Analysis of the incidence, prevalence of hip joint pathology in the Samara region and outcomes of endoprosthetics according to a multidisciplinary hospital based on evidence-based medicine indicators

Aim: to analyze the incidence and prevalence of complex hip joint pathology in the Samara region for the period 2015–2024 and the outcomes of endoprosthetics at the V.D. Seredavin Joint Surgery Center in the period 2006–2025. from the standpoint of evidence-based medicine. Material and methods. 9472 patients with hip joint pathology who underwent primary hospital surgery and 721 (7.6%) who underwent revision were studied. The statistical analysis was carried out using standard statistical processing methods by using the Data Analysis add-on in Microsoft Office Excel 2021. Results. The prevalence of dysplastic coxarthrosis (CA) at the end of 2024 in Samara was 43.95 per 100,000 population. Among the patients who required re-hospitalization (n=721), 53.7% were diagnosed with dysplastic CA. After hip joint replacement, complications were detected in 5/1% (35 cases), including 9 dislocations (1.2%) and 5 deaths (0.7%). Our approach in endoprosthetics allows us to achieve better results compared to the control group: reduce the risk of death by 23.7% and reduce the chances of death by 2.2 times. Conclusion. Our research has proved the need to form a unified register of patients with hip joint pathology and with surgical interventions at the level of the Ministry of Health of the Samara Region, which will make it possible to update the lists of patients in need of endoprosthetics and improve the system of organization of high-tech treatment methods.