Arthroplasty registries at a glance: an initiative of the International Society of Arthroplasty Registries (ISAR) to facilitate access, understanding, and reporting of registry data from an international perspective

Authors

  • Anne Lübbeke Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals and University of Geneva, Switzerland; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK https://orcid.org/0000-0002-6905-6120
  • Lotje A Hoogervorst Department of Orthopaedics, Leiden University Medical Center, The Netherlands https://orcid.org/0000-0001-5343-6965
  • Perla J Marang-van de Mheen Department of Orthopaedics, Leiden University Medical Center; Safety & Security Science, Delft University of Technology, The Netherlands
  • Heather A Prentice Medical Device Surveillance & Assessment, Kaiser Permanente, San Diego, CA, USA https://orcid.org/0000-0002-2200-6564
  • Ola Rolfson Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden and the Swedish Arthroplasty Register, Gothenburg, Sweden https://orcid.org/0000-0001-6534-1242
  • Rob G H H Nelissen Department of Orthopaedics, Leiden University Medical Center, The Netherlands https://orcid.org/0000-0003-1228-4162
  • Arnd Steinbrück German Arthroplasty Registry (EPRD), Berlin, Germany
  • Gearoid McGauran Medical Devices Department, Health Products Regulatory Authority, Dublin, Ireland https://orcid.org/0009-0005-3615-1876
  • Christophe Barea Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals and University of Geneva, Switzerland https://orcid.org/0000-0003-1781-9453
  • Kajsa Erikson Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden and the Swedish Arthroplasty Register, Gothenburg, Sweden
  • Alma B Pedersen Department of Clinical Epidemiology, Aarhus University Hospital, DK and Department of Clinical Medicine, Aarhus University, Denmark https://orcid.org/0000-0002-3288-9401
  • Martyn Porter Emeritus Consultant Orthopaedic Surgeon, Wrightington Hospital; Bristol University, UK
  • the ISAR group

DOI:

https://doi.org/10.2340/17453674.2024.42706

Keywords:

Arthroplasty, Hip, Implants, Knee, Shoulder

Abstract

Background and purpose: The amount of information publicly available from arthroplasty registries is large but could be used more effectively. This project aims to improve the knowledge concerning existing registries to facilitate access, transparency, harmonization, and reporting.
Methods: Within the International Society of Arthroplasty Registries (ISAR) we aimed at developing, testing, adopting, and making publicly available a short, standardized registry description with items considered relevant for stakeholders using a cross-sectional study survey. Items were chosen based on a literature review and expert advice, selected by 9 ISAR working group members, tested iteratively in 3 registries, and commented upon by 4 external experts. All 29 ISAR member registries as of July 2023 were invited to participate in the project.
Results: Included items covered general descriptive information regarding registries, information related to governance, outcomes, data quality, data access, and registry production. The template was adopted, completed, and made publicly available by 25 of the 29 registries. Of those, 2/3 were national registries. 23 captured both hip and knee arthroplasties and 10 captured shoulder arthroplasties. Most registries had public reporting of data quality, methods, and results. Data was accessible in all but 2 registries, mainly as aggregated data. Important items relevant to registry quality for researchers to consistently indicate in scientific papers include scope, inclusion criteria, outcomes definitions, coverage/completeness, and validation processes.
Conclusion: This ISAR initiative implemented a short, standardized description to facilitate appropriate use of orthopedic registry data worldwide relevant for a diverse group of stakeholders including researchers, industry, public health and regulatory agencies.

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Published

2025-01-24

How to Cite

Lübbeke, A., Hoogervorst, L. A., Marang-van de Mheen, P. J., Prentice, H. A., Rolfson, O., Nelissen, R. G. H. H., … the ISAR group. (2025). Arthroplasty registries at a glance: an initiative of the International Society of Arthroplasty Registries (ISAR) to facilitate access, understanding, and reporting of registry data from an international perspective. Acta Orthopaedica, 96, 116–126. https://doi.org/10.2340/17453674.2024.42706

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