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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 10/2010

01-10-2010 | Symposium: ABJS Carl T. Brighton Workshop on Health Informatics

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

Authors: John F. Clough, MD, DPhil, Lewis G. Zirkle, MD, Robert J. Schmitt

Published in: Clinical Orthopaedics and Related Research® | Issue 10/2010

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Abstract

Background

The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries.

Questions/purposes

We describe the information in the SIGN database then address two questions: In the context of the design and implementation of a global trauma database, what lessons does the SIGN database teach? Does the SIGN program have a role in the evolution of a wider global system?

Methods

The SIGN database is Internet based. After treating a patient with a SIGN nail surgeons enter radiographs and details of the case.

Results

Over 26000 cases are in the SIGN database. The database has been used as a source of cases for followup studies. Analysis shows the data are of sufficient quality to allow studies of fracture patterns but not for outcome studies or bone measurement.

Where do we need to go?

A global database with more comprehensive coverage of injuries, causes, treatment modalities and outcomes is needed.

How do we get there?

The SIGN database itself will not become a global trauma database (GTD) but the personnel of the SIGN program have much to offer in the design and adoption of a GTD. Studies of suitable methods of data collection and the incentive to use them are required.
Appendix
Available only for authorised users
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Metadata
Title
The Role of SIGN in the Development of a Global Orthopaedic Trauma Database
Authors
John F. Clough, MD, DPhil
Lewis G. Zirkle, MD
Robert J. Schmitt
Publication date
01-10-2010
Publisher
Springer New York
Published in
Clinical Orthopaedics and Related Research® / Issue 10/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-010-1442-1

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