Lessons Learned From Managing a Prospective, Private Practice Joint Replacement Registry: A 25-year Experience

• DOI: 10.1007/s11999-012-2541-y
• Publication Date: 2012-09-04T15:50:15Z
• Authors: Joshua T. Carothers; Richard E. White; Krishna R. Tripur...; Mohammad W. Hattab; Michael J. Archibeck
• Keywords: 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

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.