title: The Swedish fracture register: 103,000 fractures registered.
abstract: BACKGROUND
  Although fractures consume large social and financial resources, little is known about their actual numbers, treatment methods or outcomes. The scarcity of data calls for a high-quality, population-based register. No previous registers have prospectively collected data and patient-reported outcome measures (PROMs) on fractures of all types. The Swedish Fracture Register was recently created to fill this gap in knowledge. Its purpose is to provide information on fractures of all types, whether treated by surgery or otherwise. The aim of this article is to describe how the register was developed and its current use.
  
  
  METHODS
  The Swedish Fracture Register was developed during a 4-year period, 2007-2010. Data collection started in 2011. The register currently collects data on all extremity, pelvic and spine fractures in adults who have been diagnosed or treated at the affiliated departments. Data entry is fully web based, including date, cause of injury, classification and treatment. It is performed by the attending physician. Patients fill out PROMs - EQ-5D-3L and the Short Musculoskeletal Function Assessment (SMFA) - relating to health status and level of functioning before the fracture and one year later. Surgeon-reported outcome measures are registered as reoperation rates. The Swedish Fracture Register is now functioning effectively and is used in clinical routine. From January 2011 to September 2015, more than 103,000 fractures have been entered at 26 Swedish orthopedic departments.
  
  
  CONCLUSIONS
  The Swedish Fracture Register is already a well-functioning, population-based fracture register that covers fractures of all types, regardless of treatment, and collects both surgeon- and patient-reported outcome measures. In the future the Swedish Fracture Register will be able to present both results of fracture treatment and valuable epidemiological data.
authors.affiliation: Department of Orthopedics, Sahlgrenska University Hospital Gothenburg/ Mölndal, SE-431 80, Mölndal, Sweden. david.wennergren@vgregion.se.
authors.forename: David
authors.initials: D
authors.lastname: Wennergren
authors.affiliation: Department of Orthopedics, Sahlgrenska University Hospital Gothenburg/ Mölndal, SE-431 80, Mölndal, Sweden. carl.ekholm@vgregion.se.
authors.forename: Carl
authors.initials: C
authors.lastname: Ekholm
authors.affiliation: Center of Registers, Western Healthcare Region, SE-413 45, Gothenburg, Sweden. anna.sandelin@registercentrum.se.
authors.forename: Anna
authors.initials: A
authors.lastname: Sandelin
authors.affiliation: Department of Orthopedics, Sahlgrenska University Hospital Gothenburg/ Mölndal, SE-431 80, Mölndal, Sweden. michael.moller@vgregion.se.
authors.forename: Michael
authors.initials: M
authors.lastname: Möller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D005592:Fracture Fixation; D017102:Fracture Healing; D050723:Fractures, Bone / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D020127:Recovery of Function; D012042:Registries; D012086:Reoperation; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult