Research progress of artificial joint replacement registry

doi:10.3877/cma.j.issn.1674-134X.2023.06.011

Abstract

Abstract:

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.

Key words: Joints, Registries, Arthroplasty, replacement, joint prosthesis, review

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.

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References 46

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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	－

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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