Joint registries as continuous surveillance systems: the experience of the Catalan Arthroplasty Register (RACat).
The aim was to present results on prosthesis performance in Catalonia for the period 2005-2010. All publicly funded hospitals submit in an electronic format data on hip and knee arthroplasties: patients' insurance identification number, hospital, joint (hip/knee), type of arthroplasty (primary/revision), side (right/left), date of surgery and prosthesis (manufacturer name and catalogue number). A standard survival analysis based on Kaplan-Meier estimation was carried out. Fifty-two hospitals have sent information to the RACat which has data on 36,951 knee and 26,477 hip arthroplasties. Cumulative prostheses revision risks at 3 years were 3.3% (95% CI: 3.1-3.6) for knee, 2.9% (95% CI: 2.5-3.3) for total hip and 2.5% (95% CI: 2.0-3.1) for partial hip. When compared to other registries a higher risk of revision was observed.
Department of Health, Catalan Agency for Quality and Healthcare Assessment; Catalan Health Service, Barcelona, Spain; Àmbit d'Atenció Primària Costa de Ponent, Catalan Institute of Health, l'Hospitalet de Llobregat, Spain; Red de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Valencia, Spain.
Alejandro
A
Allepuz
Department of Health, Catalan Agency for Quality and Healthcare Assessment; Catalan Health Service, Barcelona, Spain.
Olga
O
Martínez
Department of Health, Catalan Agency for Quality and Healthcare Assessment; Catalan Health Service, Barcelona, Spain; Red de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Valencia, Spain.
Cristian
C
Tebé
Hospital Universitari de la Vall d'Hebron, Barcelona, Spain.
Joan
J
Nardi
Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Catalonia, Spain.
Frederic
F
Portabella
Department of Health, Catalan Agency for Quality and Healthcare Assessment; Catalan Health Service, Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain.
Mireia
M
Espallargues
D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000706:statistics & numerical data*; D019645:Arthroplasty, Replacement, Knee / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012042:Registries; D012086:Reoperation / Q000706:statistics & numerical data; D013030:Spain / Q000453:epidemiology
hip arthroplasty; knee arthroplasty; outcomes assessment; registries