A comparison of the minimum data sets for primary shoulder arthroplasty between national shoulder arthroplasty registries. Is international harmonization feasible?

Abstract

The aims of this study were to identify the common components of the Minimum Data Set (MDS) of current national shoulder arthroplasty registries that could be pooled for analysis; and to determine whether further harmonisation of data collection across these registries would be feasible. Copies of primary shoulder arthroplasty MDS forms, annual reports, and other publications from national shoulder arthroplasty registries were identified using internet search engines up to November 2016. Data relating to local or regional registries was excluded. There were nine national shoulder arthroplasty registries reporting a total of 97,388 primary shoulder replacements. All minimum data sets included patient identifiers, date of surgery, implant identification, laterality of surgery, indication and mode of implant fixation. At least 6 registries had common options within the categories of indication, implant fixation and previous operations. Most discrepancies were seen in categories for additional interventions, outcome measures, and intraoperative complications. As numbers within individual registries are relatively small, international collaboration would harness the global strength of knowledge and experience in shoulder replacement. Several similarities were identified between the current national registries that could become unified with only minor changes by a few registries, highlighting the potential feasibility of MDS harmonisat.

Revision Shoulder Hemiarthroplasty and Total Shoulder Arthroplasty A Systematic Review and Meta-Analysis

“…None of the nine national joint registries which include outcomes for shoulder arthroplasty currently report on patient reported outcomes or survivorship of revision implants. 27 …”

“…The data for hemiarthroplasty is taken from Sassoon et al 22 The data for TSA at 1 year is reported by Bartels et al, and 10 year data were extracted from Aibinder et al 12,13 None of the nine national joint registries which include outcomes for shoulder arthroplasty currently report on patient reported outcomes or survivorship of revision implants. 27…”

Anatomical shoulder replacements in young patients: A systematic review and meta-analysis

“…Of the nine national joint registries reporting outcomes in shoulder arthroplasty, only the Australian registry contains survivorship outcomes stratified by age, implant type and implant indication. 8 , 34 A further article reported on outcomes from the Danish Joint Registry, however these data were not included in the meta-analysis due to an absence of confidence intervals. 29 Survivorship was reported separately for several different age groups and implant types in the Australian National Joint Registry.…”

“…Nine national joint registries report on shoulder replacements, annual reports were reviewed for outcome data stratified by age. 8 …”

Revision der anatomischen Schulterprothese

“…Ein wichtiger Schritt ist hier die Aufnahme der Standzeiten und Erfassung der klinischen Ergebnisse der Revisionsprothetik in den Prothesenregistern. Keines der neun nationalen Prothesenregister mit ihren Ergebnissen und Standzeiten für die Primärprothetik, erfasst im Moment das Outcome in der Revisionsendoprothetik [ 3 ]. Des Weiteren sollte man die Unterschiede zwischen Nordamerika und Europa in Betracht ziehen.…”