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Fact and Stats
A detailed and standardized national registry of commonly used joint replacement devices would improve patient outcomes and create clinical and financial efficiencies, according to a Kaiser Permanente research study of 85,000 joint surgeries published in the November issue of the Journal of Bone and Joint Surgery.
This prospective study of 80,000 total joint replacement and 5,000 anterior cruciate ligament reconstruction procedures within Kaiser Permanente’s national implant registries – the US’ largest registry of implants – looked at patient demographics, implants and surgical techniques in relationship to outcomes for these procedures. Researchers found the three most common reasons for re-operations of ACL reconstruction of the knee were meniscus injury, stiffness and device removal. These risk factors and outcomes demonstrate how a registry can improve quality of care by providing feedback to physicians. Additionally, the orthopedic implant registries were used to track eight recalls and advisories during the study period, which were critical in immediately identifying and following up with patients that were impacted.
The study showed how registries can identify risk factors that can be applied to a larger population. For example, researchers found an increased rate of ACL reconstructions for specific demographics among men and women, and increased time between injury and surgery (six to 12 months) associated with an increased rate of additional knee injuries compared to surgery within three months of the original injury. This demonstrates the importance of addressing surgery needs early on to prevent subsequent injuries.
Source: Study Finds Medical Device Registries Enhance Patient Safety and Quality of Care.
Date: December 1, 2010
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This entry was posted on Wednesday, December 8th, 2010 at 1:42 pm and is filed under Longwoods Online.