The Epidemiology and Health Care Burden of Tennis Elbow A Population-Based Study

被引:153
作者
Sanders, Thomas L., Jr. [1 ]
Maradit Kremers, Hilal [1 ]
Bryan, Andrew J. [1 ]
Ransom, Jeanine E. [1 ]
Smith, Jay [1 ]
Morrey, Bernard F. [1 ]
机构
[1] Mayo Clin, Rochester, MN 55905 USA
基金
美国国家卫生研究院;
关键词
lateral epicondylitis; lateral elbow tendinosis; incidence; recurrence; tennis elbow; NIRSCHL SURGICAL TECHNIQUE; MEDICAL-RECORDS-LINKAGE; LATERAL EPICONDYLITIS; FOLLOW-UP; PROJECT; MANAGEMENT; HISTORY;
D O I
10.1177/0363546514568087
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Lateral elbow tendinosis (epicondylitis) is a common condition both in primary care and specialty clinics. Purpose: To evaluate the natural history (ie, incidence, recurrence, and progression to surgery) of lateral elbow tendinosis in a large population. Study Design: Descriptive epidemiology study. Methods: The study population comprised a population-based incidence cohort of patients with new-onset lateral elbow tendinosis between January 1, 2000, and December 31, 2012. The medical records of a 10% random sample (n = 576) were reviewed to ascertain information on patient and disease characteristics, treatment modalities, recurrence, and progression to surgery. Age- and sex-specific incidence rates were calculated and adjusted to the 2010 US population. Results: The age- and sex-adjusted annual incidence of lateral elbow tendinosis decreased significantly over time from 4.5 per 1000 people in 2000 to 2.4 per 1000 in 2012 (P < .001). The recurrence rate within 2 years was 8.5% and remained constant over time. The proportion of surgically treated cases within 2 years of diagnosis tripled over time, from 1.1% during the 2000-2002 time period to 3.2% after 2009 (P < .00001). About 1 in 10 patients with persistent symptoms at 6 months required surgery. Conclusion: The decrease in incidence of lateral elbow tendinosis may represent changes in diagnosis patterns or a true decrease in disease incidence. Natural history data can be used to help guide patients and providers in determining the most appropriate course at a given time in the disease process. The study data suggest that patients without resolution after 6 months of onset may have a prolonged disease course and may need surgical intervention.
引用
收藏
页码:1066 / 1071
页数:6
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