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中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (06) : 834 -841. doi: 10.3877/cma.j.issn.1674-134X.2023.06.011

综述

人工关节置换登记系统的研究进展
林文, 王雨萱, 许嘉悦, 王矜群, 王睿娜, 何董源, 樊沛()   
  1. 325000 温州医科大学
    325000 温州医科大学;325000 温州医科大学附属第二医院骨科
  • 收稿日期:2023-01-05 出版日期:2023-12-01
  • 通信作者: 樊沛

Research progress of artificial joint replacement registry

Wen Lin, Yuxuan Wang, Jiayue Xu, Jinqun Wang, Ruina Wang, Dongyuan He, Pei Fan()   

  1. Wenzhou Medical University, Wenzhou 325000, China
    Wenzhou Medical University, Wenzhou 325000, China; Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, China
  • Received:2023-01-05 Published:2023-12-01
  • Corresponding author: Pei Fan
引用本文:

林文, 王雨萱, 许嘉悦, 王矜群, 王睿娜, 何董源, 樊沛. 人工关节置换登记系统的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 834-841.

Wen Lin, Yuxuan Wang, Jiayue Xu, Jinqun Wang, Ruina Wang, Dongyuan He, Pei Fan. Research progress of artificial joint replacement registry[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(06): 834-841.

关节置换登记已被证明是关节置换手术后结果评估的有力工具。目前世界上不少国家已经建立起较为完备的人工关节置换登记系统,通过对患者的术前资料、手术情况、术后疗效以及后期的随访进行详细登记,获取国民的流行病学资料,分析影响关节置换疗效的相关因素,以减少翻修率,提高治疗质量。然而我国至今尚未建立完善的全国性人工关节置换登记系统。本综述介绍了世界上主要的关节置换登记系统的建立、发展及功能,以期能够为我国建立全国性的关节置换登记系统提供参考。

Joint replacement registries have been demonstrated to be a potent tool for the outcome evaluation after joint replacement surgeries. Until now, many countries in the world have established relatively complete artificial joint replacement registries. These systems register the patients’ preoperative data, surgical conditions, postoperative effects, and follow-up in detail, through which the national epidemiological data are obtained and risk factors for revision are analyzed so as to reduce the revision rate while improve the quality of treatment. However, China has not yet built a decent artificial joint replacement registration and follow-up system on national scales. This review introduced the establishment, development and functions of the major joint replacement registries in the world, with the expectation to provide a reference for the establishment of a Chinese national joint replacement registry.

图1 文献检索策略流程图
表1 各国家关节置换登记处简况
登记处 建立时间 国家 建立的机构 年手术例数 手术总例数 数据内容 涉及的手术类型 数据来源和收集方法
SHAR 2021年由瑞典膝、髋关节置换登记处合并 瑞典 瑞典地方当局和地区协会,瑞典骨科协会 约37 129例(2021) 约961 566例(2021) 患者报告结果,患者人口统计数据、预防、诊断指征、植入物信息、手术技术、手术日期、翻修等 膝关节置换术、截骨术,全髋、半髋关节置换术,膝关节 医疗保健专业人员收集:患者问卷调查,医疗记录、人口登记册和瑞典骨折登记册数据
AOANJRR 1998年 澳大利亚 澳大利亚骨科协会、澳大利亚联邦政府 约119 620例(髋49 169例,膝62 624例,肩7 827例)(2020) 超过170万例(2020) 患者详细信息,手术细节,假体详细信息、骨移植或其他增强物的使用以及三维打印设备等,死亡、住院时间、合并症等 全髋、全膝、肩、踝、肘、腕关节置换术,及椎间盘置换术 登记处数据保管人、外科医生自愿贡献。由医院以特定纸质表格提交,由登记处转为数据输入
NJR 2002年 英格兰,威尔士,北爱尔兰,马恩岛,根西岛 英国监管机构、国家卫生服务局、国家医疗服务改进局和护理质量委员会 约169 827例(膝77 830例、髋84 998例、肩5 529例,踝710例,肘760例)(2021) 300多万例(膝130多万例、髋120万例、肩5万例、踝7 000例,肘5 000例) 患者详细信息,手术技术细节,植入物详细信息,死亡日期、术后6个月PROMs,合并症等 膝、髋、肩、踝、肘关节置换术 包含最小数据集的NJR表格在外科手术时完成。医院内整理,经NJR网站门户上传
NARA 2007年 瑞典,挪威,丹麦,芬兰 瑞典髋、膝关节置换登记处,芬兰、挪威关节置换登记处,丹麦髋、膝关节置换登记处 髋关节置换术的25个变量,膝关节置换术的20个变量和肩关节置换术的20个变量 髋、膝、肩关节置换术 自1995年以来挪威、丹麦、瑞典和芬兰的所有主要髋、膝和肩关节置换术,自1997年以来的膝关节手术以及自2004年以来的肩关节手术
AJRR 2010年 美国 AAOS,骨科领域利益相关者 超过50万例(2022) 超过300万例(2022) 患者信息,服务地点,医生,手术详细信息,患者风险因素,术后并发症,PROMs等 髋、膝、踝关节置换术,髋关节骨折,踝关节肿瘤
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