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

Research output: Contribution to journalArticle

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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; Furnes, Ove; Hallan, Geir; Mäkelä, Keijo; de Steiger, Richard; Porter, Martyn; Overgaard, Søren.

In: EFORT open reviews, Vol. 4, No. 6, 2019, p. 368-376.

Research output: Contribution to journalArticle

Harvard

Varnum, C, Pedersen, AB, Rolfson, O, Rogmark, C, Furnes, O, Hallan, G, Mäkelä, K, de Steiger, R, Porter, M & Overgaard, S 2019, 'Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future', EFORT open reviews, vol. 4, no. 6, pp. 368-376. https://doi.org/10.1302/2058-5241.4.180091

APA

Varnum, C., Pedersen, A. B., Rolfson, O., Rogmark, C., Furnes, O., Hallan, G., ... Overgaard, S. (2019). Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future. EFORT open reviews, 4(6), 368-376. https://doi.org/10.1302/2058-5241.4.180091

CBE

Varnum C, Pedersen AB, Rolfson O, Rogmark C, Furnes O, Hallan G, Mäkelä K, de Steiger R, Porter M, Overgaard S. 2019. Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future. EFORT open reviews. 4(6):368-376. https://doi.org/10.1302/2058-5241.4.180091

MLA

Vancouver

Author

Varnum, Claus ; Pedersen, Alma Bečić ; Rolfson, Ola ; Rogmark, Cecilia ; Furnes, Ove ; Hallan, Geir ; Mäkelä, Keijo ; de Steiger, Richard ; Porter, Martyn ; Overgaard, Søren. / Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future. In: EFORT open reviews. 2019 ; Vol. 4, No. 6. pp. 368-376.

RIS

TY - JOUR

T1 - Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future

AU - Varnum, Claus

AU - Pedersen, Alma Bečić

AU - Rolfson, Ola

AU - Rogmark, Cecilia

AU - Furnes, Ove

AU - Hallan, Geir

AU - Mäkelä, Keijo

AU - de Steiger, Richard

AU - Porter, Martyn

AU - Overgaard, Søren

PY - 2019

Y1 - 2019

N2 - □ 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.

AB - □ 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.

KW - Bleeding

KW - Outlier

KW - Prosthetic survival

KW - Register

KW - Stakeholders

KW - Surgeon feedback

KW - Thromboprophylaxis

KW - Total hip arthroplasty

U2 - 10.1302/2058-5241.4.180091

DO - 10.1302/2058-5241.4.180091

M3 - Article

VL - 4

SP - 368

EP - 376

JO - EFORT open reviews

JF - EFORT open reviews

SN - 2058-5241

IS - 6

ER -