The German Arthroplasty Register

Rp, Pitto; Lang, Iain; Kienapfel, H.; Hg, Willert

doi:10.1080/000164702760379521

Cited by 26 publications

(13 citation statements)

References 4 publications

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“…National or local arthroplasty registries have been set up in many countries such as Sweden, Finland, Norway, Denmark, Germany, Canada, New Zealand, Australia, England, and many other countries. 8,12,13,27,38,39,43,48,49 To determine whether randomised trials can be replaced by register studies, Garellick et al 9 compared the long-term survival results of a randomised and prospective study of 2 different hip implants with the results of the same implants obtained from the Swedish National Hip Registry. The authors concluded that despite the enormous amount of data, there are drawbacks, and registries can never replace a prospective, randomised trial.…”

Section: Methodsmentioning

confidence: 99%

Review Article: Cemented or Uncemented Femoral Component in Primary Total Hip Replacement? A Review from a Clinical and Radiological Perspective

Chiu

et al. 2005

J Orthop Surg (Hong Kong)

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Section: Methodsmentioning

confidence: 99%

Review Article: Cemented or Uncemented Femoral Component in Primary Total Hip Replacement? A Review from a Clinical and Radiological Perspective

Chiu

et al. 2005

J Orthop Surg (Hong Kong)

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“…Einige Kliniken begannen auf freiwilliger Basis, Daten zu sammeln und auszuwerten. Fehlende Unterstützung, auch finanzieller Art, brachten dieses Projekt 2004 zum Erliegen [33]. Eine Zusammenführung der Daten zur Primärimplantation und zum Wechsel konnte damals ebenso wenig erreicht werden wie eine detaillierte Dokumentation der verwendeten Prothesenteile.…”

Section: Aktuelle Qualitätssicherung In Der Endoprothetikunclassified

Register als Werkzeug für mehr Endoprothesensicherheit

Hassenpflug

Liebs

2014

Bundesgesundheitsbl.

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There has previously been no structured long-term documentation of the results of hip and knee prosthesis operations in Germany. This article presents the objectives, structure and data flow of the newly established German arthroplasty registry (EPRD). The EPRD is run as a subdivision of the German Society for Orthopedics and Orthopedic Surgery (Deutsche Gesellschaft für Orthopädie und orthopädische Chirurgie, DGOOC). It is dedicated to scientific principles and guarantees independency and immediate feedback to surgeons. The cooperation between insurance funds, hospitals, industry and scientific society is the key to success. Additional data acquisition and bureaucratic formalities are limited to a minimum and in particular there is no use of paper. Involving the health insurance funds provides access to relevant routine data. The implant documentation is facilitated by means of an implant library and barcode scanning in the operating room. The EPRD documents the survival of implants including the reasons for revision. Although the highest level of patient data protection is guaranteed, individual patients can be identified in case of implant recalls.

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“…Nachteilig wirkten sich sicher neben dem Verfahren der Datenerhebung mittels Papierformularen (Postweg, Übertragung von Hand) auch die Schwierigkeiten bei der Zuordnung von Erst-und Revisionseingriff aus. So war beispielsweise bei 95% der Revisionseingriffe in der Hüftendoprothe-tik die Erstimplantation entweder (zeitlich) vor oder (räumlich) außerhalb des erfassten Bereichs erfolgt [10]. …”

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“…Der Qualitätsreport der Bundesgeschäftsstelle Qualitätssicherung weist für das Jahr 2007 folgende Zahlen aus (jeweils gerundet): 152.000 Erstimplantationen von Hüft-Endoprothesen, 22.000 Wechseleingriffe bei Hüft-Endoprothesen, 136.000 Erstimplantationen von Knie-Totalendoprothesen und 10.000 Wechseleingriffe bei Knie-Totalendoprothesen [3]. Auch bei modernen Komponenten kann es zu ihrem vorzeitigen Versagen kommen, was für den betroffenen Patienten aufgrund der Risiken eines Revisionseingriffs und der Verschlechterung der Ausgangslage für eine spätere Wechseloperation erhebliche Konsequenzen haben kann.…”

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Endoprothesenregister und deren Beitrag zur Sicherheit der Patientenversorgung mit Gelenkimplantaten

Heinz

2009

Bundesgesundheitsbl.

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The aims of a nationwide German arthroplasty registry are to contribute to continuous design improvement of implants by monitoring their long-term performance, to inform the public of the quality of the components used, and to form a database for further research in the field of epidemiology or the development of new devices and patient care concepts. A registry can in this way serve as an addition to the existing vigilance system and can help to further minimize risks for patients with respect to design weakness or inferiority. As a contribution to the safety of patient care, the establishment of a German arthroplasty registry is welcomed.

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The German Arthroplasty Register

Cited by 26 publications

References 4 publications

Review Article: Cemented or Uncemented Femoral Component in Primary Total Hip Replacement? A Review from a Clinical and Radiological Perspective

Review Article: Cemented or Uncemented Femoral Component in Primary Total Hip Replacement? A Review from a Clinical and Radiological Perspective

Register als Werkzeug für mehr Endoprothesensicherheit

Endoprothesenregister und deren Beitrag zur Sicherheit der Patientenversorgung mit Gelenkimplantaten

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