Validation of Reoperations Due to Infection in the Swedish Hip Arthroplasty Register

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2014 Nov 21

PMID 25410189

Citations 36

Authors

J Viktor Lindgren

Max Gordon

Per Wretenberg

Johan Karrholm

Goran Garellick

Affiliations

Soon will be listed here.

Abstract

Background: Complete or almost complete recording of reoperations is essential to enable a correct interpretation of data in arthroplasty registers. The completeness of recordings due to infection is unknown in the Swedish Hip Arthroplasty Register (SHAR). We therefore used a combination of data from the Swedish Prescribed Drug Register (SPDR) and studies of medical records to validate the data of reoperations due to infection in the SHAR.

Methods: All patients registered for a primary Total Hip Replacement (THR) in the SHAR between July 1, 2005 and December 31, 2008 were selected for the study (45,531 patients with 49,219 THRs) and were matched with the SPDR. All patients with a minimum of 4 weeks of continuous outpatient antibiotic treatment within 2 years after their primary THR (1,989 patients, with 2,219 THRs) were selected for a medical records review to find the THRs reoperated due to infection.

Results: 599 (1.3%) of the THRs had been reoperated within 2 years after the index operation and in 47.4% of these the prosthesis had been revised or extracted. 400 of the THRs were registered for a reoperation in the SHAR resulting in a completeness of 67%.

Conclusions: The completeness of registration due to early infection after THR questions whether the SHAR reoperation data can be used in order to evaluate changes in postoperative infection rates.

Citing Articles

Periprosthetic Joint Infection After Total Knee Arthroplasty With or Without Antibiotic Bone Cement.

Leta T, Lie S, Fenstad A, Lygre S, Lindberg-Larsen M, Pedersen A JAMA Netw Open. 2024; 7(5):e2412898.

PMID: 38780939 PMC: 11117087. DOI: 10.1001/jamanetworkopen.2024.12898.

Enhancing the data capture of periprosthetic joint infections in the Danish Knee Arthroplasty Registry: validity assessment and incidence estimation.

Anneberg M, Kristiansen E, Troelsen A, Gundtoft P, Sorensen H, Pedersen A Acta Orthop. 2024; 95:166-173.

PMID: 38595072 PMC: 11004670. DOI: 10.2340/17453674.2024.40358.

Temporal trends in revision rate due to knee periprosthetic joint infection: a study of 115,120 cases from the Danish Knee Arthroplasty Register.

Anneberg M, Troelsen A, Gundtoft P, Sorensen H, Pedersen A Acta Orthop. 2023; 94:616-624.

PMID: 38153296 PMC: 10755676. DOI: 10.2340/17453674.2023.33294.

Increased mortality after total hip prosthetic joint infection is mainly caused by the comorbidities rather than the infection itself.

Persson A, Skoldenberg O, Mohaddes M, Eisler T, Gordon M Acta Orthop. 2023; 94:484-489.

PMID: 37753559 PMC: 10523631. DOI: 10.2340/17453674.2023.18619.

Incidence of periprosthetic joint infection after primary total hip arthroplasty is underestimated: a synthesis of meta-analysis and bibliometric analysis.

Zeng Z, Yao F, He W, Wei Q, He M J Orthop Surg Res. 2023; 18(1):610.

PMID: 37605235 PMC: 10440885. DOI: 10.1186/s13018-023-04060-5.

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