The Trent regional arthroplasty study. Experiences with a hip register.
We have assessed the usefulness of a regional hip register in the assessment of the outcome of primary total hip replacement (THR). Over 97% of THRs performed in the Trent region in 1990 were captured onto the register and the inaccuracies recorded were less than 1.8%. In an independent assessment of 2111 patients five years after THR, 85.9% of those available for assessment responded, and 66.8% agreed to an assessment. The cost of this independent assessment at five years, utilising a regional hip register, was approximately ł50 per implant. This is a reasonable outlay to identify problems early. Some form of registration and outcome assessment should be performed on a national level.
Fender
D
D
University of Leicester, England, UK.
Harper
W M
WM
Gregg
P J
PJ
D019644:Arthroplasty, Replacement, Hip / Q000592:standards / Q000706:statistics & numerical data; D019645:Arthroplasty, Replacement, Knee / Q000592:standards / Q000706:statistics & numerical data; D002423:Cause of Death; D015331:Cohort Studies; D003365:Costs and Cost Analysis; D019992:Databases as Topic; D004739:England; D005500:Follow-Up Studies; D017721:Hospital Costs; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000191:economics / Q000706:statistics & numerical data; D012042:Registries; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome