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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >National joint registry data underestimates the burden of prosthetic joint infection
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National joint registry data underestimates the burden of prosthetic joint infection

机译：国家联合登记处的数据低估了人工关节感染的负担

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Objective: Joint registries are powerful tools for tracking outcomes following joint arthroplasty. However recent literature has exposed deficiencies in data accuracy when reporting re-operations for prosthetic joint infections (PJI), particularly when no components are changed. The aim of this study was to compare accuracy of data from the New Zealand Joint Registry (NZJR) to a multi-centre audit of hospital records to establish the rate of capture for PJI reoperations. Methods: We followed 4009 patients undergoing total knee or hip arthroplasty performed at the three tertiary referral hospitals from January 2006 to December 2008 for two years. The reoperation rate for PJIs was extracted from the NZJR. In addition, an audit of hospital records for the same patients was carried out to identify reoperations for PJI. The audit data was then compared to the NZJR data. Results: The NZJR reported a reoperation rate of 0.67% for PJI within two years of the primary arthroplasty compared to 1.1% from the audit of hospital records, giving the NZJR a sensitivity of 63%. Only 36% of washout only procedures and 58% of modular exchange procedures were captured. Surgeons were more likely to report PJIs to NZJR if they performed the primary procedure. Conclusion: National joint registry data significantly underestimates the rate of reoperation for PJI. Strategies for improving data accuracy may include revising the registry forms to include reoperation without change of components and frequent validation of national data with other databases.
机译：目的：关节登记是追踪关节置换术后结果的强大工具。但是，最近的文献在报告修复性关节感染（PJI）的再手术时，尤其是在未更换组件的情况下，暴露出数据准确性方面的不足。这项研究的目的是比较来自新西兰联合注册机构（NZJR）的数据准确性与医院记录的多中心审核，以确定PJI再次手术的捕获率。方法：我们追踪了2006年1月至2008年12月在三所三级转诊医院接受全膝或髋关节置换术的4009例患者，为期两年。 PJI的重新手术率是从NZJR中提取的。此外，对同一患者的医院记录进行了审核，以确定PJI的再次手术。然后将审核数据与NZJR数据进行比较。结果：NZJR报告原发性关节置换术后两年内PJI的再手术率为0.67％，而医院记录的审核为1.1％，因此NZJR的敏感性为63％。仅冲刷流程中只有36％，模块化交换流程中只有58％被捕获。如果外科医生执行了主要程序，则他们更有可能向NZJR报告PJI。结论：国家联合注册管理机构的数据大大低估了PJI的再次手术率。提高数据准确性的策略可能包括修改注册表，以包括重新操作而无需更改组件，并经常与其他数据库一起验证国家数据。

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