The completeness of national hip and knee replacement registers

Authors

  • Jonathan M R French Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK https://orcid.org/0000-0001-9677-4657
  • Kevin Deere Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK
  • Michael R Whitehouse 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 https://orcid.org/0000-0003-2436-9024
  • Derek J Pegg Mid Cheshire Hospitals Foundation Trust, Leighton Hospital, Crewe, UK
  • Enrico Ciminello Italian National Institute of Health, Rome, Italy
  • Riccardo Valentini Italian National Institute of Health, Rome, Italy
  • Marina Torre Italian National Institute of Health, Rome, Italy https://orcid.org/0000-0003-3851-187X
  • Keijo Mäkelä Turku University Hospital, and University of Turku, Turku, Finland
  • Anne Lübbeke Geneva University Hospitals and Geneva University, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK https://orcid.org/0000-0002-6905-6120
  • Eric R Bohm University of Manitoba, Winnipeg, Canada
  • Anne Marie Fenstad Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway https://orcid.org/0000-0002-6429-0153
  • Ove Furnes Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, Norway https://orcid.org/0000-0001-8223-2515
  • Geir Hallan Norwegian Arthroplasty Register, Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway
  • Jinny Willis New Zealand Joint Registry, Christchurch Hospital, New Zealand
  • Søren Overgaard 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 https://orcid.org/0000-0001-6829-4787
  • Ola Rolfson Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden https://orcid.org/0000-0001-6534-1242
  • Adrian Sayers Musculoskeletal Research Unit, University of Bristol Medical School, Bristol, UK

DOI:

https://doi.org/10.2340/17453674.2024.42303

Keywords:

Arthroplasty, Completeness, Hip, Implants, Knee, Quality, Registry

Abstract

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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References

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Published

2024-11-18

How to Cite

French, J. M. R., Deere, K., Whitehouse, M. R., Pegg, D. J., Ciminello, E., Valentini, R., … Sayers, A. (2024). The completeness of national hip and knee replacement registers. Acta Orthopaedica, 95, 654–660. https://doi.org/10.2340/17453674.2024.42303

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Vol. 95 (2024): Acta Orthopaedica

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Copyright (c) 2024 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

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Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.
 
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