Using Patient-Reported Outcomes to Predict Revision Arthroplasty Following Femoral Neck Fracture: Enhancing the Value of Clinical Registries Through Data Linkage

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2019 Apr 25

PMID 31013802

Citations 4

Authors

Christina L Ekegren

Richard de Steiger

Elton R Edwards

Richard S Page

Raphael Hau

Susan Liew

Andrew Oppy

Belinda J Gabbe

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to determine the association between patient-reported outcome measures (PROMs) six months following femoral neck fracture after a low fall and future arthroplasty, and the factors associated with this. Six-month post-fracture PROMs were collected from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) for patients aged >55 years who were admitted for a femoral neck fracture after a low fall between March 2007 and June 2015. These cases were linked with those registered by Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) up to October 2016. Multivariable analysis was performed using a Cox proportional hazards model to determine factors associated with future arthroplasty, including six-month PROMs. Of the 7077 hip fracture patients registered by VOTOR during the study period, 2325 met the inclusion criteria. Internal fixation being used for the initial hip fracture surgery, being younger and having no pre-injury disability were all independently associated with future revision or conversion to arthroplasty. Out of all PROMs, reporting pain and discomfort six months post-fracture was associated with a 9.5-fold increase in the risk of future arthroplasty (95% CI: 3.81, 23.67). The value of clinical registries can be enhanced via data linkage, in this case by using PROMs to predict arthroplasty following femoral neck fracture.

Citing Articles

Preliminary development of recommendations for the inclusion of patient-reported outcome measures in clinical quality registries.

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PMID: 35232454 PMC: 8886855. DOI: 10.1186/s12913-022-07657-4.

Change in Patient-Reported Outcome Measures as Predictors of Revision Lumbar Decompression Procedures.

Nolte M, Cha E, Lynch C, Jacob K, Patel M, Geoghegan C Neurospine. 2022; 18(4):863-870.

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Collection and Reporting of Patient-reported Outcome Measures in Arthroplasty Registries: Multinational Survey and Recommendations.

Bohm E, Kirby S, Trepman E, Hallstrom B, Rolfson O, Wilkinson J Clin Orthop Relat Res. 2021; 479(10):2151-2166.

PMID: 34288899 PMC: 8445553. DOI: 10.1097/CORR.0000000000001852.

Developing a Preliminary Conceptual Framework for Guidelines on Inclusion of Patient Reported-Outcome Measures (PROMs) in Clinical Quality Registries.

Ruseckaite R, Maharaj A, Krysinska K, Dean J, Ahern S Patient Relat Outcome Meas. 2019; 10:355-372.

PMID: 31849553 PMC: 6911317. DOI: 10.2147/PROM.S229569.

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