Orthopaedic registries – the UK view (National Joint Registry): impact on practice

[摘要] The establishment of total hip arthroplasty (THA) registers started in the Scandinavian countries in 1979.1 Later on, several countries outside Scandinavia followed with the establishment of nationwide or regional THA registers. The aim of the registers was to collect patient- and surgeryrelated data to influence surgeons’ choice of implants, fixation method, patient selection and peri-operative management and to improve the outcome after THA. This impact of the registers on orthopaedic practice can be obtained by open access transparent publication of results in scientific journals and annual reports, discussion of results and the role of registers at meeting in the orthopaedic community, feedback mechanisms to the hospitals and regulatory bodies and so on. The impact of registers may be evaluated by measuring the influence on mortality, quality of care including patient safety (complications) and effectiveness (adherence to clinical guidelines), healthcare utilization and healthcare costs.

[学科分类] 神经科学

[关键词] joint replacement;outcomes;patient safety;quality improvement;registry