<p>The Danish Multidisciplinary Hip Fracture Registry 13-Year Results from a Population-Based Cohort of Hip Fracture Patients</p>

Abstract

Aim of the Registry: The aim of the Danish Multidisciplinary Hip Fracture Registry (DMHFR) is to collect data on processes of treatment, nursing care and rehabilitation as well as outcomes for patients with hip fracture in Denmark, and thereby monitor and improve the quality. Study Population: Hip fracture patients at age 65 or older that have undergone surgery with arthroplasty or internal fixation since 2004. Main Variables: DMHFR collects quality indicators and descriptive variables. Quality indicators include eight process performance measures within treatment, nursing care and rehabilitation, reflecting recommendations from the national clinical guideline for hip fracture patients, and three outcome measures including survival within 30-days, unplanned acute readmission within 30 days and reoperation within 2 years. Descriptive variables include a number of patient-and surgery-related characteristics. All data are collected prospectively. Results: By the end of 2018, the DMHFR included 86,438 hip fracture patients. Since 2006, all hospital departments in Denmark, treating patients with hip fracture, have reported improvement in quality of care and improvement in survival, and reoperation over time as well as high completeness of variables registration. Conclusion: The DMHFR is a well-established nationwide clinical registry, which plays a key role for monitoring and improving hip fracture care in Denmark. The registry can further be linked to a range of other nationwide registries in order to answer a number of relevant clinical research questions.

<p>The Positive Predictive Value of Hip Fracture Diagnoses and Surgical Procedure Codes in the Danish Multidisciplinary Hip Fracture Registry and the Danish National Patient Registry</p>

“…The DMHFR is a nationwide clinical-quality database on hip fracture patients aged 65 years or above. 11 The DMHFR was established in 2003 with the aim of monitoring and improving the treatment and care of hip fracture patients. All Danish hospitals treating hip fracture patients report data to the DMHFR on a number of selected quality indicators, as well as pre-, peri-and postoperative clinical data.…”

“…9,10 The nationwide clinical quality database The Danish Multidisciplinary Hip Fracture Registry (DMHFR) was established in 2003. 11 Since 2010, data on diagnoses and procedures have been directly transferred from the Danish National Patient Registry (DNPR) to the DMHFR. Clinical data are prospectively and routinely collected, giving the opportunity to perform epidemiological studies on incidence, risk factors and prognosis of hip fracture patients, answering clinical questions that are not easily addressed by randomized clinical trials.…”

The association between initial opioid type and long-term opioid use after hip fracture surgery in elderly opioid-naïve patients

“…This population-based cohort study was conducted in Denmark (source population aged ≥65∼1.07 million in 2015 [15]), using prospectively collected data from a nationwide clinical quality database [16] and administrative data from national health registries, which cover all contacts to the health-care sector [17]. Universal healthcare for all Danish citizens is tax-supported and free [18].…”

“…The Danish Multidisciplinary Hip Fracture Registry is a nationwide clinical registry of population-based pre-, peri-, and postoperative data on all patients aged 65 or more who underwent surgical treatment (osteosynthesis or total/partial hip replacement) for a primary hip fracture (fracture of femoral neck, per-, or sub-trochanter fracture) in Denmark since 2003 (Table E1.1) [16]. Between 2004 and 2010, the registry was based on an online independent registration system, but since 2010, the registry uses data directly reported to DNPR.…”

“…The primary data source in the present study is the Danish Multidisciplinary Hip Fracture Registry. Although majority of clinical data is pooled from DNPR, this is recommended by clinicians and The Danish Clinical Quality Program, National Clinical Registries in order to maintain and further improve the continuously registration of codes specifically established for this database in the DNPR [16]. However, not all data are available in this database e.g.…”