Arthroplasty registries as a source of information for decision making: a comprehensive overview

Article type
Authors
Sirena S1, Stein AT1, Hofmeister MDG2, Levandovski RM1, Baldisserotto J1, Tavares MRG1, Puga ME3
1Grupo Hospitalar Conceição, Brazil
2ANVISA, Brazil
3Cochrane Center of Brazil, Brazil
Abstract
Background: The use of arthroplasty registries have been proved as a useful tool for the evaluation and performance of arthroplasty procedures and implants.
Objective: To evaluate the application of local and national knee and hip arthroplasty registries as a source of information.
Methods: We searched PubMed, Cochrane, Scopus, EMBASE, Web of Science, LILACS, and Scirus (March 2014) using the following MeSH terms: Arthroplasty Replacement Knee OR Arthroplasty Replacement Hip AND Health Information OR Registries OR Registry OR Information Management OR Health Information Management OR Product Registration OR Medical Records Systems Computerized OR Automated Medical Record System. Data were collected using standardized forms, the authors analyzed them in pairs, and selected the relevant papers. The quality of the included systematic reviews was assessed by using AMSTAR (A MeaSurement Tool to Assess systematic Reviews).
Results: The systematic literature search yielded 1297 hits: 274 publications were selected to be fully examined. Twenty-one systematic reviews were found and 11 were included, presenting moderate to high methodological quality. Most of them were from the European Community and supported by national societies or governments. The outcomes were: revision rates and survival, scientific production and quality of data collection, patient-related outcomes, epidemiology of joint replacement surgery, comparison of data from registry systems with clinical trials, and characterization of registry systems.
Conclusions: There is strong evidence that the joint replacement registry is useful as an early warning system for premature device failure, and identifying factors associated with outcomes. The registries can contribute as a solution to filter the information overload.