Abstract
BackgroundSlipped capital femoral epiphysis (epiphysiolysis of the femoral head, SCFE) is the most common pediatric hip disease in 10–14 years old children. The most used procedure to correct a stable form of SCFE is in situ pinning. Instead, the proper treatment for unstable forms is controversial. The first purpose of this study was to estimate annual admissions for SCFE in Italian patients from 2001 to 2015, basing on the hospitalization reports. The second aim was to assess the difference between regions regarding SCFE procedures. Lastly, a statistical prediction of the volume of SCFE procedures performed in Italy based on data from 2001 to 2015 was performed.MethodsData of this study were collected from the National Hospital Discharge Reports (SDO) reported at the Italian Ministry of Health regarding the years of this paper. The yearly number of hospital admission for SCFE, the percentage of males and females, the average age, days of hospitalization, primary diagnoses and primary procedures in the whole Italian population were calculated using descriptive statistical analyses.ResultsFrom 2001 to 2015, 4893 hospitalizations for SCFE were recorded in Italy, with a mean incidence of 2.9 (cases/100.000 inhabitants). The majority of patients treated by SCFE were males (70.6%).ConclusionNational health statistics for SCFE are attractive for an international audience, as different approaches to screening are reported between countries. These differences allow comparing outcomes internationally. Moreover, sharing national statistics and correlating those to other countries protocols, could be helpful to compare outcomes for different procedures internationally. However, further studies are required to understand the specific reasons for regional variation for SCFE procedures in Italy.Level of evidenceIII
Highlights
Slipped capital femoral epiphysis is the most common pediatric hip disease in 10–14 years old children
The former is treated using in situ closed screw fixation; instead, open reduction and fixation are usually adopted for unstable forms [10]
National health statistics for SCFE are attractive for an international audience, as different approaches to screening are reported between countries
Summary
Slipped capital femoral epiphysis (epiphysiolysis of the femoral head, SCFE) is the most common pediatric hip disease in 10–14 years old children. SCFE is classified (using radiography and clinics) as stable or unstable forms based on the stability of the femoral physis and the capability to weight-bearing [9]. National health statistics for SCFE are attractive for an international audience, as different approaches to screening are reported between countries (type of screening, method of classification, mean age at the time of screening, diagnosis and subsequent treatment protocols). Sharing national statistics and correlating those to other countries protocols, could be helpful to compare outcomes for different procedures internationally
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