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Published in: International Orthopaedics 1/2021

01-01-2021 | Original Paper

Institutional arthroplasty registry: what is the minimum acceptable dataset to be included in your hospital? Recommendations from a single-country national consensus using the Delphi method

Authors: Guillermo A. Bonilla, Beatriz E. Montoya, Victoria E. Restrepo, Miguel M. Gomez, Alfredo A. Sánchez, Jose I. Sánchez, Hugo A. Rodríguez, Jairo A. Rincón, Antonio L. Solano, Diego Cardona, Saúl L. Martínez, Alejandro López, Jose L. Moore, on behalf of the members of the Colombian Society of Hip and Knee Surgeons (SOCCAR)

Published in: International Orthopaedics | Issue 1/2021

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Abstract

Purpose

Institutional arthroplasty registries are very popular nowadays; however, very few efforts have been made in order to standardize the information to be collected, thus limiting the possibility of inter-institutional data interpretation. This manuscript reports the results of a single-country consensus designed to define the minimum standardized dataset to be recorded within an institutional arthroplasty registry.

Methods

A national consensus was carried out among all members of the Colombian Society of Hip and Knee Surgeons using the Delphi method. Eleven questions and answers comprising every potential domain of an institutional registry of hip and knee arthroplasty were defined. According to the methodology, anonymous voting and multiple discussion rounds were performed. Three levels of agreement were defined: Strong consensus: equal to or greater than 80%, weak consensus between 70 and 79.9%, and no consensus below 70%.

Results

All of the questions reached consensus level. The minimum dataset was defined to include demographic and clinical information, intraoperative and implant details, follow-up and early complications, implant survival, and functional outcome scores, as well as the validation model to assess information quality within the database. Currently, this dataset is being implemented voluntarily by the members of our national society.

Discussion

A national consensus is a feasible method to build homogeneous arthroplasty registries. We recommend such an exercise since it establishes the basis to compare and add data between institutions and the joint analysis of said information in a national registry.
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Metadata
Title
Institutional arthroplasty registry: what is the minimum acceptable dataset to be included in your hospital? Recommendations from a single-country national consensus using the Delphi method
Authors
Guillermo A. Bonilla
Beatriz E. Montoya
Victoria E. Restrepo
Miguel M. Gomez
Alfredo A. Sánchez
Jose I. Sánchez
Hugo A. Rodríguez
Jairo A. Rincón
Antonio L. Solano
Diego Cardona
Saúl L. Martínez
Alejandro López
Jose L. Moore
on behalf of the members of the Colombian Society of Hip and Knee Surgeons (SOCCAR)
Publication date
01-01-2021
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 1/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04866-6

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