplasty (THA) versus hemiarthroplasty (HA) and independent variables being age, sex, race, insurance type, and comorbidity index. From 2000 to 2010, there were 44,425 patients admitted to New York State hospitals with femoral neck fractures, of which 86% occurred in patients older than 70. Of the total, 73.5% were treated with HA, 19.5% with internal fixation (IF), and 7% with THA. The overall rate of treatment with THA increased slightly, but this was not statistically significant (P = 0.11), and it only increased for patients younger than 70 years. The rate of HA increased significantly from 69.9% to 75.4% (P < 0.001), and the rate of IF showed a statistically significant reduction from 21.9% to 16.8% (P < 0.001). Results of the multivariate logistic regression analysis showed that for every 10-year increase in age, there was a 31%...Continue Reading

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Citations

Aug 8, 2015·The Journal of Surgical Research·Thorsten JentzschRudolf Moos
Oct 22, 2016·Journal of Orthopaedic Trauma·Michael MaceroliJohn C Elfar
Dec 2, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·Michael A MaceroliJohn C Elfar
Aug 24, 2016·Geriatric Orthopaedic Surgery & Rehabilitation·Julius BishopAlex H S Sox
Aug 25, 2017·Geriatric Orthopaedic Surgery & Rehabilitation·Sean DangelmajerJulius A Bishop
Mar 15, 2018·Clinical Orthopaedics and Related Research·Joseph Bernstein
Jun 15, 2017·Journal of Orthopaedic Trauma·Adam DriesmanKenneth A Egol
Dec 29, 2020·Curēus·Maximiliano BarahonaCarlos A Infante

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