Joint replacement registry
A joint replacement registry is a system of collecting information of arthroplasty outcomes at a population (often national) level, in order to provide an evidence-base for safe and effective treatment options.
Background[edit]
The UK registry, the NJR, was set up as recommendation of a Royal College of Surgeons of England review into the high-profile failure of the 3M Capital Hip.[1]
Information collected[edit]
Registers collect information on a combination of hip replacements, knee replacements (both total and unicompartmental), shoulder replacements, ankle replacements and elbow replacements. Some countries exclude hemiarthroplasties done for traumatic hip fractures.
Initially designed only to record surgeon and implant performance, the main outcome collected was implant failure, however recently patient-reported outcome measures are being added.
Research[edit]
Given the amount of information stored, the data from many of the registries is used as the basis of scientific papers, for example on the metal-on-metal hip controversy.[2]
Worldwide registries[edit]
There are currently 31 national members of the International Society of Arthroplasty Registers (ISAR).[3] In addition, in the United States, there are 10 regional or private registries collecting data.
| Country | Type | Year started | Name |
|---|---|---|---|
| UK | National | 2003 | NJR |
| Scotland | National | SAP | |
| Ireland | National | 2014 | INOR |
| Italy | National | RIPO | |
| Portugal | National | 2009 | RPA |
| Romania | National | 2001 | RNE |
| Germany | National | EPRD | |
| Egypt | National | 2007 | ECAR |
| Australia | National | 1999 | AOANJRR |
| Japan | National | 2002 | JAR |
| Sweden | National | 1975 | SKAR |
| Sweden | National | 1979 | SHAR |
| Canada | National | 2003 | CJRR |
| The Netherlands | National | 2007 | LROI |
| Slovakia | National | 1926 | SAR |
| New Zealand | National | 1999 | NZJR |
| Denmark | National | 1997 | DHR |
| Norway | National | 1994 | NAR |
| Finland | National | 1980 | |
| Iran | National | 2016 | IJR[4] |
| United States | National | 2012 | AJRR |
| Regional | CJRR | ||
| Private | 2001 | KPTJRR |
References[edit]
- ^ "RCS 3M report" (PDF). Retrieved 24 August 2014.
- ^ Smith AJ, Dieppe P, Vernon K, Porter M, Blom AW, National Joint Registry of England and Wales (Mar 2012). "Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales". Lancet. 379 (9822): 1199–204. doi:10.1016/S0140-6736(12)60353-5. PMID 22417410.
- ^ "ISAR directory". Retrieved 24 August 2014.
- ^ Aslani, Hamidreza; Nourbakhsh, Seyed Taghi; Lahiji, Farivar A.; Heydarian, Keykavoos; Jabalameli, Mahmood; Ghazavi, Mohammad Taghi; Tahmasebi, Mohammad Naghi; Fayyaz, Mahmoud Reza; Sazegari, Mohammad Ali (April 2016). "Iranian Joint Registry (Iranian National Hip and Knee Arthroplasty Registry)". The Archives of Bone and Joint Surgery. 4 (2): 192–196. ISSN 2345-4644. PMC 4852051. PMID 27200403.