Knee registries: state of the art

Ner, Eran Beit; Nakamura, Norimasa; Lattermann, Christian; McNicholas, Michael

doi:10.1136/jisakos-2021-000625

Cited by 7 publications

(4 citation statements)

References 46 publications

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“…The present analysis needs to consider the particularly frequent inconsistences in collected data and reporting, as well as the issue of selection bias, which are both problematic. 6 Due to inconsistencies in data collection and implausible data entries, 1017 of the initial 6305 data entries had to be excluded from further analysis. In several cases, regrouping was necessary because they were initially classified under BMS but upon further examination it was found that collagen gel was used, which should have been indicated in a free-text field.…”

Section: Limitationsmentioning

confidence: 99%

Factors Affecting Choice of Surgical Treatment of Cartilage Lesions of the Knee: An Analysis of Data From 5143 Patients From the German Cartilage Registry (KnorpelRegister DGOU)

Gebhardt,

Vollmer,

Zimmerer

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Symptomatic full-thickness cartilage lesions of the knee joint are considered an indication for cartilage repair surgery. Patient- and lesion-specific factors like age, nutritional status, etiology of defect, or integrity of corresponding joint surface remain controversial in indicating cartilage repair surgery. Furthermore, the selection of the most suitable cartilage repair technique for a specific cartilage lesion remains debatable. Purpose: To evaluate indications and choice of treatment method for cartilage repair surgery, depending on patient- and lesion-specific data from the German Cartilage Registry. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 6305 consecutive patients who underwent cartilage repair surgery of the knee evaluated and 5143 complete datasets were included in the analysis (follow-up rate, 81.5%). Patient-specific (age, body mass index, smoking status, previous operations, clinical leg axis) and lesion-specific (size, grading, location, etiology) data were provided by the attending surgeon at the time of surgery. Appropriate statistical tests were used to compare data depending on type and normality of data. Multivariable logistic regressions were calculated to investigate independent factors for the choice of specific cartilage repair techniques. Results: The median size of treated cartilage lesions was 3.6 cm2, and most defects were of degenerative origin (54.8%). Of the registered patients, 39.2% were categorized as overweight and 19.6% as obese, while 23.3% were smokers. The most prevalently documented operative techniques were the autologous chondrocyte implantation (ACI) (52.4%), bone marrow stimulation (BMS) (17.3%), and BMS augmented with collagen scaffolds (9.3%). Independent factors that made the use of ACI more likely were bigger lesion size, previous surgery at the joint, and lesions located at the trochlea or the patella. On the contrary, BMS or augmented BMS were preferred in older patients, with damaged corresponding joint surface, and with more concomitant surgeries. Conclusion: Cartilage repair surgery was indicated irrespective of nutritional status, smoking status, or etiology of the treated lesion. ACI was the most prevalent technique and was preferred for younger patients and patellar lesions. While older patients with degenerative changes to the joint were not excluded from cartilage repair surgery, the use of ACI was restricted.

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Section: Limitationsmentioning

confidence: 99%

Factors Affecting Choice of Surgical Treatment of Cartilage Lesions of the Knee: An Analysis of Data From 5143 Patients From the German Cartilage Registry (KnorpelRegister DGOU)

Gebhardt,

Vollmer,

Zimmerer

et al. 2024

Orthopaedic Journal of Sports Medicine

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“…The need to use large databases in orthopaedic research remains, but I hope we can start to consider sources other than the NSQIP for better representation of the knee arthroplasty population. We can look to many excellent international arthroplasty registries as examples for how to do this better [7]. In the United States, the American Joint Replacement Registry (AJRR) is superior-at least in terms of larger representation-than the NSQIP.…”

Section: How Do We Get There?mentioning

confidence: 99%

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

Novicoff

2023

Clin Orthop Relat Res

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The author certifies that there are no funding or commercial associations (consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article related to the author or any immediate family members. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request. The opinions expressed are those of the writer, and do not reflect the opinion or policy of CORR ® or The Association of Bone and Joint Surgeons ® .

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“…Registers are supportive information systems that are critical to organizing patient data, providing regular care, and tracking patient health outcomes (21). These systems help provide better healthcare services to patients, assist managers in decision-making and planning, and facilitate health research (22). Various studies worldwide have emphasized the effective role of registry systems in alleviating and preventing poisoning (23,24).…”

Section: Introductionmentioning

confidence: 99%

Providing a Population Based Registry Model of Drug Poisoning in Iran

et al. 2022

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Background: The prevalence of drug poisoning is on the rise in Iran due to the increased public access to drugs. A national drug poisoning registry system is a suitable tool for better management, control, and prevention of drug poisoning. Objectives: This study aimed to propose a national drug poisoning registry model for Iran. Methods: This was an applied research conducted in two major phases. In the first phase, all sources pertaining to drug poisoning registries were reviewed, and a national drug poisoning registry model was proposed. In the second phase, this model was validated and finalized using a researcher-made questionnaire and through a two-stage Delphi technique. Results: The focus of national drug poisoning activities and registry management reached the 100% consensus of experts at the Drug and Poison Information Center of the Food and Drug Organization (Ministry of Health and Medical Education). Goals, data sources, registry system structure, data set, standards, data exchange, registry features, and processes of the proposed model also achieved unanimous expert consensus. Conclusions: Given the importance of a national drug poisoning registry in gathering, storing, analyzing, and reporting the data of patients, it is essential to provide a framework for evaluating and controlling drug poisoning and for generating valuable data for decision-making. The model proposed herein can offer the information infrastructure for designing and implementing such a system.

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Knee registries: state of the art

Cited by 7 publications

References 46 publications

Factors Affecting Choice of Surgical Treatment of Cartilage Lesions of the Knee: An Analysis of Data From 5143 Patients From the German Cartilage Registry (KnorpelRegister DGOU)

Factors Affecting Choice of Surgical Treatment of Cartilage Lesions of the Knee: An Analysis of Data From 5143 Patients From the German Cartilage Registry (KnorpelRegister DGOU)

CORR Insights®: Is Operative Time Associated With Obesity-related Outcomes in TKA?

Providing a Population Based Registry Model of Drug Poisoning in Iran

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