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Arthroplasty Registries at a Glance: an Initiative of the International Society of Arthroplasty Registries (ISAR) to Facilitate Access, Understanding, and Reporting of Registry Data from an International Perspective

Abstract

Background And Purpose: The amount of information publicly available from arthroplasty registries is large but could be used more effectively. This project aims to improve the knowledge concerning existing registries to facilitate access, transparency, harmonization, and reporting.

Methods: Within the International Society of Arthroplasty Registries (ISAR) we aimed at developing, testing, adopting, and making publicly available a short, standardized registry description with items considered relevant for stakeholders using a cross-sectional study survey. Items were chosen based on a literature review and expert advice, selected by 9 ISAR working group members, tested iteratively in 3 registries, and commented upon by 4 external experts. All 29 ISAR member registries as of July 2023 were invited to participate in the project.

Results: Included items covered general descriptive information regarding registries, information related to governance, outcomes, data quality, data access, and registry production. The template was adopted, completed, and made publicly available by 25 of the 29 registries. Of those, 2/3 were national registries. 23 captured both hip and knee arthroplasties and 10 captured shoulder arthroplasties. Most registries had public reporting of data quality, methods, and results. Data was accessible in all but 2 registries, mainly as aggregated data. Important items relevant to registry quality for researchers to consistently indicate in scientific papers include scope, inclusion criteria, outcomes definitions, coverage/completeness, and validation processes.

Conclusion: This ISAR initiative implemented a short, standardized description to facilitate appropriate use of orthopedic registry data worldwide relevant for a diverse group of stakeholders including researchers, industry, public health and regulatory agencies.

References
1.
Niederlander C, Kriza C, Kolominsky-Rabas P . Quality criteria for medical device registries: best practice approaches for improving patient safety - a systematic review of international experiences. Expert Rev Med Devices. 2016; 14(1):49-64. DOI: 10.1080/17434440.2017.1268911. View

2.
Hoogervorst L, Geurkink T, Lubbeke A, Buccheri S, Schoones J, Torre M . Quality and Utility of European Cardiovascular and Orthopaedic Registries for the Regulatory Evaluation of Medical Device Safety and Performance Across the Implant Lifecycle: A Systematic Review. Int J Health Policy Manag. 2023; 12:7648. PMC: 10702370. DOI: 10.34172/ijhpm.2023.7648. View

3.
Galea V, Rojanasopondist P, Matuszak S, Connelly J, Bragdon C, Paxton L . The Benefits of National and Regional Arthroplasty Registries. Instr Course Lect. 2020; 68:681-694. View

4.
Lubbeke A, Silman A, Barea C, Prieto-Alhambra D, Carr A . Mapping existing hip and knee replacement registries in Europe. Health Policy. 2018; 122(5):548-557. DOI: 10.1016/j.healthpol.2018.03.010. View

5.
Prentice H, Harris J, Sucher K, Fasig B, Navarro R, Okike K . Improvements in Quality, Safety and Costs Associated with Use of Implant Registries Within a Health System. Jt Comm J Qual Patient Saf. 2024; 50(6):404-415. DOI: 10.1016/j.jcjq.2024.01.011. View