Joint replacement registry

Last updated

A joint replacement registry is a system of collecting information of arthroplasty outcomes at a population (often national) level, in order to provide an evidence-base for safe and effective treatment options.

Contents

Background

The UK registry, the NJR, was set up as recommendation of a Royal College of Surgeons of England review into the high-profile failure of the 3M Capital Hip. [1]

Information collected

Registers collect information on a combination of hip replacements, knee replacements (both total and unicompartmental), shoulder replacements, ankle replacements and elbow replacements. Some countries exclude hemiarthroplasties done for traumatic hip fractures.

Initially designed only to record surgeon and implant performance, the main outcome collected was implant failure, however recently patient-reported outcome measures are being added.

Research

Given the amount of information stored, the data from many of the registries is used as the basis of scientific papers, for example on the metal-on-metal hip controversy. [2]

Worldwide registries

There are currently 31 national members of the International Society of Arthroplasty Registers (ISAR). [3] In addition, in the United States, there are 10 regional or private registries collecting data.

CountryTypeYear startedName
UKNational2003 NJR
ScotlandNational SAP
IrelandNational2014 INOR
ItalyNational RIPO
PortugalNational2009 RPA
RomaniaNational2001 RNE
GermanyNational2012 EPRD
EgyptNational2007 ECAR
AustraliaNational1999 AOANJRR
JapanNational2002 JAR
SwedenNational1975 SKAR
SwedenNational1979 SHAR
CanadaNational2003 CJRR
The NetherlandsNational2007 LROI
SlovakiaNational1926 SAR
New ZealandNational1999 NZJR
DenmarkNational1997 DHR
NorwayNational1994 NAR
FinlandNational1980
IranNational2016 IJR [4]
United States National 2012 AJRR
Regional CJRR
Private2001 KPTJRR

References

  1. "RCS 3M report" (PDF). Retrieved 24 August 2014.
  2. Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW, National Joint Registry of England and Wales (Mar 2012). "Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales". Lancet. 379 (9822): 1199–204. doi:10.1016/S0140-6736(12)60353-5. PMID   22417410.
  3. "ISAR directory" . Retrieved 24 August 2014.
  4. Aslani, Hamidreza; Nourbakhsh, Seyed Taghi; Lahiji, Farivar A.; Heydarian, Keykavoos; Jabalameli, Mahmood; Ghazavi, Mohammad Taghi; Tahmasebi, Mohammad Naghi; Fayyaz, Mahmoud Reza; Sazegari, Mohammad Ali (April 2016). "Iranian Joint Registry (Iranian National Hip and Knee Arthroplasty Registry)". The Archives of Bone and Joint Surgery. 4 (2): 192–196. ISSN   2345-4644. PMC   4852051 . PMID   27200403.