NJR 2009 NJR Activity 2008 Keith Tucker Survivorship Analysis Martyn Porter Outliers Paul Gregg Clinician Feedback Peter Howard
|
|
- Delilah Lloyd
- 6 years ago
- Views:
Transcription
1 NJR 2009 NJR Activity 2008 Keith Tucker Survivorship Analysis Martyn Porter Outliers Paul Gregg Clinician Feedback Peter Howard
2 NJR ACTIVITY A few highlights Keith Tucker NJR Steering Committee
3 NJR Activity NJR database now stands at > 742,706 entries 160,227 uploads, the busiest year so far Compliance (registrations as % of levies) 92.5% Consent 87.4% Linkability 92.5% (Overall NJR linkability 77.4%)
4 Operations
5 KNEES
6 2008 KNEES
7 KNEE BRANDS
8 HIPS
9 2008 HIPS
10 Cemented stems
11 Cementless stems
12 Cemented cups
13 Cementless cups
14 Resurfacing
15 Head Size
16 ASA & BMI We seem to be operating on less fit patients
17 Hips? Less fit patients
18 Knees?Less fit patients
19 BMI Hips
20 BMI Knees
21 ODEP 10A Benchmark 76% Cemented Stems 77% Cementless Stems 49% Cemented cups 11% Cementless cups 45% Surface Replacements (BHR 10A)
22 Acknowledgements Claire Newell NJR Data quality manager (Northgate public services) Martyn Porter Peter Howard Paul Gregg
23 THANK YOU
24 Survivorship Analysis Martyn Porter Wrightington Hospital Chair NJR Editorial Board NJR Steering Committee
25 Methodology Changes Linkage to HES and NJR to identify revisions Changes in methods to identify revisions in HES Capture of revision hip increased by 200% Capture of revision knee increased by 300% Reporting period for linked data extended to Oct 2008 ( was June)
26 Linkage Mechanism
27 Revision Following Primary THR 1 year 1% ( %) 3 years 2% ( %) 5 years 2.8% ( %)
28 Three Year Revision According to Hip Type Cemented 1.3% ( %) Hybrid 1.9% ( %) Cementless 2.8% ( %) Resurfacing 4.4% ( %)
29 Three Year Revision According to Hip Type
30 Age and Sex Risk Stratification Males< 55yrs Cemented 2.5% ( %) 1,384 1 Cementless 3.3% ( %) 3, Hybrid 1.8% ( %) 1, Resurfacing 3.7% ( %)
31 Age and Sex Risk Stratification Females> 65yrs Cemented 1.1% ( %) 41,701 1 Cementless 2.5% ( %) 14, Hybrid 1.6% ( %) 8, Resurfacing 8.5% ( %)
32 Revision and Cemented Stems Exeter 1.3% ( %) 49,213 1 Charnley 1.3% ( %) 10,740 1 CPT 1.5% ( %) 7, C Stem 1.4% ( %) 7, Stanmore 1.4% ( %) 2,
33 Revision and Cemented Cups Contemporary 1.3% ( %) 16,193 1 Ogee 0.9% ( %) 10, Charnley 1.3% ( %) 6, Duration 1.5% ( %) 6, Opera 0.8% ( %) 3,
34 Revision and Cementless Stems Corail 2.8% ( %) 18,905 1 Furlong 2.7% ( %) 10, SL Plus 2.8% ( %) 2, Accolade 2.8% ( %) 2, Taperlock 2.9% ( %) 2,
35 Revision and Cementless Cups Pinnacle 2.2% ( %) 14,902 1 Trident 1.8% ( %) 10, CSF 2.7% ( %) 9, Trilogy 2.3% ( %) 8, Duraloc 2.2% ( %) 3,
36 Revision and Resurfacing BHR 3.3% ( %) 6,748 1 Cormet 6.0% ( %) 1, ASR 7.5% ( %) 1, Adept 4.2% ( %) Durom 4.9% ( %)
37 Revision and Bearing MoP 1.6% ( %) 94,012 1 CoP 1.7% ( %) 15, CoC 2.2% ( %) 9, MoM 1.9% ( %) 1,
38 Revision Following Primary TKR 1 year 0.7% ( %) 3 years 2.5% ( %) 5 years 3.7% ( %)
39 Three Year Revision According to Knee Type Cemented 2.1% ( %) Cementless 2.4% ( %) Hybrid 2.9% ( %) Unicondylar 7.2% ( %) PFR 8.3% ( )
40 Revision and Type of Knee
41 Revision and Sex
42 Three Year Revision and Brand of Knee PFC 1.7% ( %) 52,793 1 Nexgen 1.8% ( %) 20,259 1 AGC 2.1% ( %) 19, Scorpio 2.2% ( %) 12, Kinemax 2.5% ( %) 7,
43 Summary Hips Cemented fixation superior at five years Cementless fixation has now overtaken cemented Age and sex stratification has an important effect Resurfacing results best in males < 55yrs but still infrerior There is variation in survivorship of types of THA within its fixation category There is less variation in survivorship in terms of bearing surface
44 Summary Knees Cemented fixation most popular and best results at three years (2.1%) Unicondylar revision 7.2% at three years Age and sex stratification are important Results very similar to Australian Register
45 Conclusions The NJR is work in progress We are aware that data quality issues need to be addressed But NJR Compliance stands at over 90% Clinician feedback reports should further improve data quality HES interrogation, linkage and statistical analysis are likely to improve
46 THANK YOU
47 OUTLIERS Prof P J Gregg The James Cook University Hospital, Middlesbrough Vice-Chairman NJR Steering Committee
48 POTENTIAL OUTLIERS arise from the need to measure outcome of total hip and knee replacement surgery
49 NATIONAL JOINT REGISTRY Primary objective is to provide information to all those involved in the management of joint replacement surgery with regard to surgical and implant performance and clinical best practice. Central to the provision of this information is the aim of improving patient outcomes and safety.
50 SIXTH NATIONAL ADULT CARDIAC SURGICAL DATABASE REPORT Significant improvements in survival despite increasing complexity of case mix and increasing patient age Methodologies for predicting operative risk and adjusting for case mix essential if comparisons are to be made about differing outcomes between hospitals or surgeons
51 DARZI DIMENSIONS OF QUALITY! Safety! Clinical effectiveness! Patient experience Backed up by metrics and backed up by regulation using metrics.
52 OUTCOME MEASURE The outcome measure used is implant survivorship Expressed as Revision Rate Calculated for individual hospitals, surgeons, and implants
53 REVISION RATE Revision rate = Total revisions Patient time (years) 1 (Expressed as revisions per 100 patient years) 1 Time elapsed from primary operation to revision, death or end of follow-up, whatever comes first.
54 REVISION RATE Surgeon-specific revision rates are presented in a funnel plot and compared against a target revision rate, that is defined as the average rate observed in England and Wales. Target rate (National Benchmark) is defined as total number of revisions divided by the total sum of patient time for all surgeons data in registry.
55 EXPECTED NUMBER OF REVISIONS Expected number of revisions for a surgeon is equal to the target rate multiplied by the patient time summed up over all patients for this surgeon.
56 HIP REPLACEMENT WITH NJR REVISIONS Funnel plot: 95% and 99.8% limits revision rate / 100 pat years expected number revisions
57 HIP REPLACEMENT WITH NJR FIRST REVISIONS 2003 TO 2008 Funnel plot: 95% and 99.8% limits CEMENTED CEMENTLESS revision rate / 100 pat years revision rate / 100 pat years expected number revisions expected number revisions HYBRID RESURFACING revision rate / 100 pat years revision rate / 100 pat years expected number revisions expected number revisions
58 PROBLEMS Poor compliance artificially lowers the national benchmark. NJR NJR linkage seriously underestimates number of revisions. Anomaly of resurfacing surgeon can have higher revision rate than non-resurfacing but not be seen as outlier.
59 PROBLEMS Funnel plots are based on assumption that the revision rate remains constant with time from surgery which is not the case. Further work needed to investigate which statistical method represents best the timedependent revision rates and how this can be used to estimate expected number of revisions.
60 PROBLEMS Revision rates for surgeons with expected numbers of revisions of less than 1 are not displayed in the funnel plot because the calculations are too imprecise.
61 POTENTIAL OUTLIERS An adequate system for detecting potential outliers cannot be developed quickly and will require continuous refinement and updating with a growing understanding of it s functioning.
62 POTENTIAL OUTLIERS It is not acceptable to ignore evidence of outlying performance even if the evidence is imperfect BUT results could reflect differences in data quality, completeness and case mix rather than quality of joint replacement surgery.
63 POTENTIAL OUTLIERS Given current stage of development, the identification of outlying revision rates should first trigger a detailed examination of the data in the NJR and HES databases and cross-checked with data from the hospital concerned.
64 FUTURE Compliance must be made mandatory Compliance part of Health Commission s Annual Health Check PBR linked to NJR compliance Compliance part of GMC revalidation process
65 FUTURE Case-mix/complexity assessment and adjustment essential Risk-adjusted funnel plot Prosthesis Age Sex Diagnosis
66 THANK YOU
67 Clinician Feedback Peter Howard Consultant Orthopaedic Surgeon, Derby Chair Regional Clinical Co-coordinators committee
68 Clinician Feedback Significant progress in last 12 months Much more to come Funnel plots difficulties/issues resolved Data accuracy issues persist consent NHS number needed for optimal Great for appraisal folder & departmental audit (if on correct side of the plot)
69 NJR Clinician Feedback
70 Available Reports
71 Data Quality
72 NHS Number Submission
73 Revision Rate at One Year - TKR
74 3 Year Revision Rate Unicondylar Knee
75 Revision Rate 3 Years All Knees - SHA Level
76 Patient Time Incidence Rate - All Hips
77 Patient Time Incidence Rate - Hips Cementless
78 Patient Time Incidence Rate - All Knees
79 Patient Time Incidence Rate - Unicondylar Knee
80 Latest format of PTIR plots
81 NJR Clinician Feedback - Getting Access Username and Password for Data Entry System will work. If you don t have any log on credentials you must the NJR Service Desk. The you send must: Be from an NHS/Hospital account Include a specific request for access to Clinician Feedback Include a contact telephone number Health_servicedesk@northgate-is.com The Service Desk will contact you with the necessary details. Failing that, visit the NJR Stand in the Exhibitors Hall
82 Consenting to Share Data - Step 1 Select System Functions once logged into the Data Entry System
83 Consenting to Share Data - Step 2 Select Modify Surgeon Profile
84 Consenting to Share Data - Step 3 Select Personal Options
85 Consenting to Share Data - Step 4 Check Consent Box
86 Consenting to Share Data - Summary Log in to Data Entry System Select System Functions then Select Modify Surgeon Profile Select Personal Options Check Consent Box Click Save All too difficult? Call the Service Desk on !
87 The future? Including HES data on PE etc will give much more data availability Consent, NHS number & mandation of the NJR essential for accuracy What else do we need?
88 THANK YOU DISCUSSION
11th Annual Report. HIPS KNEES ANKLES ELBOWS SHOULDERS PROMs. National Joint Registry for England, Wales and Northern Ireland
HIPS KNEES ANKLES ELBOWS SHOULDERS PROMs 11th Annual Report 2014 National Joint Registry for England, Wales and Northern Ireland ISSN 2054-183X (Online) Surgical data to 31 December 2013 Prepared by The
More informationSummary of Arthroplasty Registry Reports of
Summary of Arthroplasty Registry Reports of Revision Risk for Hips (SAR 4 -Hips) Richard E. Hughes, Ph.D., Aditi Batra, and Brian R. Hallstrom, M.D. Last revised 3 July 2017 1 Introduction This document
More informationNational Joint Registry for England and Wales 3rd Annual Clinical Report
National Joint Registry www.njrcentre.org.uk National Joint Registry for England and Wales 3rd Annual Clinical Report Prepared by Quantics Consulting Limited The NJR Centre, Hemel Hempstead Dr Martin Pickford
More informationGETTING IT RIGHT FIRST TIME National Professional Pilot
Professional Pilot South Tees Hospitals NHS Foundation Trust Constituent Hospitals: Friarage Hospital and The James Cook University Hospital Final Draft Provider Profile Report and Dashboard June 2014
More informationAcetabular Cup System. Clinical Summary
Acetabular Cup System Clinical Summary A Prospective, Randomized Study of Cross-Linked and Non-Cross-Linked Polyethylene for Total Hip Arthroplasty at 10-Year Follow-Up Engh CA Jr., Hopper RH Jr., Huynh
More informationSUMMIT and DURALOC. Clinical Summary
SUMMIT and DURALOC Clinical Summary Ten-year results of a press-fit, porous-coated acetabular component Grobler G.P. Learmonth I.D. Bernstein B.P. Dower B.J. (2005) The Journal of Bone and Joint Surgery;
More informationPINNACLE Acetabular Cup System
PINNACLE Acetabular Cup System Clinical Summary A Prospective, Randomized Study of Cross-Linked and Non-Cross-Linked Polyethylene for Total Hip Arthroplasty at 10-Year Follow-Up Engh CA Jr., Hopper RH
More informationProduced on: Licenced for use until: Corail Stem (Standard Offset Collared)
Implant Bespoke Report for: DePuy Comprising PRIMARY hips implanted up to: 09 October 2017 NJR Database extract: 08 December 2017 Produced on: Licenced for use until: 29 December 2017 29 April 2018 Contents
More informationProduced on: Licenced for use until: Corail Stem (Standard Offset Non-Collared)
Implant Bespoke Report for: DePuy Comprising PRIMARY hips implanted up to: 09 October 2017 NJR Database extract: 08 December 2017 Produced on: Licenced for use until: 29 December 2017 29 December 2018
More informationInsight into Quality of Orthopaedic Care in the Netherlands
Extensive English Summary of the LROI-Report 2012 Insight into Quality of Orthopaedic Care in the Netherlands Annual Report of the Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten)
More informationDePuy Corail Collared vs. Collarless (ex MoM)
Bespoke Implant Report for: DePuy Comprising PRIMARY hips implanted up to: 09 October 2017 NJR Database extract: 08 December 2017 Produced on: Licenced for use until: 29 December 2017 29 December 2018
More informationDePuy Attune CR and Attune PS. Contents Recorded Usage in NJR Patient and Procedure Details Revision and Survivorship APPENDIX A Component List
Implant Summary Report for: DePuy Comprising PRIMARY knees implanted up to: 05 March 2018 NJR Database extract: 04 May 2018 Produced on: Licenced for use until: 11 May 2018 11 September 2018 Contents Recorded
More informationCORAIL Hip System. Clinical Summary
CORAIL Hip System Clinical Summary 25-year ARTRO Results: A Special Vintage from the Old World Vidalain, J-P The CORAIL Hip System: A Pratical approach based on 25 years of experience. 2011; Chapter 4.2.1:94-101
More informationDePuy Attune CR and Attune PS. Contents Recorded Usage in NJR Patient and Procedure Details Revision and Survivorship APPENDIX A Component List
Implant Summary Report for: DePuy Comprising PRIMARY knees implanted up to: 31 May 2018 NJR Database extract: 30 July 2018 Produced on: Licenced for use until: 11 August 2018 11 December 2018 Contents
More informationSmith & Nephew. R3 Cementless Cup
Implant Smith & Nephew Comprising PRIMARY hips implanted up to: 09 September 2018 NJR Database extract: 08 November 2018 Produced on: Licenced for use until: 18 November 2018 18 March 2019 Contents Recorded
More informationTrusted technology. Trusted performance. Supporting healthcare professionals
Trusted technology. Trusted performance. Supporting healthcare professionals Trusted technology. Trusted performance. The POLAR3 Total Hip Solution, powered by Smith & Nephew s proprietary VERILAST Technology,
More informationAn Optimum Prosthesis Combination of Low Risk TKR Options in All Five Primary Categories of Design Results in a 60% Reduction in Revision Risk
An Optimum Prosthesis Combination of Low Risk TKR Options in All Five Primary Categories of Design Results in a 60% Reduction in Revision Risk Christopher Vertullo Andrea Peng Stephen Graves Peter Lewis
More informationOutcomes Following Total Hip Arthroplasty: A Review of the Registry Data
Symposium - Total Hip Arthroplasty Outcomes Following Total Hip Arthroplasty: A Review of the Registry Data Abstract While total hip arthroplasty remains one of the most reliable procedures with excellent,
More informationJOINT RECONSTRUCTION PORTFOLIO OVERVIEW
JOINT RECONSTRUCTION PORTFOLIO OVERVIEW At DePuy Synthes Companies, we are inspired by you. DEPUY SYNTHES JOINT RECONSTRUCTION Uniquely focused on understanding today s opportunities and tomorrow s DePuy
More informationREVISION. Zimmer Biomet All Trabecular Metal Cups vs. All non-tm cementless cups
REVISION Bespoke Implant Report for: Zimmer Biomet vs. All non-tm cementless cups Comprising REVISION hips implanted up to: 01 August 2015 NJR Database extract: 30 September 2015 Produced on: 05 November
More informationSmith & Nephew. Polarstem Cementless
Implant Smith & Nephew Comprising PRIMARY hips implanted up to: 09 September 2018 NJR Database extract: 08 November 2018 Produced on: Licenced for use until: 20 November 2018 20 March 2019 Contents Recorded
More information)501( COPYRIGHT 2018 BY THE ARCHIVES OF BONE AND JOINT SURGERY
)501( COPYRIGHT 2018 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE Total Hip Replacement Revision in a Single Brand Small Cementless Stem Our Experience after the Findings of the National
More informationDePuy Attune CR and Attune PS
Implant Summary Report for: DePuy Comprising PRIMARY knees implanted up to: 06 February 2017 NJR Database extract: 07 April 2017 Produced on: Licensed for use until: 19 April 2017 19 April 2018 Contents
More informationMap 48: Rate of metal-on-metal hip resurfacing procedures undertaken per population by PCT
162 NHS ATLAS OF VARIATION PROBLEMS OF THE MUSCULO-SKELETAL SYSTEM Map 48: Rate of metal-on-metal hip resurfacing procedures undertaken per population by PCT Directly standardised rate 2009/10 Domain 2:
More informationExeter. Designed for Anatomic Restoration. Clinical Evidence Education
Exeter Designed for Anatomic Restoration Clinical Evidence Education Anatomic Restoration Exeter re-creating biomechanics In hip replacement, the smallest adjustment can make a big difference. Stryker
More informationOperations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma >
Operations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma > Version 5 December 2013 1 Version control Version number Date Amendments
More informationRevision Rates after Primary Hip and Knee Replacement in England between 2003 and 2006
PLoS MEDICINE Revision Rates after Primary Hip and Knee in England between 2003 and 2006 Nokuthaba Sibanda 1,2, Lynn P. Copley 2, Jim D. Lewsey 2,3, Mick Borroff 4, Paul Gregg 5, Alex J. MacGregor 6, Martin
More informationOrthopaedics What s New in 2015 What Really Works in Orthopaedics: Does Advertising Change our Practice
Orthopaedics What s New in 2015 What Really Works in Orthopaedics: Does Advertising Change our Practice Warwick J. M. Bruce Clinical Professor The University of Sydney Concord Hospital Sydney Australia
More informationA RETROSPECTIVE COHORT STUDY OF MEDIUM-TERM DATA FROM A NATIONAL JOINT REGISTRY
S. S. Jameson, P. N. Baker, J. Mason, P. J. Gregg, N. Brewster, D. J. Deehan, M. R. Reed From the School of Medicine and Health, Durham University, Durham, United Kingdom S. S. Jameson, MRCS, Research
More informationRaising Transparency of Pricing for Total Hip and Total Knee Replacements: A National Pilot on Value for Money for the NHS in Orthopaedic Procurement
11 th June 2015 Dear Colleague Raising Transparency of Pricing for Total Hip and Total Knee Replacements: A National Pilot on Value for Money for the NHS in Orthopaedic Procurement I write on behalf of
More informationScandinavian Journal of Surgery 103: 54 59, 2013
345SJS103110.1177/1457496913495345Hip resurfacing arthroplasty vs. large headed metal-on-metal total hip arthroplastym. Junnila, et al. ORIGINAL ARTICLE Scandinavian Journal of Surgery 103: 54 59, 2013
More informationQuality of Datasets. Gerold Labek. EFORT-EAR-Coordinator Vice President EFORT-EAR Orthopädische Universitätsklinik Innsbruck EFORT JOINT EFFORTS
Quality of Datasets Gerold Labek EFORT-EAR-Coordinator Vice President EFORT-EAR Orthopädische Universitätsklinik Innsbruck QoLA-Project EU-Commission, EUPHORIC-Project: Quality of data presented for CE-Licensing,
More informationPRIMARY. ConforMIS itotal G2 XE and itotal G2 (Bicondylar tray)
PRIMARY Implant ConforMIS Comprising PRIMARY knees implanted up to: 07 December 2017 NJR Database extract: 05 February 2018 Produced on: Licenced for use until: 10 February 2018 10 February 2019 Contents
More informationNational Lung Cancer Audit outlier policy 2017
National Lung Cancer Audit outlier policy 2017 The National Lung Cancer Audit (NLCA) publishes detailed information on the treatment of lung cancer patients, including the outcome of that treatment. Data
More informationBad Bearings: THE DEVOLUTION OF HIP REPLACEMENT IN AMERICA
Bad Bearings: THE DEVOLUTION OF HIP REPLACEMENT IN AMERICA 1970-2014 Stephen S. Tower, M.D. Orthopedic Surgeon Affiliated Professor University of Alaska President of the Alaska Arthroplasty Initiative
More informationA Systematic Review on Performance of the Vanguard Complete Knee System
A Systematic Review on Performance of the Vanguard Complete Knee System Author: Jing Xie, Ph.D. June 30, 2011 Abstract A systematic review was conducted to evaluate the clinical performance of the Vanguard
More informationScorpio NRG PS (cementless)/series 7000 (cementless) Total Knee Investigation
Scorpio NRG PS (cementless)/series 7000 (cementless) Total Knee Investigation Note: This is an analysis of the Scorpio NRG PS (cless)/series 7000 (cless) Femoral/Tibial Combination. This analysis compares
More informationFailure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales
Failure rates of stemmed metal-on-metal hip replacements: analysis of data from the National Joint Registry of England and Wales Alison J Smith, Paul Dieppe, Kelly Vernon, Martyn Porter, Ashley W Blom;
More informationAmy Hendrickson Complaint/M DR Administrator DePuy Johnson & Johnson Phone: x 7179 Fax:
From: To: CC: Sent: Subject: Hendrickson, Amy [DPYUS] Cary, Polly [DPYUS) Reimink, Matt [DPYUS] 12/ 19/2008 3:21:21 PM FW: ASR XL metal bearings demonstrated 99.2% survivorship at 3 years does NOT match
More informationOperations included in the National Joint Registry (NJR)
Operations included in the National Joint Registry (NJR) Quick links, go to: Hips > Knees > Ankles > Elbows > Shoulders > Trauma > Version 8 June 2018 1 Version control Version number Date Amendments 1
More informationFIXATION FIRST WEAR REDUCTION OXIDATIVE STABILITY MECHANICAL INTEGRITY PROVEN TECHNOLOGY
FIXATION FIRST WEAR REDUCTION OXIDATIVE STABILITY MECHANICAL INTEGRITY PROVEN TECHNOLOGY Fixation First FIXATION FIRST 1958 Charnley Hip Over 1,000,000 implanted 1 96.2 percent survivorship at 32 years
More informationCystectomy Dataset. Jo Cresswell, Middlesbrough BAUS Cystectomy Clinical Lead
Cystectomy Dataset Jo Cresswell, Middlesbrough BAUS Cystectomy Clinical Lead Approx 30% of RC entered into the BAUS dataset Then publication of outcomes became mandatory BAUS Cystectomy Data Returns from
More informationAutomated Industry Report 823 Depuy Synthes Australia Attune CR Total Knee
Automated Industry Report 823 Depuy Synthes Australia Total Knee Report Generated: 9 January 2019 This report has been prepared by the Australian Orthopaedic Association National Joint Replacement Registry
More informationIncreased Rate Of Dislocation Of Total Hip Arthroplasty With Cementless Implants: Accuracy Of Acetabular Inclination.
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 1 Increased Rate Of Dislocation Of Total Hip Arthroplasty With Cementless Implants: Accuracy Of Acetabular Inclination. Roberts, Garlick
More information2016 CELEBRATING 15 YEARS OF DATA REPORT NATIONAL JOINT REPLACEMENT REGISTRY. Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty
NATIONAL JOINT REPLACEMENT REGISTRY Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty SUPPLEMENTARY REPORT 2016 CELEBRATING 15 YEARS OF DATA Contents INTRODUCTION...3 Commencement
More informationCollars on Cementless Femoral Stems Make More of a Contribution to Primary Stability When Subjected to Adverse Mechanical Environments
Collars on Cementless Femoral Stems Make More of a Contribution to Primary Stability When Subjected to Adverse Mechanical Environments Mark Taylor, PhD 1, Scott Brumby, MD 2, David Beverland, MD 3, Clare
More informationTOTAL HIP REPLACEMENT:
THR Prosthesis Design TOTAL HIP REPLACEMENT: PROSTHESIS DESIGN FEATURES JESS JOHNSTON & MELINDA ZIETH History of Hip Prosthesis Joint Replacement Registry Implant Design Technology & Future History and
More informationNEW ZEALAND ORTHOPAEDIC ASSOCIATION THE NEW ZEALAND JOINT REGISTRY ELEVEN YEAR REPORT
NEW ZEALAND ORTHOPAEDIC ASSOCIATION THE NEW ZEALAND JOINT REGISTRY ELEVEN YEAR REPORT JANUARY 1999 TO DECEMBER 2009 REGISTRY BOARD Alastair Rothwell James Taylor Mark Wright Peter Devane Helen Tobin Hugh
More informationNational Cancer Peer Review Programme
National Cancer Peer Review Programme Julia Hill Acting Deputy National Co-ordinator What is Cancer Peer Review? A quality assurance process for cancer services. An integral part of Improving Outcomes
More informationAutomated Industry Report 824 Depuy Synthes Australia Attune PS Total Knee
Automated Industry Report 824 Depuy Synthes Australia Total Knee Report Generated: 9 January 2019 This report has been prepared by the Australian Orthopaedic Association National Joint Replacement Registry
More informationNational Joint Replacement Registry. Lay Summary 2015 Annual Report Hip and Knee Replacement
National Joint Replacement Registry Lay Summary 2015 Annual Report Hip and Knee Replacement SUPPLEMENTARY REPORT 2015 TABLE OF CONTENTS Introduction... 1 A brief history of the Registry origins... 1 The
More informationNational Bowel Cancer Audit. Detection and management of outliers: Clinical Outcomes Publication
National Bowel Cancer Audit Detection and management of outliers: Clinical Outcomes Publication November 2017 1 National Bowel Cancer Audit (NBOCA) Detection and management of outliers Clinical Outcomes
More informationPUBLIC AND PATIENT GUIDE
Elbow replacement edition ISBN 978-1-907561-45-0 Contents 3 Facts about elbow replacements in 2016 6 Surgeon and hospital information 7 Introduction to elbow implants 8 More facts: elbow replacement in
More informationDEPUY SYNTHES SOLUTIONS
DEPUY SYNTHES SOLUTIONS This publication is not intended for distribution in the USA. PRODUCT PORTFOLIO At DePuy Synthes Companies, we are inspired by you. DEPUY SYNTHES JOINT RECONSTRUCTION Uniquely focused
More informationTHE PERSONALIZED KNEE
THE PERSONALIZED KNEE REDEFINING PERSONALIZATION Total knee replacement has long ranked among the most successful procedures in modern medicine. While you can expect excellent implant survivorship with
More informationMove Ahead with Confidence. Hip Replacement Solutions from DePuy Orthopaedics
Move Ahead with Confidence Hip Replacement Solutions from DePuy Orthopaedics The Healthy Hip Joint Pelvis Acetabulum (hip socket) Head of femur Neck of femur Femur (thigh bone) Head of femur in the acetabulum
More informationDurham Research Online
Durham Research Online Deposited in DRO: 13 September 2013 Version of attached le: Accepted Version Peerreview status of attached le: Peerreviewed Citation for published item: Jameson, S.S. and Baker,
More information5A* ODEP. Conserving bone. Preserving soft tissue. Restoring biomechanics. rating
MiniHip is designed to give patients the advantages of a traditional hip replacement whilst also preserving the natural anatomy. MiniHip potentially allows for future revisions and so provides a pre-primary
More informationBRITISH HIP SOCIETY. Annual Scientific Meeting 2019 Nottingham, Concert Hall. Registration from with Refreshments
WEDNESDAY 27 th February Registration from 10.00 with Refreshments 09.00 11.00 Conservative Hip Meeting Johan Witt and VK 10.00 11.15 BHS EXECUTIVE MEETING ROOM: BHS Officers only 11.30 11.40 WELCOME TO
More informationCost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
Kamaruzaman et al. BMC Musculoskeletal Disorders (2017) 18:183 DOI 10.1186/s12891-017-1540-2 RESEARCH ARTICLE Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic
More informationKnee Replacement Implants
Knee Replacement Implants During knee replacement surgery, an orthopaedic surgeon will resurface your damaged knee with artificial components, called implants. There are many different types of implants.
More information11. NATIONAL DAFNE CLINICAL AND RESEARCH DATABASE
11. NATIONAL DAFNE CLINICAL AND RESEARCH DATABASE The National DAFNE Clinical and Research database was set up as part of the DAFNE QA programme (refer to section 12) to facilitate Audit and was updated
More informationAmerican Joint Replacement Registry. Jeffrey P. Knezovich, CAE Executive Director ---- Caryn D. Etkin, PhD, MPH Director of Analytics
American Joint Replacement Registry Jeffrey P. Knezovich, CAE Executive Director ---- Caryn D. Etkin, PhD, MPH Director of Analytics AJRR Mission and Vision AJRR is a multi stakeholder, independent, not
More informationFGM Data Collection NHS Digital CAP
FGM Data Collection - NHS Digital Document name: FGM Data Collection NHS Digital CAP Project / Programme: FGM Enhanced Data set NHS Digital / Data upload Project Managers: NWLCCGS: Sonia Spiteri Sharon
More informationNational Institute for Health and Clinical Excellence
National Institute for Health and Clinical Excellence Multiple Technology Appraisal (MTA) Total hip replacement and resurfacing arthroplasty for the treatment of pain or disability resulting from end stage
More informationNational Lung Cancer Audit outlier policy for Wales 2017
National Lung Cancer Audit outlier policy for Wales 2017 The National Lung Cancer Audit (NLCA) publishes detailed information on the treatment of lung cancer patients, including the outcome of that treatment.
More informationPUBLIC AND PATIENT GUIDE TO THE NJR S 11TH ANNUAL REPORT 2014
PUBLIC AND PATIENT GUIDE TO THE NJR S 11TH ANNUAL REPORT 2014 Elbow replacement edition The National Joint Registry for England, Wales and Northern Ireland is working to improve your experience of joint
More informationMARATHON Cross-Linked Polyethylene
MARATHON Cross-Linked Polyethylene Fixation First... 1 Wear Reduction... 2 Oxidative Stability... 3 Mechanical Integrity... 4 Proven Technology...5-6 References... 7 Fixation First FIXATION FIRST Prodigy
More informationDevelopmental Dysplasia of the Hip Good Results of Later Total Hip Arthroplasty
The Journal of Arthroplasty Vol. 23 No. 2 2008 Developmental Dysplasia of the Hip Good Results of Later Total Hip Arthroplasty 7135 Primary Total Hip Arthroplasties after Developmental Dysplasia of the
More informationOrthopaedics. The Trust Libraries
Orthopaedics The Trust Libraries THE TRUST LIBRARIES MAIDSTONE ACADEMIC CENTRE TUNBRIDGE WELLS EDUCATION &TRAINING CENTRE So much more than just books and journals, your libraries also have 24/7 internet
More informationThe Experience in Exeter with. hip fracture care. Data For Change
The Experience in Exeter with hip fracture care Data For Change John Charity Associate Specialist in T&O, Lead NHFD Clinician, Royal Devon and Exeter NHS Foundation Trust Respond Deliver & Enable People
More informationJoint replacement (primary): hip, knee and shoulder
Aquatic Therapy 9 239-246 Rehabilitation should specifically mention aquatic association of therapy as a preferred method of early post-op Chartered rehabilitation for TKA and THA. See evidence listed
More informationTransplant First: Addressing inequality in access to Kidney Transplantation in the West Midlands
Project Mandate Transplant First: Addressing inequality in access to Kidney Transplantation in the West Midlands West Midlands Cardiovascular Strategic Clinical Network Project Mandate Transplant First:
More informationHip surgery FACTSHEET
1 If you are facing the prospect of surgery on your hip, you are certainly not alone. Hip replacements are one of the most commonly performed and most successful operations in the UK. Do I need hip surgery?
More informationVACCINE REMINDER SERVICE A GUIDE FOR SURGERIES
VACCINE REMINDER SERVICE A GUIDE FOR SURGERIES Sign up to the free text and voicemail service to automatically remind patients eligible for flu vaccination to book their appointment. This guide shows how
More informationAsthma Audit Development Project: Hospital pilot information
Asthma Audit Development Project: Hospital pilot information Contents Summary... 1 Pilot process summary 1 Introduction and background... 2 What it will cover 2 Timescales 2 Hospital pilot... 3 Why should
More informationNational Joint Replacement Registry. Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty
National Joint Replacement Registry Metal and Ceramic Bearing Surface in Total Conventional Hip Arthroplasty SUPPLEMENTARY REPORT 2014 TABLE OF CONTENTS INTRODUCTION... 1 CERAMIC ON METAL OUTCOMES... 2
More informationSummary HTA. Arthroplasty register for Germany. HTA-Report Summary. Gorenoi V, Schönermark MP, Hagen A
Summary HTA HTA-Report Summary Arthroplasty register for Germany Gorenoi V, Schönermark MP, Hagen A Health political and scientific background Joint prostheses are man-made replacement joints. The hip
More informationSPECT/CT Imaging. Knee & Hip Prosthesis
SPECT/CT Imaging Knee & Hip Prosthesis Helmut Rasch, Michael T. Hirschmann Institute of Radiology and Nuclear Medicine, Dept. Orthopaedic Surgery and Traumatology, -Bruderholz, Switzerland helmut.rasch@unibas.ch
More information5. Who needs an ORCID profile? a. All Principal Investigators and Mentors named on AS grant applications.
Autism Speaks Online Science Grants System ORCID Integration Frequently Asked Questions 1. Where do I go to integrate my ORCID account? a. You MUST log into the Autism Speaks online grants system (not
More informationHigher revision risk for unicompartmental knee arthroplasty in low-volume hospitals
Acta Orthopaedica 2014; 85 (4): x x 1 Higher revision risk for unicompartmental knee arthroplasty in low-volume hospitals Data from 5,791 cases in the Norwegian Arthroplasty Register Mona Badawy 1, Birgitte
More informationThe use of primary total hip arthroplasty in university hospitals of the European Union
Acta Orthop. Belg., 2004, 70, 231-239 ORIGINAL STUDY The use of primary total hip arthroplasty in university hospitals of the European Union Thierry SCHEERLINCK, Pieter DRUYTS, Pierre-Paul CASTELEYN Current
More informationUnicondylar Knee Vs Total Knee Replacement: Is Less Better In the Middle Aged Athlete
Unicondylar Knee Vs Total Knee Replacement: Is Less Better In the Middle Aged Athlete Chair: Maurilio Marcacci, MD Alois Franz "Basic principles and considerations of the Unis" Joao M. Barretto "Sport
More informationPUBLIC AND PATIENT GUIDE
PUBLIC AND PATIENT GUIDE TO THE NJR S 12TH ANNUAL REPORT 2015 Shoulder replacement edition The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man is working to improve your
More informationPoor Survivorship and Frequent Complications at a Median of 10 Years After Metal-on-Metal Hip Resurfacing Revision
Clin Orthop Relat Res (2017) 475:304 314 DOI 10.1007/s11999-016-4882-4 Clinical Orthopaedics and Related Research A Publication of The Association of Bone and Joint Surgeons SYMPOSIUM: 2016 HIP SOCIETY
More informationCountrywise results of total hip replacement: An analysis of 438,733 hips based on the Nordic Arthroplasty Register Association database
Countrywise results of total hip replacement: An analysis of 438,733 hips based on the Nordic Arthroplasty Register Association database The Harvard community has made this article openly available. Please
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Ardaugh BM, Graves SE, Redberg RF. The 510(k) ancestry of a
More informationThe effect of aspirin and low-molecularweight heparin on venous thromboembolism after knee replacement
S. S. Jameson, P. N. Baker, S. C. Charman, D. J. Deehan, M. R. Reed, P. J. Gregg, J. H. Van der Meulen From London School of Hygiene and Tropical Medicine, London, United Kingdom S. S. Jameson, MRCS, Research
More informationUsing Outcomes Information for Revalidation in Oral and Maxillofacial Surgery
Using Outcomes Information for Revalidation in Oral and Maxillofacial Surgery June 2014 The Colleges and Surgical Specialty Associations believe that data on surgical outcomes is an important element of
More informationDEVELOPED BY SURGEONS
DEVELOPED BY SURGEONS FOR SURGEONS Zimmer Biomet values our surgeon customers and the expertise and passion they bring to the field. The ROSA Knee System is a surgical assistant designed to adapt to each
More informationProject Funded under FP7 - HEALTH Grant Agreement no Funded under FP7 - HEALTH Grant Agreement no
Developing methods of HTA for medical devices: WP3 - Methods for comparative effectiveness research of medical devices Final Conference November, 13 th 2015 U. Siebert, P. Schnell-Inderst, C. Iglesias,
More informationMr Aslam Mohammed FRCS, FRCS (Orth) Consultant Orthopaedic Surgeon Specialising in Lower Limb Arthroplasty and Sports Injury
Mr Aslam Mohammed FRCS, FRCS (Orth) Consultant Orthopaedic Surgeon Specialising in Lower Limb Arthroplasty and Sports Injury I qualified from the Welsh National School of Medicine in Cardiff in 1984. I
More informationwarwick.ac.uk/lib-publications
Original citation: On behalf of the SAFE-TKR Study Group (Including: Gibbs, V., Price, A. and Wall, Peter D. H.). (2016) Surgical tourniquet use in total knee replacement surgery : a survey of BASK members.
More informationSurveillance of Surgical Site Infection Annual Report For procedures carried out from: January December 2009
Surveillance of Surgical Site Infection Annual Report For procedures carried out from: January 2003 - December 2009 Scottish Surveillance of Healthcare Associated Infection Programme (SSHAIP) Contents
More informationMY FITNESS PAL USER GUIDE
MY FITNESS PAL USER GUIDE DIET PROFILE To help personalize your fitness goals, enter the following: Current weight Goal weight Height Gender Date of birth You also enter your normal daily activity options
More informationKnee replacement survival rates with allpolyethylene or metal-backed tibial components what do the Registries say?
Joint Implant Surgery & Research Foundation Chagrin Falls, Ohio, USA Knee replacement survival rates with allpolyethylene or metal-backed tibial components what do the Registries say? Arthur Turow BMBS,
More informationNEW ZEALAND ORTHOPAEDIC ASSOCIATION NATIONAL JOINT REGISTRY EIGHT YEAR REPORT
NEW ZEALAND ORTHOPAEDIC ASSOCIATION NATIONAL JOINT REGISTRY EIGHT YEAR REPORT JANUARY 1999 TO DECEMBER 2006 REGISTRY BOARD Alastair G Rothwell James Taylor Mark Wright Kate Thomson Peter Gaarkeuken Kim
More informationUsing Outcomes Information for Revalidation in Trauma and Orthopaedic Surgery
Using Outcomes Information for Revalidation in Trauma and Orthopaedic Surgery December 2013, with minor revision October 2015 (on page 5) The Colleges and Surgical Specialty Associations believe that data
More informationMetal-on-metal hip surface replacement
HIP TECHNOLOGIES Metal-on-metal hip surface replacement THE ROUTINE USE IS NOT JUSTIFIED M. J. Dunbar, V. Prasad, B. Weerts, G. Richardson From Halifax Infirmary Hospital, Halifax, Nova Scotia, Canada
More informationPoor 10-year survivorship of hip resurfacing arthroplasty
554 Acta Orthopaedica 2016; 87 (6): 554 559 Poor 10-year survivorship of hip resurfacing arthroplasty 5,098 replacements from the Finnish Arthroplasty Register Matti SEPPÄNEN 1, Mikko KARVONEN 1, Petri
More information