Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience
Adult
Aged, 80 and over
Male
Reoperation
Databases, Factual
Knee Joint
Arthroplasty, Replacement, Hip
Age Factors
Private Practice
Middle Aged
Risk Assessment
3. Good health
Radiography
03 medical and health sciences
0302 clinical medicine
Humans
Female
Hip Joint
Prospective Studies
Registries
Arthroplasty, Replacement, Knee
Aged
Follow-Up Studies
DOI:
10.1007/s11999-012-2541-y
Publication Date:
2012-09-04T15:50:15Z
AUTHORS (5)
ABSTRACT
In 1984, we developed a private practice joint replacement registry (JRR) to prospectively follow patients undergoing THA and TKA assess clinical radiographic outcomes, complications, implant survival. Little has been reported in the literature regarding management of this type database, it is unclear whether how information can be useful for addressing longer-term questions.We answered following questions: (1) What rate followup our JRR? (2) factors affect followup? (3) How successful JRR model capturing data what areas improvement are identified? And (4) costs associated with maintaining JRR?We collected on all 12,047 having primary since 1984. Clinical were at routine intervals entered into prospective database. We searched database collection compare effect patient variables followup. Costs related evaluated.Followup was poor every time interval after surgery, tendency worsening over time. Patients complication those younger than 70 years tended greater frequency. There difficulties capture substantial expenses managing database.Our findings highlight JRR. Followup often incomplete. Newer technologies that allow easier tracking facilitate may streamline process control costs.
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