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Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future

Varnum, Claus; Pedersen, Alma Bečić; Rolfson, Ola; Rogmark, Cecilia LU ; Furnes, Ove; Hallan, Geir; Mäkelä, Keijo; de Steiger, Richard; Porter, Martyn and Overgaard, Søren (2019) In EFORT open reviews 4(6). p.368-376
Abstract

□ Total hip arthroplasty (THA) registers are established in several countries to collect data aiming to improve the results after THA. Monitoring of adverse outcomes after THA has focused mainly on revision surgery, but patientreported outcomes have also been investigated. □ Several surgery-related factors influencing the survival of the THA have been thoroughly investigated and have changed clinical practice. These factors include surgical approach, specific implants, the size of the components, type of fixation and different bone cements. □ Register data have been used to examine the risk of venous thromboembolism and bleeding after THA. These investigations have resulted in shorter duration of thromboprophylaxis and a reduced... (More)

□ Total hip arthroplasty (THA) registers are established in several countries to collect data aiming to improve the results after THA. Monitoring of adverse outcomes after THA has focused mainly on revision surgery, but patientreported outcomes have also been investigated. □ Several surgery-related factors influencing the survival of the THA have been thoroughly investigated and have changed clinical practice. These factors include surgical approach, specific implants, the size of the components, type of fixation and different bone cements. □ Register data have been used to examine the risk of venous thromboembolism and bleeding after THA. These investigations have resulted in shorter duration of thromboprophylaxis and a reduced frequency of blood transfusion. □ Registers may provide specific information to surgeons on the outcome of all THAs that they have performed with a detailed analysis of revisions rates and reasons for the revisions. □ A number of other stakeholders can use register data to provide benchmarks. The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man supplies data to the Orthopaedic Device Evaluation Panel (ODEP), which provides benchmarks at 3, 5, 7, 10, and 13 years graded from A*, A, B and C. □ Future perspectives: National registers have to play a major role in documenting the quality of THA in order to describe best practice and report implant outliers. The registers have to be used for research and post-market surveillance and register data may be a source for intelligent decision tools.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bleeding, Outlier, Prosthetic survival, Register, Stakeholders, Surgeon feedback, Thromboprophylaxis, Total hip arthroplasty
in
EFORT open reviews
volume
4
issue
6
pages
9 pages
publisher
British Editorial Society of Bone & Joint Surgery
external identifiers
  • scopus:85066936268
ISSN
2396-7544
DOI
10.1302/2058-5241.4.180091
language
English
LU publication?
yes
id
64c89f0d-b49c-4358-9260-16d8206e2e63
date added to LUP
2019-07-04 10:25:55
date last changed
2019-10-08 03:55:54
@article{64c89f0d-b49c-4358-9260-16d8206e2e63,
  abstract     = {<p>□ Total hip arthroplasty (THA) registers are established in several countries to collect data aiming to improve the results after THA. Monitoring of adverse outcomes after THA has focused mainly on revision surgery, but patientreported outcomes have also been investigated. □ Several surgery-related factors influencing the survival of the THA have been thoroughly investigated and have changed clinical practice. These factors include surgical approach, specific implants, the size of the components, type of fixation and different bone cements. □ Register data have been used to examine the risk of venous thromboembolism and bleeding after THA. These investigations have resulted in shorter duration of thromboprophylaxis and a reduced frequency of blood transfusion. □ Registers may provide specific information to surgeons on the outcome of all THAs that they have performed with a detailed analysis of revisions rates and reasons for the revisions. □ A number of other stakeholders can use register data to provide benchmarks. The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man supplies data to the Orthopaedic Device Evaluation Panel (ODEP), which provides benchmarks at 3, 5, 7, 10, and 13 years graded from A*, A, B and C. □ Future perspectives: National registers have to play a major role in documenting the quality of THA in order to describe best practice and report implant outliers. The registers have to be used for research and post-market surveillance and register data may be a source for intelligent decision tools.</p>},
  author       = {Varnum, Claus and Pedersen, Alma Bečić and Rolfson, Ola and Rogmark, Cecilia and Furnes, Ove and Hallan, Geir and Mäkelä, Keijo and de Steiger, Richard and Porter, Martyn and Overgaard, Søren},
  issn         = {2396-7544},
  keyword      = {Bleeding,Outlier,Prosthetic survival,Register,Stakeholders,Surgeon feedback,Thromboprophylaxis,Total hip arthroplasty},
  language     = {eng},
  number       = {6},
  pages        = {368--376},
  publisher    = {British Editorial Society of Bone & Joint Surgery},
  series       = {EFORT open reviews},
  title        = {Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future},
  url          = {http://dx.doi.org/10.1302/2058-5241.4.180091},
  volume       = {4},
  year         = {2019},
}