The completeness of national hip and knee replacement registers

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...

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Main Authors: Jonathan M R French, Kevin Deere, Michael R Whitehouse, Derek J Pegg, Enrico Ciminello, Riccardo Valentini, Marina Torre, Keijo Mäkelä, Anne Lübbeke, Eric R Bohm, Anne Marie Fenstad, Ove Furnes, Geir Hallan, Jinny Willis, Søren Overgaard, Ola Rolfson, Adrian Sayers
Format: Article
Language:English
Published: Medical Journals Sweden 2024-11-01
Series:Acta Orthopaedica
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Online Access:https://actaorthop.org/actao/article/view/42303
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author Jonathan M R French
Kevin Deere
Michael R Whitehouse
Derek J Pegg
Enrico Ciminello
Riccardo Valentini
Marina Torre
Keijo Mäkelä
Anne Lübbeke
Eric R Bohm
Anne Marie Fenstad
Ove Furnes
Geir Hallan
Jinny Willis
Søren Overgaard
Ola Rolfson
Adrian Sayers
author_facet Jonathan M R French
Kevin Deere
Michael R Whitehouse
Derek J Pegg
Enrico Ciminello
Riccardo Valentini
Marina Torre
Keijo Mäkelä
Anne Lübbeke
Eric R Bohm
Anne Marie Fenstad
Ove Furnes
Geir Hallan
Jinny Willis
Søren Overgaard
Ola Rolfson
Adrian Sayers
author_sort Jonathan M R French
collection DOAJ
description 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.
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spelling doaj-art-c509bf6f9e274a85b27739a811e075642024-11-18T17:15:05ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822024-11-019510.2340/17453674.2024.42303The completeness of national hip and knee replacement registersJonathan M R French0https://orcid.org/0000-0001-9677-4657Kevin Deere1Michael R Whitehouse2https://orcid.org/0000-0003-2436-9024Derek J Pegg3Enrico Ciminello4Riccardo Valentini5Marina Torre6https://orcid.org/0000-0003-3851-187XKeijo Mäkelä7Anne Lübbeke8https://orcid.org/0000-0002-6905-6120Eric R Bohm9Anne Marie Fenstad10https://orcid.org/0000-0002-6429-0153Ove Furnes11https://orcid.org/0000-0001-8223-2515Geir Hallan12Jinny Willis13Søren Overgaard14https://orcid.org/0000-0001-6829-4787Ola Rolfson15https://orcid.org/0000-0001-6534-1242Adrian Sayers16usculoskeletal Research Unit, University of Bristol Medical School, Bristol, UKMusculoskeletal Research Unit, University of Bristol Medical School, Bristol, UKMusculoskeletal 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, UKMid Cheshire Hospitals Foundation Trust, Leighton Hospital, Crewe, UKItalian National Institute of Health, Rome, ItalyItalian National Institute of Health, Rome, ItalyItalian National Institute of Health, Rome, ItalyTurku University Hospital, and University of Turku, Turku, FinlandGeneva University Hospitals and Geneva University, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UKUniversity of Manitoba, Winnipeg, CanadaNorwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, NorwayNorwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, NorwayNorwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, NorwayNew Zealand Joint Registry, Christchurch Hospital, New ZealandDepartment of Orthopaedic Surgery and Traumatology, Copenhagen University Hospital, Bispebjerg, Denmark; University of Copenhagen, Department of Clinical Medicine, Faculty of Health and Medical Sciences, DenmarkInstitute of Clinical Sciences, University of Gothenburg, Gothenburg, SwedenMusculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK 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. https://actaorthop.org/actao/article/view/42303ArthroplastyCompletenessHipImplantsKneeQuality
spellingShingle Jonathan M R French
Kevin Deere
Michael R Whitehouse
Derek J Pegg
Enrico Ciminello
Riccardo Valentini
Marina Torre
Keijo Mäkelä
Anne Lübbeke
Eric R Bohm
Anne Marie Fenstad
Ove Furnes
Geir Hallan
Jinny Willis
Søren Overgaard
Ola Rolfson
Adrian Sayers
The completeness of national hip and knee replacement registers
Acta Orthopaedica
Arthroplasty
Completeness
Hip
Implants
Knee
Quality
title The completeness of national hip and knee replacement registers
title_full The completeness of national hip and knee replacement registers
title_fullStr The completeness of national hip and knee replacement registers
title_full_unstemmed The completeness of national hip and knee replacement registers
title_short The completeness of national hip and knee replacement registers
title_sort completeness of national hip and knee replacement registers
topic Arthroplasty
Completeness
Hip
Implants
Knee
Quality
url https://actaorthop.org/actao/article/view/42303
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