Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ
Abstract While the value of national arthroplasty registries (NAR) for quality improvement in total hip arthroplasty (THA) has already been widely reported, some methodological limitations associated with observational epidemiological studies that may interfere with the assessment of safety and efficacy of prosthetic implants have recently been described in the literature. Among the main limitations of NAR, the need for at least 80% compliance of all health institutions covered by the registry is emphasized; completeness equal or greater than 90% of all THA performed; restricted data collection; use of revision surgery as the sole criterion for outcome; and the inability of establishing a definite causal link with prosthetic dysfunction. The present article evaluates the advantages and limitations of NAR, in the light of current knowledge, which point to the need for a broader data collection and the use of more structured criteria for defining outcomes. In this scenario, the authors describe of idealization, conceptual and operational structure, and the project of implantation and implementation of a multicenter registry model, called Rempro-SBQ, which includes healthcare institutions already linked to the Brazilian Hip Society (Sociedade Brasileira de Quadril [SBQ]). This partnership enables the collection of more reliable and comprehensive data at a higher hierarchical level, with a significant reduction in maintenance and financing costs. The quality improvement actions supported by SBQ may enhance its effectiveness and stimulate greater adherence for collecting, storing, interpreting, and disseminating information (feedback).
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Sociedade Brasileira de Ortopedia e Traumatologia
2017
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oai:scielo:S0102-361620170007000032017-10-27Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQGomes,Luiz Sérgio MarcelinoRoos,Milton ValdomiroTakata,Edmilson TakehiroSchuroff,Ademir AntônioAlves,Sérgio DelmonteCamisa Júnior,AnteroMiranda,Ricardo Horta Arthroplasty, replacement, hip/surgery Arthroplasty, replacement, hip/complications Prosthesis failure Registries Abstract While the value of national arthroplasty registries (NAR) for quality improvement in total hip arthroplasty (THA) has already been widely reported, some methodological limitations associated with observational epidemiological studies that may interfere with the assessment of safety and efficacy of prosthetic implants have recently been described in the literature. Among the main limitations of NAR, the need for at least 80% compliance of all health institutions covered by the registry is emphasized; completeness equal or greater than 90% of all THA performed; restricted data collection; use of revision surgery as the sole criterion for outcome; and the inability of establishing a definite causal link with prosthetic dysfunction. The present article evaluates the advantages and limitations of NAR, in the light of current knowledge, which point to the need for a broader data collection and the use of more structured criteria for defining outcomes. In this scenario, the authors describe of idealization, conceptual and operational structure, and the project of implantation and implementation of a multicenter registry model, called Rempro-SBQ, which includes healthcare institutions already linked to the Brazilian Hip Society (Sociedade Brasileira de Quadril [SBQ]). This partnership enables the collection of more reliable and comprehensive data at a higher hierarchical level, with a significant reduction in maintenance and financing costs. The quality improvement actions supported by SBQ may enhance its effectiveness and stimulate greater adherence for collecting, storing, interpreting, and disseminating information (feedback).info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.52 suppl.1 20172017-01-01info:eu-repo/semantics/othertext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000700003en10.1016/j.rboe.2017.08.008 |
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Gomes,Luiz Sérgio Marcelino Roos,Milton Valdomiro Takata,Edmilson Takehiro Schuroff,Ademir Antônio Alves,Sérgio Delmonte Camisa Júnior,Antero Miranda,Ricardo Horta |
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Gomes,Luiz Sérgio Marcelino Roos,Milton Valdomiro Takata,Edmilson Takehiro Schuroff,Ademir Antônio Alves,Sérgio Delmonte Camisa Júnior,Antero Miranda,Ricardo Horta Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
author_facet |
Gomes,Luiz Sérgio Marcelino Roos,Milton Valdomiro Takata,Edmilson Takehiro Schuroff,Ademir Antônio Alves,Sérgio Delmonte Camisa Júnior,Antero Miranda,Ricardo Horta |
author_sort |
Gomes,Luiz Sérgio Marcelino |
title |
Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
title_short |
Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
title_full |
Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
title_fullStr |
Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
title_full_unstemmed |
Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ |
title_sort |
advantages and limitations of national arthroplasty registries. the need for multicenter registries: the rempro-sbq |
description |
Abstract While the value of national arthroplasty registries (NAR) for quality improvement in total hip arthroplasty (THA) has already been widely reported, some methodological limitations associated with observational epidemiological studies that may interfere with the assessment of safety and efficacy of prosthetic implants have recently been described in the literature. Among the main limitations of NAR, the need for at least 80% compliance of all health institutions covered by the registry is emphasized; completeness equal or greater than 90% of all THA performed; restricted data collection; use of revision surgery as the sole criterion for outcome; and the inability of establishing a definite causal link with prosthetic dysfunction. The present article evaluates the advantages and limitations of NAR, in the light of current knowledge, which point to the need for a broader data collection and the use of more structured criteria for defining outcomes. In this scenario, the authors describe of idealization, conceptual and operational structure, and the project of implantation and implementation of a multicenter registry model, called Rempro-SBQ, which includes healthcare institutions already linked to the Brazilian Hip Society (Sociedade Brasileira de Quadril [SBQ]). This partnership enables the collection of more reliable and comprehensive data at a higher hierarchical level, with a significant reduction in maintenance and financing costs. The quality improvement actions supported by SBQ may enhance its effectiveness and stimulate greater adherence for collecting, storing, interpreting, and disseminating information (feedback). |
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Sociedade Brasileira de Ortopedia e Traumatologia |
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2017 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162017000700003 |
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