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Journal articles on the topic 'Joint Replacement Registry'

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Author: Grafiati
Published: 10 December 2022
Last updated: 30 January 2023

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1

Smith, Mary Atkinson, and William Todd Smith. "The American Joint Replacement Registry." Orthopaedic Nursing 31, no. 5 (2012): 296–99. http://dx.doi.org/10.1097/nor.0b013e31826649b6.

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2

&NA;. "The American Joint Replacement Registry." Orthopaedic Nursing 31, no. 5 (2012): 300–301. http://dx.doi.org/10.1097/nor.0b013e31826ca2cb.

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3

Okafor, Charles Ebuka, Son Nghiem, and Joshua Byrnes. "Are joint replacement registries associated with burden of revision changes? A real-world panel data regression analysis." BMJ Open 13, no. 1 (January 2023): e063472. http://dx.doi.org/10.1136/bmjopen-2022-063472.

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ObjectivesThe association of joint replacement registries with outcomes such as revision burden is uncertain. This study aimed to evaluate whether joint replacement registries are associated with the burden of revision changes while controlling for confounders that could affect the association.DesignA longitudinal study involving a combination of cross-sectional and time series data from 1980 to 2018. The study was a panel regression analysis using the difference-in-difference method.SettingData from countries with joint replacement registries and countries without joint replacement registries were used. Registry data were obtained from joint replacement registries’ annual reports, while non-registry data were obtained from each included country’s pooled hospitals’ annual revision burden reported in the literature.Outcome measuresChanges in revision burden from 1980 to 2018 was the outcome measure. The revision burden in the registry periods of registry countries was compared with the non-registry periods of registry and non-registry countries.ResultsData were obtained from 12 registry periods and 8 non-registry periods. The average difference in revision burden in the registry periods of registry countries relative to the non-registry periods of registry and non-registry countries was statistically significant for hip, −3.80 (95% CI (−2.50 to −5.10); p<0.001) percentage points and knee, −1.63 (95% CI (−1.00 to −2.30); p<0.001) percentage points. This translates to a 19.30%, and 21.85% reduction in revision burden for hip and knee registries, for the whole sampling period.ConclusionJoint replacement registries are associated with a significant reduction in the burden of revision. Although revision burden reduces over time even without the registries, the establishment of joint replacement registries is associated with an increased reduction. The establishment of joint replacement registries in non-registry countries would be a worthwhile decision as it will further improve the outcomes of arthroplasty surgeries.
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Fil, A. S., V. N. Tarakanov, T. A. Kulyaba, and N. N. Kornilov. "Primary knee joint arthroplasty trends at the Vreden National Medical Research Centre for Traumatology and Orthopedics compared with other national joint replacement registries. Is our way similar?" Genij Ortopedii 26, no. 4 (December 2020): 476–83. http://dx.doi.org/10.18019/1028-4427-2020-26-4-476-483.

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Introduction Total joint replacement is one of the most effective and successful surgical interventions. Regular monitoring of these surgical interventions is essential and may serve as a system for early detection of defective prosthesis designs or techniques resulting in the complication rate which exceeds the estimated level. The ideal way to conduct this monitoring is a registry of joint replacements. Purpose Assessment of the structure of primary knee joint arthroplasty at the Federal State Budgetary Institution Vreden National Medical Research Centre for Traumatology and Orthopaedics named and it’s comparative analysis with the data from leading foreign registers to improve the work of orthopaedic surgeons, traumatologists and healthcare organizers by optimizing the surgical tactics in the specialized treatment of patients. Methods The authors reviewed the annual reports published by national registers of knee replacements and compared them with the data of the registry of the Vreden National Medical Research Centre for Traumatology and Orthopaedics to make conclusions that would be relevant to current orthopaedic practice. Results Several results of the survey demonstrate the most significant or unexpected conclusions as according to the registry. These include an extremely large gender imbalance and obesity as two thirds of the patients were overweight. The number of patients with tumors and rheumatological diseases in the structure of knee replacements decreased considerably in the recent years. Designs and types of implants used, patellar resurfacing in arthroplasty, time of surgical intervention and options for postoperative administrations of antibiotics at the Vreden Centre are consistent with general European trends in knee arthroplasty. Conclusions The number of primary knee replacements (including unicompartment replacements) has been increasing annually. The patients admitted for primary knee replacement are statistically very similar to patient population from other countries. The main differences are associated with an earlier age at which arthroplasty is performed, an extreme gender imbalance and a relatively low number of patellar resurfacing in primary knee replacement. The problem of overweight among the population leads to an increased number of knee replacements, complications and lower implant survival rate.
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Stamp, Lisa K., Janine Haslett, Peter Chapman, John O’Donnell, Rafi Raja, Alastair Rothwell, Christopher Frampton, and Gary Hooper. "Rates of Joint Replacement Surgery in New Zealand, 1999–2015: A Comparison of Rheumatoid Arthritis and Osteoarthritis." Journal of Rheumatology 44, no. 12 (October 15, 2017): 1823–27. http://dx.doi.org/10.3899/jrheum.170551.

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Objective.To determine rates of joint replacement for people with rheumatoid arthritis (RA) and osteoarthritis (OA) and to examine the characteristics of those receiving elbow replacements.Methods.Data were extracted from the New Zealand Joint Registry from 1999 to 2015 and annual rates calculated.Results.Rates of joint replacement increased over time for OA but not RA. Elbow replacement was the only procedure performed more commonly in RA.Conclusion.There has been a substantial increase in joint replacement for OA in New Zealand. For RA, where access to biologics has been limited to those with erosions, joint replacement rates have not declined, with the exception of elbow replacements.
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Clarnette, Richard, Stephen Graves, and Christina Lekkas. "Overview of the AOA National Joint Replacement Registry." Orthopaedic Journal of Sports Medicine 4, no. 2_suppl (February 16, 2016): 2325967116S0000. http://dx.doi.org/10.1177/2325967116s00007.

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7

Springer, Bryan D., and Caryn D. Etkin. "The American Joint Replacement Registry and Arthroplasty Today." Arthroplasty Today 2, no. 2 (June 2016): 43. http://dx.doi.org/10.1016/j.artd.2016.03.004.

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8

Cahue, September R., Caryn D. Etkin, Louis S. Stryker, and Frank R. Voss. "Procedure coding in the American Joint Replacement Registry." Arthroplasty Today 5, no. 2 (June 2019): 251–55. http://dx.doi.org/10.1016/j.artd.2019.04.003.

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9

Guia, Nicole, Naisu Zhu, Margaret Keresteci, and Juqing Shi. "Obesity and Joint Replacement Surgery in Canada: Findings from the Canadian Joint Replacement Registry (CJRR)." Healthcare Policy | Politiques de Santé 1, no. 3 (March 31, 2006): 36–43. http://dx.doi.org/10.12927/hcpol.2006.18121.

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10

de Steiger, Richard N., and Stephen E. Graves. "Orthopaedic registries: the Australian experience." EFORT Open Reviews 4, no. 6 (June 2019): 409–15. http://dx.doi.org/10.1302/2058-5241.4.180071.

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The Australian Orthopaedic Association National Joint Replacement Registry first began data collection on 1 September 1999 and full nationwide implementation commenced in January 2003. The purpose of the Registry is to improve the quality of care for individuals receiving joint replacement surgery. The Registry enables surgeons, academic institutions, governments and industry to request specific data that are not available in published annual reports. There is an established system for identifying prostheses with a higher than anticipated rate of revision (HTARR) which was introduced in 2004. The higher rate of revision for the ASR Hip Resurfacing System was first identified by this process in 2007. There has been a reduction in revision hip and knee replacement over the years that the Registry has been in operation, and the addition of Patient Reported Outcome Measures (PROMs) and data linkage will enable more extensive analysis of joint replacement surgery in the future. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180071
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11

de Steiger, Richard N., Brian R. Hallstrom, Anne Lübbeke, Elizabeth W. Paxton, Liza N. van Steenbergen, and Mark Wilkinson. "Identification of implant outliers in joint replacement registries." EFORT Open Reviews 8, no. 1 (January 1, 2023): 11–17. http://dx.doi.org/10.1530/eor-22-0058.

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Recent concerns surrounding joint replacements that have a higher than expected rate of revision have led to stricter controls by regulatory authorities with regards to the introduction of new devices into the marketplace. Implant post-market surveillance remains important, and joint replacement registries are ideally placed to perform this role. This review examined if and how joint replacement registries identified outlier prostheses, outlined problems and suggested solutions to improve post-market surveillance. A search was performed of all joint replacement registries that had electronic or published reports detailing the outcomes of joint replacement. These reports were examined for registry identification of outlier prostheses. Five registries publicly identified outlier prostheses in their reports and the methods by which this was performed, and three others had internal reports. Identification of outlier prostheses is one area that may improve overall joint replacement outcomes; however, further research is needed to determine the optimum methods for identification, including the threshold, the comparator and the numbers required for notification of devices. Co-operation of registries at a global level may lead to earlier identification of devices and thereby further improve the results of joint replacement.
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Bohm, Eric R., Michael J. Dunbar, and Robert Bourne. "The Canadian Joint Replacement Registry—what have we learned?" Acta Orthopaedica 81, no. 1 (February 2010): 119–21. http://dx.doi.org/10.3109/17453671003685467.

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13

Etkin, Caryn D., and Bryan D. Springer. "The American Joint Replacement Registry—the first 5 years." Arthroplasty Today 3, no. 2 (June 2017): 67–69. http://dx.doi.org/10.1016/j.artd.2017.02.002.

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14

Marques, Elsa M. R., Jane Dennis, Andrew D. Beswick, Julian Higgins, Howard Thom, Nicky Welton, Amanda Burston, Linda Hunt, Michael R. Whitehouse, and Ashley W. Blom. "Choice between implants in knee replacement: protocol for a Bayesian network meta-analysis, analysis of joint registries and economic decision model to determine the effectiveness and cost-effectiveness of knee implants for NHS patients—The KNee Implant Prostheses Study (KNIPS)." BMJ Open 11, no. 1 (January 2021): e040205. http://dx.doi.org/10.1136/bmjopen-2020-040205.

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IntroductionKnee replacements are highly successful for many people, but if a knee replacement fails, revision surgery is generally required. Surgeons and patients may choose from a range of implant components and combinations that make up knee replacement constructs, all with potential implications for how long a knee replacement will last. To inform surgeon and patient decisions, a comprehensive synthesis of data from randomised controlled trials is needed to evaluate the effects of different knee replacement implants on overall construct survival. Due to limited follow-up in trials, joint registry analyses are also needed to assess the long-term survival of constructs. Finally, economic modelling can identify cost-effective knee replacement constructs for different patient groups.Methods and analysisIn this protocol, we describe systematic reviews and network meta-analyses to synthesise evidence on the effectiveness of knee replacement constructs used in total and unicompartmental knee replacement and analyses of two national joint registries to assess long-term outcomes. Knee replacement constructs are defined by bearing materials and mobility, constraint, fixation and patella resurfacing. For men and women in different age groups, we will compare the lifetime cost-effectiveness of knee replacement constructs.Ethics and disseminationSystematic reviews are secondary analyses of published data with no ethical approval required. We will design a common joint registry analysis plan and provide registry representatives with information for submission to research or ethics committees. The project has been assessed by the National Health Service (NHS) REC committee and does not require ethical review.Study findings will be disseminated to clinicians, researchers and administrators through open access articles, presentations and websites. Specific UK-based groups will be informed of results including National Institute for Health Research and National Institute for Health and Care Excellence, as well as international orthopaedic associations and charities. Effective dissemination to patients will be guided by our patient–public involvement group and include written lay summaries and infographics.PROSPERO registration numberCRD42019134059 and CRD42019138015.
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Sinagra, Zachary P., Joshua S. Davis, Michelle Lorimer, Richard N. de Steiger, Stephen E. Graves, Piers Yates, and Laurens Manning. "The accuracy of reporting of periprosthetic joint infection to the Australian Orthopaedic Association National Joint Replacement Registry." Bone & Joint Open 3, no. 5 (May 1, 2022): 367–73. http://dx.doi.org/10.1302/2633-1462.35.bjo-2022-0011.r1.

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Aims National joint registries under-report revisions for periprosthetic joint infection (PJI). We aimed to validate PJI reporting to the Australian Orthopaedic Association National Joint Arthroplasty Registry (AOANJRR) and the factors associated with its accuracy. We then applied these data to refine estimates of the total national burden of PJI. Methods A total of 561 Australian cases of confirmed PJI were captured by a large, prospective observational study, and matched to data available for the same patients through the AOANJRR. Results In all, 501 (89.3%) cases of PJI recruited to the prospective observational study were successfully matched with the AOANJRR database. Of these, 376 (75.0%) were captured by the registry, while 125 (25.0%) did not have a revision or reoperation for PJI recorded. In a multivariate logistic regression analysis, early (within 30 days of implantation) PJIs were less likely to be reported (adjusted odds ratio (OR) 0.56; 95% confidence interval (CI) 0.34 to 0.93; p = 0.020), while two-stage revision procedures were more likely to be reported as a PJI to the registry (OR 5.3 (95% CI 2.37 to 14.0); p ≤ 0.001) than debridement and implant retention or other surgical procedures. Based on this data, the true estimate of the incidence of PJI in Australia is up to 3,900 cases per year. Conclusion In Australia, infection was not recorded as the indication for revision or reoperation in one-quarter of those with confirmed PJI. This is better than in other registries, but suggests that registry-captured estimates of the total national burden of PJI are underestimated by at least one-third. Inconsistent PJI reporting is multifactorial but could be improved by developing a nested PJI registry embedded within the national arthroplasty registry. Cite this article: Bone Jt Open 2022;3(5):367–373.
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Springer, Bryan D., Brett R. Levine, and Gregory J. Golladay. "Highlights of the 2020 American Joint Replacement Registry Annual Report." Arthroplasty Today 9 (June 2021): 141–42. http://dx.doi.org/10.1016/j.artd.2021.06.004.

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Siddiqi, Ahmed, Brett R. Levine, and Bryan D. Springer. "Highlights of the 2021 American Joint Replacement Registry Annual Report." Arthroplasty Today 13 (February 2022): 205–7. http://dx.doi.org/10.1016/j.artd.2022.01.020.

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18

RÖDER, C., A. EL-KERDI, S. EGGLI, and M. AEBI. "A CENTRALIZED TOTAL JOINT REPLACEMENT REGISTRY USING WEB-BASED TECHNOLOGIES." Journal of Bone and Joint Surgery-American Volume 86, no. 9 (September 2004): 2077–80. http://dx.doi.org/10.2106/00004623-200409000-00031.

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Levine, Brett R., Bryan D. Springer, and Gregory J. Golladay. "Highlights of the 2019 American Joint Replacement Registry Annual Report." Arthroplasty Today 6, no. 4 (December 2020): 998–1000. http://dx.doi.org/10.1016/j.artd.2020.09.010.

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Abeysekera, Walimuni Yohan Mendis, and Angoda Bandarage Sarath Ananda Perera. "Best option for total hip replacement in young: evidence from National Joint Registry of United Kingdom and Australian Orthopaedic Association National Joint replacement Registry." Sri Lanka Journal of Surgery 39, no. 3 (November 30, 2021): 55. http://dx.doi.org/10.4038/sljs.v39i3.8854.

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Marley, Dominic, Nomaan Sheikh, John Taylor, and Amit Kumar. "Hip and knee arthroplasty." InnovAiT: Education and inspiration for general practice 11, no. 1 (December 6, 2017): 20–27. http://dx.doi.org/10.1177/1755738017739331.

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The incidence of hip and knee replacement surgery has risen dramatically in recent years. The latest National Joint Registry figures indicate that almost 190 000 total hip and knee replacements were performed in 2015. The aim of this article is to discuss the management of hip and knee pain in primary care, the indications for hip and knee arthroplasty and surgical considerations.
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Harris, Alex H. S., Alfred C. Kuo, Kevin J. Bozic, Edmund Lau, Thomas Bowe, Shalini Gupta, and Nicholas J. Giori. "American Joint Replacement Registry Risk Calculator Does Not Predict 90-day Mortality in Veterans Undergoing Total Joint Replacement." Clinical Orthopaedics and Related Research 476, no. 9 (September 2018): 1869–75. http://dx.doi.org/10.1097/corr.0000000000000377.

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Weber, Markus, Tobias Renkawitz, Florian Voellner, Benjamin Craiovan, Felix Greimel, Michael Worlicek, Joachim Grifka, and Achim Benditz. "Revision Surgery in Total Joint Replacement Is Cost-Intensive." BioMed Research International 2018 (September 25, 2018): 1–8. http://dx.doi.org/10.1155/2018/8987104.

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Revisions after total joint replacement increase constantly. In the current study, we analyzed clinical outcome, complication rates, and cost-effectiveness of revision arthroplasty. In a retrospective analysis of 162 revision hip and knee arthroplasties from our institutional joint registry responder rate, patient-reported outcome measures (EQ-5D, WOMAC), complication rates, and patient-individual charges in relation to reimbursement were compared with a matched control group of primary total joint replacements. Positive responder rate one year postoperatively was lower for revision arthroplasties with 72.9% than for primary arthroplasties with 90.1% (OR=0.30, 95%CI=0.18–0.59, p=0.001). Correspondingly, improvement in patient-reported outcome measures one year after surgery was lower in revision than in primary joint arthroplasty with EQ-5D 0.19±0.25 to 0.30±0.24 (p<0.001) and WOMAC 24.3±30.3 to 41.2±21.3 (p<0.001). Infection rate was higher in revision (6.8%) compared to primary replacements (0%, p=0.001). Mean charges in revision arthroplasty were 76.0% higher than in matched primary joint replacements (7110.8±2249.4$ to 4041.1±975.7$, p<0.001), whereas reimbursement was only 23.6% higher (9243.3±2258.4$ in revision and 7477.9±703.1$ in primary arthroplasty, p<0.001). Revision arthroplasty is associated with lower outcome and higher infection rate compared to primary replacements. The high financial expense of revision arthroplasty is only partly covered by a higher reimbursement.
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Polk, Anne, Jeppe V. Rasmussen, Stig Brorson, and Bo S. Olsen. "Reliability of patient-reported functional outcome in a joint replacement registry." Acta Orthopaedica 84, no. 1 (January 23, 2013): 12–17. http://dx.doi.org/10.3109/17453674.2013.765622.

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Chenok, Kate E., Stephanie Teleki, Nelson F. SooHoo, James Huddleston III, and Kevin J. Bozic. "Collecting Patient Reported Outcomes: Lessons from the California Joint Replacement Registry." eGEMs (Generating Evidence & Methods to improve patient outcomes) 3, no. 1 (December 16, 2015): 20. http://dx.doi.org/10.13063/2327-9214.1196.

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Blom, Ashley W., Andrew D. Beswick, Amanda Burston, Fran E. Carroll, Kirsty Garfield, Rachael Gooberman-Hill, Shaun Harris, et al. "Infection after total joint replacement of the hip and knee: research programme including the INFORM RCT." Programme Grants for Applied Research 10, no. 10 (November 2022): 1–190. http://dx.doi.org/10.3310/hdwl9760.

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Background People with severe osteoarthritis, other joint conditions or injury may have joint replacement to reduce pain and disability. In the UK in 2019, over 200,000 hip and knee replacements were performed. About 1 in 100 replacements becomes infected, and most people with infected replacements require further surgery. Objectives To investigate why some patients are predisposed to joint infections and how this affects patients and the NHS, and to evaluate treatments. Design Systematic reviews, joint registry analyses, qualitative interviews, a randomised controlled trial, health economic analyses and a discrete choice questionnaire. Setting Our studies are relevant to the NHS, to the Swedish health system and internationally. Participants People with prosthetic joint infection after hip or knee replacement and surgeons. Interventions Revision of hip prosthetic joint infection with a single- or two-stage procedure. Main outcome measures Long-term patient-reported outcomes and reinfection. Cost-effectiveness of revision strategies over 18 months from two perspectives: health-care provider and Personal Social Services, and societal. Data sources National Joint Registry; literature databases; published cohort studies; interviews with 67 patients and 35 surgeons; a patient discrete choice questionnaire; and the INFORM (INFection ORthopaedic Management) randomised trial. Review methods Systematic reviews of studies reporting risk factors, diagnosis, treatment outcomes and cost comparisons. Individual patient data meta-analysis. Results In registry analyses, about 0.62% and 0.75% of patients with hip and knee replacement, respectively, had joint infection requiring surgery. Rates were four times greater after aseptic revision. The costs of inpatient and day-case admissions in people with hip prosthetic joint infection were about five times higher than those in people with no infection, an additional cost of > £30,000. People described devastating effects of hip and knee prosthetic joint infection and treatment. In the treatment of hip prosthetic joint infection, a two-stage procedure with or without a cement spacer had a greater negative impact on patient well-being than a single- or two-stage procedure with a custom-made articulating spacer. Surgeons described the significant emotional impact of hip and knee prosthetic joint infection and the importance of a supportive multidisciplinary team. In systematic reviews and registry analyses, the risk factors for hip and knee prosthetic joint infection included male sex, diagnoses other than osteoarthritis, high body mass index, poor physical status, diabetes, dementia and liver disease. Evidence linking health-care setting and surgeon experience with prosthetic joint infection was inconsistent. Uncemented fixation, posterior approach and ceramic bearings were associated with lower infection risk after hip replacement. In our systematic review, synovial fluid alpha-defensin and leucocyte esterase showed high diagnostic accuracy for prosthetic joint infection. Systematic reviews and individual patient data meta-analysis showed similar reinfection outcomes in patients with hip or knee prosthetic joint infection treated with single- and two-stage revision. In registry analysis, there was a higher rate of early rerevision after single-stage revision for hip prosthetic joint infection, but, overall, 40% fewer operations are required as part of a single-stage procedure than as part of a two-stage procedure. The treatment of hip or knee prosthetic joint infection with early debridement and implant retention may be effective in > 60% of cases. In the INFORM randomised controlled trial, 140 patients with hip prosthetic joint infection were randomised to single- or two-stage revision. Eighteen months after randomisation, pain, function and stiffness were similar between the randomised groups (p = 0.98), and there were no differences in reinfection rates. Patient outcomes improved earlier in the single-stage than in the two-stage group. Participants randomised to a single-stage procedure had lower costs (mean difference –£10,055, 95% confidence interval –£19,568 to –£542) and higher quality-adjusted life-years (mean difference 0.06, 95% confidence interval –0.07 to 0.18) than those randomised to a two-stage procedure. Single-stage was the more cost-effective option, with an incremental net monetary benefit at a threshold of £20,000 per quality-adjusted life-year of £11,167 (95% confidence interval £638 to £21,696). In a discrete choice questionnaire completed by 57 patients 18 months after surgery to treat hip prosthetic joint infection, the most valued characteristics in decisions about revision were the ability to engage in valued activities and a quick return to normal activity. Limitations Some research was specific to people with hip prosthetic joint infection. Study populations in meta-analyses and registry analyses may have been selected for joint replacement and specific treatments. The INFORM trial was not powered to study reinfection and was limited to 18 months’ follow-up. The qualitative study subgroups were small. Conclusions We identified risk factors, diagnostic biomarkers, effective treatments and patient preferences for the treatment of hip and knee prosthetic joint infection. The risk factors include male sex, diagnoses other than osteoarthritis, specific comorbidities and surgical factors. Synovial fluid alpha-defensin and leucocyte esterase showed high diagnostic accuracy. Infection is devastating for patients and surgeons, both of whom describe the need for support during treatment. Debridement and implant retention is effective, particularly if performed early. For infected hip replacements, single- and two-stage revision appear equally efficacious, but single-stage has better early results, is cost-effective at 18-month follow-up and is increasingly used. Patients prefer treatments that allow full functional return within 3–9 months. Future work For people with infection, develop information, counselling, peer support and care pathways. Develop supportive care and information for patients and health-care professionals to enable the early recognition of infections. Compare alternative and new treatment strategies in hip and knee prosthetic joint infection. Assess diagnostic methods and establish NHS diagnostic criteria. Study registration The INFORM randomised controlled trial is registered as ISRCTN10956306. All systematic reviews were registered in PROSPERO (as CRD42017069526, CRD42015023485, CRD42018106503, CRD42018114592, CRD42015023704, CRD42017057513, CRD42015016559, CRD42015017327 and CRD42015016664). Funding This project was funded by the National Institute for Health and Care Research (NIHR) Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research; Vol. 10, No. 10. See the NIHR Journals Library website for further project information.
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Swiontkowski, Marc F. "The Feasibility of a National Joint Replacement Registry in the United States." Journal of Bone and Joint Surgery-American Volume 84, no. 5 (May 2002): 871. http://dx.doi.org/10.2106/00004623-200205000-00033.

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Maloney, William J. "The Feasibility of a National Joint Replacement Registry in the United States." Journal of Bone and Joint Surgery-American Volume 84, no. 5 (May 2002): 871–72. http://dx.doi.org/10.2106/00004623-200205000-00034.

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Tucker, Keith. "How registry data can improve outcomes from joint replacement – a seminal paper." Acta Orthopaedica 91, no. 3 (May 3, 2020): 230–31. http://dx.doi.org/10.1080/17453674.2020.1763567.

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Paxton, Elizabeth W., Maria C. S. Inacio, Monti Khatod, Eric J. Yue, and Robert S. Namba. "Kaiser Permanente National Total Joint Replacement Registry: Aligning Operations With Information Technology." Clinical Orthopaedics and Related Research® 468, no. 10 (July 20, 2010): 2646–63. http://dx.doi.org/10.1007/s11999-010-1463-9.

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31

Paxton, Elizabeth W., Christopher F. Ake, Maria C. S. Inacio, Monti Khatod, Danica Marinac-Dabic, and Art Sedrakyan. "Evaluation of total hip arthroplasty devices using a total joint replacement registry." Pharmacoepidemiology and Drug Safety 21 (May 2012): 53–59. http://dx.doi.org/10.1002/pds.3228.

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32

Vanhegan, Ivor, Andrew Sankey, Warwick Radford, Simon Ball, and Charles Gibbons. "Trust compliance with best practice tariff criteria for total hip and knee replacement." British Journal of Hospital Medicine 80, no. 9 (September 2, 2019): 537–40. http://dx.doi.org/10.12968/hmed.2019.80.9.537.

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Background: Satisfaction of the best practice tariff criteria for primary hip and knee replacement enables on average an additional £560 of reimbursement per case. The Getting it Right First Time report highlighted poor awareness of these criteria among orthopaedic departments. Methods: The authors investigated the reasons for non-compliance with the best practice tariff criteria at their trust and implemented a quality improvement approach to ensure successful adherence to the standards (a minimum National Joint Registry compliance rate of 85%, a National Joint Registry unknown consent rate below 15%, a patient-reported outcome measure participation rate of ≥50%, and an average health gain not significantly below the national average). This was investigated using quarterly online reports from the National Joint Registry and NHS Digital. Results: Initially, the trust had a 31% patient-reported outcome measures participation rate arising from a systematic error in the submission of preoperative patient-reported outcome measure scores. Re-audit following the resubmission of patient-reported outcome measure data under the trust's correct organization data service code confirmed an improvement in patient-reported outcome measure compliance to 90% and satisfaction of all criteria resulting in over £450 000 of additional reimbursement to the trust. Conclusions: The authors would urge others to review their compliance with these four best practice tariff criteria to ensure that they too are not missing out on this significant reimbursement sum.
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Jennison, Toby, Andrew J. Goldberg, and Ian T. Sharpe. "A Cohort Study of Risk Factors for Failure of Total Ankle Replacements: A Data Linkage Study using the National Joint Registry and NHS Digital." Foot & Ankle Orthopaedics 7, no. 4 (October 2022): 2473011421S0070. http://dx.doi.org/10.1177/2473011421s00707.

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Category: Ankle Arthritis Introduction/Purpose: Despite the increasing numbers of ankle replacements that are being performed there are still limited studies on the survival of ankle replacements and which factors influence survivorship comparisons between different implants. The primary aim of this study is to link NJR data with NHS digital data to determine the true failure rates of ankle replacements and to determine the risk factors for failure of total ankle replacements Methods: A data linkage study combined National Joint Registry Data and NHS Digital data. The primary outcome of failure is defined as the removal or exchange of any components of the implanted device inserted during ankle replacement surgery. Life tables and Kaplan Meier survival charts demonstrated survivorship. Cox proportional hazards regression models with the Breslow method used for ties were fitted to compare failure rates. Results: 5,562 primary ankle replacement were recorded on the NJR between 1st April 2010 and 31st December 2018. The unadjusted 1-year survivorship of ankle replacements was 98.8% (95% CI 98.4%-99.0the 5-year survival in 2725 patients was 90.2% (95% CI 89.2%-91.1) and the 10-year survival in 199 patients was 86.2% (95% CI 84.6%-87.6%). In univariate cox regression models age, BMI, ASA, Charlson co-morbidity score, indication for surgery were significantly associated with an increased risk of failure. In multivariate cox regression models only age (HR 0.956, 95% CI 0.942-0.970), BMI (HR 1.032, 95% CI 1.006-1.059) and indication (HR 0.880, 95% CI 0.799-0.968) were associated with an increased risk of failure. Conclusion: Ankle replacements have been demonstrated to have higher failure rates in younger patients, those with an increased BMI, and those with osteoarthritis. These findings should be taken into account when deciding which patients should undergo an ankle replacement and in counselling them on the likely survivorship of their ankle replacement
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Sharma, S., and CR Dreghorn. "Registry of Shoulder Arthroplasty – The Scottish Experience." Annals of The Royal College of Surgeons of England 88, no. 2 (March 2006): 122–26. http://dx.doi.org/10.1308/003588406x94922.

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INTRODUCTION Recognising that timely dissemination of information in the orthopaedic community was important and in the absence of any national guidelines for shoulder arthroplasty, the Scottish shoulder arthroplasty registry, a voluntary registry, was started in 1996. The goals of the registry were to assess contemporary practice, provide a benchmark against which surgeons could compare their practice, identify risk factors for a poor outcome, and to improve outcomes through continuous feedback to the participating surgeons. PATIENTS AND METHODS A standardised proforma was used to collect information on the diagnostic and demographic data, type of procedure performed, type of implant used, any associated procedures performed in conjunction with the arthroplasty, and peri-operative complications. Postoperative pain, activity and patient satisfaction were assessed annually using another standardised proforma. RESULTS Twenty surgeons have contributed to the register and 451 shoulder arthroplasties were registered over a 5-year period. Of patients, 23.2% were male and 76.8% female. The mean age was 65 years (range, 37–90 years). Shoulder arthroplasty was commonly performed for rheumatoid arthritis followed by trauma, osteoarthritis and avascular necrosis of the humeral head. Overall, 397 (88%) patients had a hemi-arthroplasty and 54 (12%) had a total shoulder replacement. Of the 54 cases that had a glenoid replacement, 28 were performed for inflammatory arthritis, 21 for osteoarthritis and 5 were for revisions. The humeral component was cemented in 204 (45%) cases, 160 of whom had a shoulder replacement for trauma. The glenoid component was cemented in 48 (89%) cases. Cross referencing our data with the figures of the actual number of shoulder arthroplasties performed, however, indicated that our registry at best collected only 53% of all the shoulder arthroplasties performed in Scotland annually. CONCLUSIONS The value of a joint registry is dependent on the accuracy and completeness of the data entered. Our registry, therefore, fails as an implant registry. We believe that compliance for data registration can only be ensured if dedicated data collection staff are employed to co-ordinate the data collection and collation process.
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Terry, Amanda L., Bert M. Chesworth, Paul Stolee, Robert B. Bourne, and Mark Speechley. "Joint replacement recipients’ post-surgery views about health information privacy and registry participation." Health Policy 85, no. 3 (March 2008): 293–304. http://dx.doi.org/10.1016/j.healthpol.2007.08.002.

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Ma, Yunqing, Xin Zhi, and Hong Zhang. "Investigation on the etiology of patients undergoing non-traumatic total hip arthroplasty in China." Journal of Orthopaedic Surgery 30, no. 1 (January 2022): 102255362210921. http://dx.doi.org/10.1177/10225536221092114.

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Background China has neither a nationwide joint replacement registry similar to Sweden and New Zealand nor a universal healthcare (medical insurance) registry similar to Hong Kong and Singapore to check. The purpose was to initially understand the distribution characteristics of gender, age and etiology of patients undergoing total hip replacement for non-traumatic reasons nationwide. Methods The clinical data of patients who underwent initial artificial total hip replacement due to non-traumatic reasons in joint surgery of 13 large general first-class hospitals at Grade 3 in northern, western, eastern, southern, and southwestern China were collected. After the classification of patients by gender, the etiological characteristics and age distribution of male and female patients were compared, as well as male to female ratio and disease composition ratio of patients of different ages, distribution of causes in different regions, composition ratio, and age distribution characteristics of patients of different ethnic groups. Results In this study, the data of a total of 7663 patients in joint surgery of 13 general first-class hospitals at Grade 3 from 2015 to 2017 were collected, and 7622 patients were finally included in the study after excluding missing age, gender and some foreign patients. The main causes of diagnosis in male patients were AVN, DDH, and OA, and top 3 causes in female patients were DDH, AVN, and OA. Conclusions This study initially understand the distribution characteristics of gender, age and etiology of patients undergoing total hip replacement for non-traumatic reasons nationwide, and further guide the clinical diagnosis, early prevention and treatment of the disease and provide data.
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Brinkman, Justus-Martijn, Preet Singh Bubra, Peter Walker, William R. Walsh, and Warrick J. M. Bruce. "Midterm results using a medial pivot total knee replacement compared with the Australian National Joint Replacement Registry data." ANZ Journal of Surgery 84, no. 3 (October 28, 2013): 172–76. http://dx.doi.org/10.1111/ans.12428.

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Stafford, GH, SC Charman, MJ Borroff, C. Newell, and JK Tucker. "Total hip replacement for the treatment of acute femoral neck fractures: results from the National Joint Registry of England and Wales at 3-5 years after surgery." Annals of The Royal College of Surgeons of England 94, no. 3 (April 2012): 193–98. http://dx.doi.org/10.1308/003588412x13171221589720.

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INTRODUCTION This paper describes, for the first time, the outcomes of patients undergoing total hip replacement for acute fractured neck of femur (#NOF) as recorded by the National Joint Registry of England and Wales (NJR). METHODS In the NJR we identified 1,302 of 157,232 Hospital Episode Statistics linked patients who had been recorded as having a total hip replacement for acute #NOF between April 2003 and November 2008. RESULTS The revision rate at five years for fully uncemented components was 4.1% (95% confidence interval [Cl]: 2.2-7.3%), for hybrid it was 2.2% (95% Cl: 0.9%-5.3%) and for fully cemented components 0.9% (95% Cl: 0.4-2.0%). Five-year revision rates were increased for those whose operations were performed via a posterior versus a lateral approach. The Kaplan-Meier estimate of 30-day mortality was 1.4% (95% Cl: 1.0-2.4%), which is over double the 30-day mortality rate for total hip replacement identified by the Office for National Statistics. The mean length of stay was also increased for those undergoing total hip replacements for #NOF compared with non-emergency indications. CONCLUSIONS Our data suggest that total hip replacements for acute #NOF give comparable results with total hip replacements for other indications.
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WANG, YUANYUAN, JULIE ANNE SIMPSON, ANITA E. WLUKA, ANDREW J. TEICHTAHL, DALLAS R. ENGLISH, GRAHAM G. GILES, STEPHEN GRAVES, and FLAVIA M. CICUTTINI. "Is Physical Activity a Risk Factor for Primary Knee or Hip Replacement Due to Osteoarthritis? A Prospective Cohort Study." Journal of Rheumatology 38, no. 2 (October 15, 2010): 350–57. http://dx.doi.org/10.3899/jrheum.091138.

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Objective.To estimate prospectively any association between measures of physical activity and the risk of either primary knee or hip replacement due to osteoarthritis (OA).Methods.Eligible subjects (n = 39,023) were selected from participants in a prospective cohort study recruited 1990–1994. Primary knee and hip replacement for OA during 2001–2005 was determined by linking the cohort records to the National Joint Replacement Registry. A total physical activity level was computed, incorporating both intensity and frequency for different forms of physical activity obtained by questionnaire at baseline attendance.Results.There was a dose-response relationship between total physical activity level and the risk of primary knee replacement [hazards ratio (HR) 1.04, 95% CI 1.01–1.07 for an increase of 1 level in total physical activity]. Although vigorous activity frequency was associated with an increased risk of primary knee replacement (HR 1.42, 95% CI 1.08–1.86) for 1–2 times/week and HR 1.24 (95% CI 0.90–1.71) for ≥ 3 times/week), the p for trend was marginal (continuous HR 1.08, 95% CI 1.00–1.16, p = 0.05). The frequency of less vigorous activity or walking was not associated with the risk of primary knee replacement, nor was any measure of physical activity associated with the risk of primary hip replacement.Conclusion.Increasing levels of total physical activity are positively associated with the risk of primary knee but not hip replacement due to OA. Physical activity might affect the knee and hip joints differently depending on the preexisting health status and anatomy of the joint, as well as the sort of physical activity performed.
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Ackerman, Ilana N., Sze-Ee Soh, and Richard de Steiger. "Actual versus Forecast Burden of Primary Hip and Knee Replacement Surgery in Australia: Analysis of Data from the Australian Orthopaedic Association National Joint Replacement Registry." Journal of Clinical Medicine 11, no. 7 (March 28, 2022): 1883. http://dx.doi.org/10.3390/jcm11071883.

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National projections of future joint replacement use can help us understand the changing burden of severe osteoarthritis. This study aimed to compare actual utilisation rates for primary total hip replacement (THR) and total knee replacement (TKR) to previously forecast estimates for Australia. Data from the Australian Orthopaedic Association National Joint Replacement Registry and Australian Bureau of Statistics were used to calculate ‘actual’ THR and TKR utilisation rates for the years 2014–2019, by sex and age group. ‘Forecast’ utilisation rates for 2014–2019 were derived from an earlier study that modelled two alternate scenarios for THR and TKR in Australia: Scenario 1 assumed a constant rate of surgery; Scenario 2 assumed continued growth in surgery rates. Actual utilisation rates were compared descriptively to forecast rates for females and males (overall and by age group). Rate ratios were calculated to indicate the association between actual and forecast THR and TKR rates, with a rate ratio of 1.00 reflecting perfect alignment. Over the study period, 191,996 THRs (53% in females) and 312,203 TKRs (55% in females) were performed. For both sexes, actual rates lay clearly between the Scenario 1 and 2 forecast estimates. In 2019, actual THR utilisation rates were 179 per 100,000 females (Scenario 1: 156; Scenario 2: 200) and 158 per 100,000 males (Scenario 1: 139; Scenario 2: 191). Actual TKR utilisation rates in 2019 were 289 per 100,000 females (Scenario 1: 275; Scenario 2: 387) and 249 per 100,000 males (Scenario 1: 216; Scenario 2: 312). Age-specific rate ratios were close to 1.00 for all age groups, indicating good alignment between forecast and actual joint replacement rates. These validation analyses showed that linear plus exponential growth forecasting scenarios provided an efficient approximation of actual joint replacement utilisation. This indicates our modelling techniques can be used to judiciously predict future surgery demand, including for age groups with high surgery rates.
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Jang, Bob, Nichola A. Walsh, and Warwick JM Bruce. "Verification of the Australian Orthopaedic Association National Joint Replacement Registry Using a Surgeon's Database." Journal of Orthopaedic Surgery 21, no. 3 (December 2013): 347–50. http://dx.doi.org/10.1177/230949901302100317.

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Patel, Jay, Jason H. Lee, Zhongmin Li, Nelson Fong SooHoo, Kevin Bozic, and James I. Huddleston. "Predictors of Low Patient-Reported Outcomes Response Rates in the California Joint Replacement Registry." Journal of Arthroplasty 30, no. 12 (December 2015): 2071–75. http://dx.doi.org/10.1016/j.arth.2015.06.029.

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Heckmann, Nathanael, Hansel Ihn, Michael Stefl, Caryn D. Etkin, Bryan D. Springer, Daniel J. Berry, and Jay R. Lieberman. "Early Results From the American Joint Replacement Registry: A Comparison With Other National Registries." Journal of Arthroplasty 34, no. 7 (July 2019): S125—S134.e1. http://dx.doi.org/10.1016/j.arth.2018.12.027.

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Akhmedullin, Ruslan, Andrey Avdeyev, Valeriy Benberin, Nasrulla Shanazarov, Gulzada Bariyeva, Makhabbat Okesh, Makpal Akhmetova, and Tansolpan Aimanova. "PP36 Joint Replacement Under Computer Navigation And Robotic Systems." International Journal of Technology Assessment in Health Care 38, S1 (December 2022): S52. http://dx.doi.org/10.1017/s0266462322001787.

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IntroductionOsteoarthritis (OA) is a heterogeneous group of diseases of various etiologies based on the defeat of all components of the joint. OA is one of the main causes of disability in older people. To date, joint replacement is the most clinical and cost-effective method of the terminal stage treatment. The short and long-term success of total joint replacement is closely related to the accuracy of the prosthesis implantation. Published studies show that the accuracy of prosthesis implantation can be intraoperatively controlled by computed navigation and robotic systems better than by traditional methods.MethodsIn order to assess the clinical effectiveness of the technologies, we have conducted a literature search in the MEDLINE database. We included studies that reported a comparison of outcomes between conventional methods, computer navigation and robot-assisted surgery.ResultsThe results of this literature review are based on six systematic reviews with meta-analyses (101 studies representing 482,367 cases) and one national joint replacement registry. The outcomes compared included Knee Society Score (KSS)-function, alignment correction, mechanical axis (varus and vagus deviance >3°), prosthesis positioning, soft tissues balancing and functional outcomes. Thus, the cumulative success rate in the computed navigation and robotic systems group was reported to be 86.7 percent, which is crucial considering its lowered rate of revision (3%), correct mechanical axis (≤3%) and functional status.ConclusionsThe literature review demonstrates a high potential of the computed navigation and robotics systems in the intraoperative monitoring of important surgical parameters for achieving the best intervention outcomes. All the clinical endpoints were significantly better by comparison with conventional method.
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Lekkas, Christina, Richard Clarnette, Stephen E. Graves, Sophia Rainbird, David Parker, Michelle Lorimer, Roger Paterson, et al. "Feasibility of establishing an Australian ACL registry: a pilot study by the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR)." Knee Surgery, Sports Traumatology, Arthroscopy 25, no. 5 (February 14, 2017): 1510–16. http://dx.doi.org/10.1007/s00167-016-4398-1.

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Mcbride, Andrew, Richard Page, Mark Ross, and Fraser Taylor. "Shoulder Joint Arthroplasty in Young Patients: Analysis of 8742 Patients from the Australian Orthopaedic Association National Joint Replacement Registry." Journal of Shoulder and Elbow Surgery 30, no. 7 (July 2021): e419. http://dx.doi.org/10.1016/j.jse.2021.03.008.

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Porter, Martyn, Richard Armstrong, Peter Howard, Matthew Porteous, and J. Mark Wilkinson. "Orthopaedic registries – the UK view (National Joint Registry): impact on practice." EFORT Open Reviews 4, no. 6 (June 2019): 377–90. http://dx.doi.org/10.1302/2058-5241.4.180084.

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The National Joint Registry (NJR) was established in 2002 as the result of an unexpectedly high failure rate of a cemented total hip replacement. Initial compliance with the Registry was low until data entry was mandated. Current case ascertainment is approximately 95% for primary procedures and 90% for revision procedures. The NJR links to other data sources to enrich the reporting processes. The NJR provides several web-based and open-access reports to the public and detailed confidential performance reports to individual surgeons, hospitals and industry bodies. A transparency and accountability process ensures that device and surgical performance are actively monitored on a six-monthly basis, and adverse variation is dealt with in an appropriate way that underpins patient safety. The NJR also manages a comprehensive research-ready database and data protection compliant access system that enables external researchers to use the dataset and perform independent analyses for patient benefit. Moving forwards, the NJR intends to look at factors that lead to better outcomes so that good practice can be embedded into routine care. Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180084
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Huang, Tianlong, Wanchun Wang, Daniel George, Xinzhan Mao, and Stephen Graves. "What can we learn from Australian Orthopaedic Association National Joint Replacement Registry 2016 annual report?" Annals of Joint 2 (April 22, 2017): 11. http://dx.doi.org/10.21037/aoj.2017.02.01.

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Carothers, Joshua T., Richard E. White, Krishna R. Tripuraneni, Mohammad W. Hattab, and Michael J. Archibeck. "Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience." Clinical Orthopaedics and Related Research® 471, no. 2 (September 5, 2012): 537–43. http://dx.doi.org/10.1007/s11999-012-2541-y.

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Markel, David C., Mark W. Allen, and Nicole M. Zappa. "Can an Arthroplasty Registry Help Decrease Transfusions in Primary Total Joint Replacement? A Quality Initiative." Clinical Orthopaedics and Related Research® 474, no. 1 (July 28, 2015): 126–31. http://dx.doi.org/10.1007/s11999-015-4470-z.

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