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Title: Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future
Epworth Authors: de Steiger, Richard
Other Authors: Varnum, Claus
Pedersen, Alma Bečić
Rolfson, Ola
Rogmark, Cecilia
Furnes, Ove
Hallan, Geir
Mäkelä, Keijo
Porter, Martyn
Overgaard, Søren
Keywords: Total Hip Arthroplasty
Data Mining
Prosthetic Survival
Total Hip Athroplasty Register
Athroplasty Register
Surgeon Feedback
Venous thromboembolism
Department of Surgery, Epworth HealthCare
Issue Date: Jun-2019
Publisher: British Editorial Society of Bone & Joint Surgery
Citation: (2019). Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future. EFORT open reviews, 4(6), 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 patient-reported 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.
DOI: 10.1302/2058-5241.4.180091.
PubMed URL:
ISSN: 2058-5241
Journal Title: EFORT Open Reviews
Type: Journal Article
Affiliated Organisations: The Danish Hip Arthroplasty Register.
Department of Orthopaedic Surgery, Vejle Hospital, Vejle, Denmark.
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
The Swedish Hip Arthroplasty Register.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lund University, Skåne University Hospital, Department of Orthopedics, Malmö, Sweden.
The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
The Finnish Arthroplasty Register.
Department of Orthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), Adelaide, Australia.
The National Joint Registry of England, Wales, Northern Ireland and Isle of Man.
Centre for Hip Surgery, Wrightington Hospital, Wrightington, Wigan and Leigh NHS Trust, Lancashire, United Kingdom.
Orthopaedic Research Unit, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark.
University of Melbourne, Melbourne, Australia.
Type of Clinical Study or Trial: Review
Appears in Collections:Musculoskeletal

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