Hospitalization for Dupuytren's disease: A French national descriptive analysis, 2002 to 2009 - 20/08/14

Doi : 10.1016/j.otsr.2014.05.013

M. Maravic ^a,^b, S. Lasbleiz ^b, E. Roulot ^b, J. Beaudreuil ^b,^⁎
^a Département d’information médicale, centre hospitalier national d’ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75012 Paris, France
^b Service de rhumatologie, université Paris 7, hôpital Lariboisière, AP–HP, 2, rue Ambroise-Paré, 75010 Paris, France

^⁎Corresponding author. Tel.: +33 01 49 95 63 08; fax: +33 01 49 95 86 31.

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Wednesday 20 August 2014
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Abstract

Objectives

The goal of this study is to describe hospitalization for treatment of Dupuytren's disease in France between 2002 and 2009.

Methods

A repeated, annual, cross-sectional national survey of public and private French hospitals was performed between 2002 and 2009, with planned selection criteria for data extraction. Outcomes were age, sex, number of hospitalizations, length of stays, and types of surgical procedure. Types of surgical procedure included aponeurectomy, aponeurotomy, transplantation (skin graft), arthrolysis, amputation, arthrodesis, combined procedures.

Results

The selected hospital stays represented 95% to 97% of all stays with Dupuytren's disease coded as the primary diagnosis. The hospitalizations involved mainly men in the 7th decade. The mean number of hospitalizations for Dupuytren's disease was 16,487, for between 7 and 8/10,000 total hospitalizations each year. Most of the hospitalizations for Dupuytren's disease were one-day stays in private settings. Over time, the mean length of hospital stay significantly shortened and the proportion of one-day stays significantly increased. Aponeurectomy was the most reported treatment. The distribution of aponeurectomy of 1 finger or ≥ 2 fingers was balanced. The performance of arthrolysis, transplantation, amputation and arthrodesis was low.

Conclusions

Despite of shortening of hospitals stays over time, hospitalization for surgery for Dupuytren's disease in France still represents a meaningful economic burden.