Orthopaedic registries with patient-reported outcome measures

[摘要] Traditionally, revision surgery was the endpoint reported by joint arthroplasty registries. Since data collection began in 1975 and 1979 in the Swedish Knee and Hip Arthroplasty Registers (SKAR, SHAR), respectively, significant strides have been made in reducing revision rates.1,2 This improvement was initially related to refinement of implant selection, but as the different types of data being captured expanded, the importance of other factors on early revision risk such as age, sex, fixation strategy and surgical technique became apparent.1 Total joint arthroplasty is performed to decrease pain, restore function and productivity and improve quality of life (QoL). It is, therefore, logical to measure these same outcomes when assessing the results of surgery. Revision itself as an endpoint is rather straightforward, but it is likely insufficient as a measure of success given the fact that one-year implant survivorship is nearly 100%, while only 80% of total knee arthroplasty (TKA) patients and 90% of total hip arthroplasty (THA) patients are satisfied one year following surgery.1-4 Therefore, it makes sense to move beyond simply survival and measure outcomes that are relevant to patients – relief of pain, restoration of function and improvement in QoL.

[学科分类] 神经科学

[关键词] patient-reported outcome;patient-reported outcome measure;joint registry;hip arthroplasty;knee arthroplasty