The completeness of national hip and knee replacement registers.

Autor: French JMR; Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK., Deere K; Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK., Whitehouse MR; Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK; National Institute for Health Research, Bristol Biomedical Research Centre, University Hospitals Bristol and Weston NHS Foundation Trust and University of Bristol, UK., Pegg DJ; Mid Cheshire Hospitals Foundation Trust, Leighton Hospital, Crewe, UK., Ciminello E; Italian National Institute of Health, Rome, Italy., Valentini R; Italian National Institute of Health, Rome, Italy., Torre M; Italian National Institute of Health, Rome, Italy., Mäkelä K; Turku University Hospital, and University of Turku, Turku, Finland., Lübbeke A; Geneva University Hospitals and Geneva University, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK., Bohm ER; University of Manitoba, Winnipeg, Canada., Fenstad AM; Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway., Furnes O; Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway., Hallan G; Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway., Willis J; New Zealand Joint Registry, Christchurch Hospital, New Zealand., Overgaard S; Department of Orthopaedic Surgery and Traumatology, Copenhagen University Hospital, Bispebjerg, Denmark; University of Copenhagen, Department of Clinical Medicine, Faculty of Health and Medical Sciences, Denmark., Rolfson O; Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden. ola.rolfson@vgregion.se., Sayers A; Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK.
Jazyk: angličtina
Zdroj: Acta orthopaedica [Acta Orthop] 2024 Nov 18; Vol. 95, pp. 654-660. Date of Electronic Publication: 2024 Nov 18.
DOI: 10.2340/17453674.2024.42303
Abstrakt: Background and Purpose:  National joint replacement registries were developed for prospective monitoring of outcomes and post-market surveillance of implants. Increasingly registry data informs practice. However, analysis of a registry can only be as good as the data it captures on the population of interest. We aimed to analyze completeness of reporting of hip and knee replacement procedures for all national registries worldwide.
Methods: We analyzed annual reports and data provided following written requests to all active national hip and knee replacement registries. Coverage was defined as the proportion of hospitals in the country that participate in the registry. Procedure completeness was defined as the proportion of procedures successfully captured by the registry.
Results:  14 national registries were included, spanning years 2004 to 2022. Coverage was complete in 10. Median procedure completeness for primary hip and knee replacement across all years was 96.5% (interquartile range [IQR] 94.0-97.7%). Median procedure completeness for revisions was 88.5% (IQR 81.0-92.5%). The terminology used and method of calculation of completeness estimates in the registries were variable.
Conclusion:  National hip and knee replacement registry data generally reflects excellent coverage (full in 10 of 14 registries) and completeness (primary procedures 96.5% and revisions 88.5%) over the last 2 decades.
Databáze: MEDLINE