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Impact of hip arthr...
Impact of hip arthroplasty registers on orthopaedic practice and perspectives for the future
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- Varnum, C. (author)
- Vejle Hospital
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- Pedersen, A. B. (author)
- Aarhus University Hospital
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- Rolfson, Ola, 1973 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska Academy
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- Rogmark, Cecilia (author)
- Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital
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- Furnes, O. (author)
- Haukeland University Hospital,University of Bergen
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- Hallan, G. (author)
- University of Bergen,Haukeland University Hospital
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- Makela, K. (author)
- Turku University Hospital
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- de Steiger, R. (author)
- University of Melbourne
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- Porter, M. (author)
- Wrightington Hospital
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- Overgaard, S. (author)
- University of Southern Denmark,Odense University Hospital
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(creator_code:org_t)
- Bioscientifica, 2019
- 2019
- English.
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In: Efort Open Reviews. - : Bioscientifica. - 2058-5241 .- 2396-7544. ; 4:6, s. 368-376
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Abstract
Subject headings
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- Total hip arthroplasty (THA) registers are established in several countries to collect data aiming to improve the results after THA. Monitoring of adverse outcomes after THA has focused mainly on revision surgery, but patient-reported outcomes have also been investigated. Several surgery-related factors influencing the survival of the THA have been thoroughly investigated and have changed clinical practice. These factors include surgical approach, specific implants, the size of the components, type of fixation and different bone cements. Register data have been used to examine the risk of venous thromboembolism and bleeding after THA. These investigations have resulted in shorter duration of thromboprophylaxis and a reduced frequency of blood transfusion. Registers may provide specific information to surgeons on the outcome of all THAs that they have performed with a detailed analysis of revisions rates and reasons for the revisions. A number of other stakeholders can use register data to provide benchmarks. The National Joint Registry for England, Wales, Northern Ireland and the Isle of Man supplies data to the Orthopaedic Device Evaluation Panel (ODEP), which provides benchmarks at 3, 5, 7, 10, and 13 years graded from A*, A, B and C. Future perspectives: National registers have to play a major role in documenting the quality of THA in order to describe best practice and report implant outliers. The registers have to be used for research and post-market surveillance and register data may be a source for intelligent decision tools.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- total hip arthroplasty
- register
- prosthetic survival
- outlier
- thromboprophylaxis
- bleeding
- surgeon
- younger patients
- risk-factors
- venous thromboembolism
- antibiotic-prophylaxis
- polyethylene bearings
- clinical-trials
- follow-up
- replacement
- revision
- prostheses
- Bleeding
- Outlier
- Prosthetic survival
- Register
- Stakeholders
- Surgeon feedback
- Thromboprophylaxis
- Total hip arthroplasty
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Varnum, C.
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Pedersen, A. B.
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Rolfson, Ola, 19 ...
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Rogmark, Cecilia
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Furnes, O.
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Hallan, G.
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show more...
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Makela, K.
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de Steiger, R.
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Porter, M.
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Overgaard, S.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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Efort Open Revie ...
- By the university
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University of Gothenburg
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Lund University