{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:56:53Z","timestamp":1777939013722,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Finnish goverment"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the incidence of and treatment methods for Achilles tendon ruptures (ATRs) in public and private healthcare in Finland between 1997 and 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Finnish National Hospital Discharge Register and the Finnish Register of Primary Health Care Visits were searched to identify all adults diagnosed with ATR in 1997\u20132019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the study period, 91% of patients with ATR were treated in the public sector. In public healthcare, the majority of patients were treated nonoperatively (10,997; 40% operative vs 16,303; 60% nonoperative), whereas in the private sector, the majority of the patients were treated operatively (2088; 80% operative vs 514; 20% nonoperative) (P\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The distribution of public and private treatment for ATRs remained consistent during the follow-up period from 1997 to 2019. In the public sector, treatment methods became significantly more nonoperative during the study period, while no such change was observed in the private sector.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969251363325","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T11:22:47Z","timestamp":1762773767000},"page":"82-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A nationwide comparison of public and private treatment of Achilles tendon rupture in Finland"],"prefix":"10.1177","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1420-1669","authenticated-orcid":false,"given":"Marjukka","family":"Hallinen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Turku University Hospital Kiinamyllynkatu 4-8 20521, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4345-6334","authenticated-orcid":false,"given":"Oskari","family":"Leino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inari","family":"Laaksonen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Matilainen","sequence":"additional","affiliation":[{"name":"University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1330-7418","authenticated-orcid":false,"given":"Elina","family":"Ekman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland"},{"name":"University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,10]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114549948"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3544-5"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221131536"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem-2024-001960"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.05.036"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115579188"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521998284"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001861"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514540599"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0434.R1"},{"key":"e_1_3_2_12_2","unstructured":"Valtonen H. 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