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Limited value of current shoulder arthroplasty registries in evidence-based shoulder surgery : a review of 7 national registries

Anne Karelse, Alexander Van Tongel (UGent) , Taco Gosens, Sara De Boey, Lieven De Wilde (UGent) and Nicole Pouliart
(2021) EXPERT REVIEW OF MEDICAL DEVICES. 18(12). p.1189-1201
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Abstract
National shoulder arthroplasty registries are currently used to assess incidence, indication, type of prosthesis and revision, but they seem to lack sufficient information to lead to evidence based decision-making in shoulder surgery. There appears to be a large difference in registered parameters and outcome measurement per country. First we investigated whether existing registries have sufficient common datasets to enable pooling of data. Second, we determined whether known risk factors for prosthetic failure are being recorded. Through a non-systematic literature review studies on registries were analyzed for included parameters. Seven national registries were scrutinized for the data collected and these were classified according to categories of risk factors for failure: patient-, implant and surgeon related, and other parameters. This shows a large heterogeneity of registered parameters between countries. The majority of parameters shown to be relevant to outcome and failure of shoulder prostheses are not included in the studied registries. International agreement on parameters and outcome measurement for registries is paramount to enable pooling and comparison of data. If we intend to use the registries to provide us with evidence to improve prosthetic shoulder surgery, we need adjustment of the different parameters to be included.
Keywords
Biomedical Engineering, General Medicine, Surgery, shoulder prosthesis, shoulder replacement, registry, prom s, parameters, Outcome measurement, CUFF-TEAR ARTHROPATHY, RISK-FACTORS, GLENOID RETROVERSION, RESURFACING HEMIARTHROPLASTY, FUNCTIONAL OUTCOMES, REVISION SURGERY, HOSPITAL VOLUME, REPLACEMENT, JOINT, OSTEOARTHRITIS

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MLA
Karelse, Anne, et al. “Limited Value of Current Shoulder Arthroplasty Registries in Evidence-Based Shoulder Surgery : A Review of 7 National Registries.” EXPERT REVIEW OF MEDICAL DEVICES, vol. 18, no. 12, 2021, pp. 1189–201, doi:10.1080/17434440.2021.2014318.
APA
Karelse, A., Van Tongel, A., Gosens, T., De Boey, S., De Wilde, L., & Pouliart, N. (2021). Limited value of current shoulder arthroplasty registries in evidence-based shoulder surgery : a review of 7 national registries. EXPERT REVIEW OF MEDICAL DEVICES, 18(12), 1189–1201. https://doi.org/10.1080/17434440.2021.2014318
Chicago author-date
Karelse, Anne, Alexander Van Tongel, Taco Gosens, Sara De Boey, Lieven De Wilde, and Nicole Pouliart. 2021. “Limited Value of Current Shoulder Arthroplasty Registries in Evidence-Based Shoulder Surgery : A Review of 7 National Registries.” EXPERT REVIEW OF MEDICAL DEVICES 18 (12): 1189–1201. https://doi.org/10.1080/17434440.2021.2014318.
Chicago author-date (all authors)
Karelse, Anne, Alexander Van Tongel, Taco Gosens, Sara De Boey, Lieven De Wilde, and Nicole Pouliart. 2021. “Limited Value of Current Shoulder Arthroplasty Registries in Evidence-Based Shoulder Surgery : A Review of 7 National Registries.” EXPERT REVIEW OF MEDICAL DEVICES 18 (12): 1189–1201. doi:10.1080/17434440.2021.2014318.
Vancouver
1.
Karelse A, Van Tongel A, Gosens T, De Boey S, De Wilde L, Pouliart N. Limited value of current shoulder arthroplasty registries in evidence-based shoulder surgery : a review of 7 national registries. EXPERT REVIEW OF MEDICAL DEVICES. 2021;18(12):1189–201.
IEEE
[1]
A. Karelse, A. Van Tongel, T. Gosens, S. De Boey, L. De Wilde, and N. Pouliart, “Limited value of current shoulder arthroplasty registries in evidence-based shoulder surgery : a review of 7 national registries,” EXPERT REVIEW OF MEDICAL DEVICES, vol. 18, no. 12, pp. 1189–1201, 2021.
@article{01GMB484BBA5FSW82TTXXYFZXB,
  abstract     = {{National shoulder arthroplasty registries are currently used to assess incidence, indication, type of prosthesis and revision, but they seem to lack sufficient information to lead to evidence based decision-making in shoulder surgery. There appears to be a large difference in registered parameters and outcome measurement per country. First we investigated whether existing registries have sufficient common datasets to enable pooling of data. Second, we determined whether known risk factors for prosthetic failure are being recorded. Through a non-systematic literature review studies on registries were analyzed for included parameters. Seven national registries were scrutinized for the data collected and these were classified according to categories of risk factors for failure: patient-, implant and surgeon related, and other parameters. This shows a large heterogeneity of registered parameters between countries. The majority of parameters shown to be relevant to outcome and failure of shoulder prostheses are not included in the studied registries. International agreement on parameters and outcome measurement for registries is paramount to enable pooling and comparison of data. If we intend to use the registries to provide us with evidence to improve prosthetic shoulder surgery, we need adjustment of the different parameters to be included.}},
  author       = {{Karelse, Anne and Van Tongel, Alexander and Gosens, Taco and De Boey, Sara and De Wilde, Lieven and Pouliart, Nicole}},
  issn         = {{1743-4440}},
  journal      = {{EXPERT REVIEW OF MEDICAL DEVICES}},
  keywords     = {{Biomedical Engineering,General Medicine,Surgery,shoulder prosthesis,shoulder replacement,registry,prom s,parameters,Outcome measurement,CUFF-TEAR ARTHROPATHY,RISK-FACTORS,GLENOID RETROVERSION,RESURFACING HEMIARTHROPLASTY,FUNCTIONAL OUTCOMES,REVISION SURGERY,HOSPITAL VOLUME,REPLACEMENT,JOINT,OSTEOARTHRITIS}},
  language     = {{eng}},
  number       = {{12}},
  pages        = {{1189--1201}},
  title        = {{Limited value of current shoulder arthroplasty registries in evidence-based shoulder surgery : a review of 7 national registries}},
  url          = {{http://doi.org/10.1080/17434440.2021.2014318}},
  volume       = {{18}},
  year         = {{2021}},
}
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