Epidemiology of hallux valgus surgery

NewsBot · Jun 6, 2023

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Epidemiology of hallux valgus surgery in Italy: a
nationwide study from 2001 to 2016
Umile Giuseppe Longo
Research Square

This study intended to estimate the annual number of hallux valgus surgical procedures in Italy and the
patients’ epidemiological features. A secondary goal was to compare the demographic differences in
access to hallux valgus surgery amongst three Italian macroregions.
The analysis was conducted by using the National Hospital Discharge Records (NHDR) database
provided by the Italian Ministry of Health.
721,514 surgical procedures for Acquired Hallux valgus were performed. The cumulative incidence was
88.2 procedures for every 100,000 Italian residents. The highest number of procedures was found in the
60–64 age class. The 91.2% of patients were females. The mean length of hospitalization was 2.1 ± 2.2
days. Patients aged 95 to 99 had more days of hospitalization on average. The 51.9% of procedures were
performed in the North, 25.7% in the Center and 22.4% in the South. The 98.5% of patients from the North
received the surgical treatment in the same macro region of domicile; 90% in the Center; 78.5% in the
South. The main primary procedure was: Bunionectomy With Soft Tissue Correction And Osteotomy Of
The First Metatarsal (79.9%, 77.51 ICD-9-CM code).
The socioeconomic burden of hallux valgus surgery in Italy is relevant. The incidence of hallux valgus
surgery has progressively increased between 2001 and 2012 and decreased from 2012 to 2016. A
geographical inequal distribution of procedures between the three Italian macroregions was pointed out.
Migratory flows of patients from the South to the North for undergoing the procedure were observed.
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NewsBot · Aug 9, 2023

Trends and age- and sex-stratified analysis of hallux valgus correction surgery from 2014 to 2019: A nationwide population-based cohort study in Japan
Masamitsu Kido et al
Foot and Ankle Surgery; 28 June 2023

Background
Epidemiological studies on hallux valgus (HV) are challenging owing to differences in sampling and diagnostic criteria across studies. This study aimed to indirectly clarify HV epidemiology using a national database.

Methods
The age- and sex-stratified annual number rate of HV correction (RHVC) per 100,000 people in Japan during 2014–2019 were examined.

Results
The average annual RHVC was 3.0. RHVC had unimodal (peak, 65–79 years) and bimodal (peaks, 15–19 and 70–74 years) distributions among males and females, respectively, and increased over time in males aged 50–54 and 75–79 years and females aged 80–84 years.

Conclusions
RHVC increases with increasing age and occurs commonly in female teens. The recent RHVC in Japan was lower than that reported in Europe and the United States, with an increasing trend among elderly people.
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