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Registries

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Basic Methods Handbook for Clinical Orthopaedic Research

Abstract

The use of registries in orthopaedic surgery has evolved since the first one was created in the 1970s for arthroplasty surgery. Today they are used by many orthopaedic subspecialties and often include patient-reported outcome measures in addition to the traditional end point of revision surgery. The primary goals of these registries are to improve patient outcomes through detecting implants or surgical techniques with inferior results or early failures and to identify prognostic factors that may influence choice of treatment and outcome. By collecting a large amount of data and following outcomes over time, registries are an extremely valuable research tool that can lead to high-quality and potentially practice-changing studies. Annual reports provide feedback to surgeons, hospitals, government, and society as a whole and can also impart regional or surgeon-specific data. In designing an orthopaedic registry, one must be cognizant of the limitations and challenges to be overcome. Since the strength of a registry is based on the accuracy and completeness of the data, a high compliance rate is crucial and represents the greatest challenge. In the future, it is expected to see more international registry-based collaboration and the expansion of current surgical registries to include non-surgical patients.

This chapter will explore the expanding role of registries in orthopaedic surgery with a focus on why these databases are so important. It will include examples from the Norwegian Knee Ligament Register and tips on how to maximize the usefulness of a register.

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Author information

Authors and Affiliations

  1. Division of Orthopedics, Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

    R. Kyle Martin, Andreas Persson, Håvard Visnes & Lars Engebretsen

  2. Faculty of Medicine, University of Oslo, Oslo, Norway

    R. Kyle Martin & Lars Engebretsen

  3. Oslo Sports Trauma Research Center, The Norwegian School of Sport Sciences, Oslo, Norway

    R. Kyle Martin, Håvard Visnes & Lars Engebretsen

  4. The Norwegian Knee Ligament Registry, Orthopedic Department, Haukeland University Hospital, Bergen, Norway

    Andreas Persson & Håvard Visnes

  5. Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway

    Håvard Visnes

Authors
  1. R. Kyle Martin
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  2. Andreas Persson
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  3. Håvard Visnes
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  4. Lars Engebretsen
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Corresponding author

Correspondence to R. Kyle Martin .

Editor information

Editors and Affiliations

  1. UPMC Rooney Sports Complex, University of Pittsburgh, Pittsburgh, PA, USA

    Volker Musahl

  2. Department of Orthopaedics, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jón Karlsson

  3. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Laufen und Liestal), Bruderholz, Switzerland

    Michael T. Hirschmann

  4. McMaster University, Hamilton, ON, Canada

    Olufemi R. Ayeni

  5. Hospital for Special Surgery, New York, NY, USA

    Robert G. Marx

  6. Department of Orthopaedic Surgery, NorthShore University HealthSystem, Evanston, IL, USA

    Jason L. Koh

  7. Institute for Medical Science in Sports, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura

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Martin, R.K., Persson, A., Visnes, H., Engebretsen, L. (2019). Registries. In: Musahl, V., et al. Basic Methods Handbook for Clinical Orthopaedic Research. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58254-1_39

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  • DOI: https://doi.org/10.1007/978-3-662-58254-1_39

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58253-4

  • Online ISBN: 978-3-662-58254-1

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