Register als Werkzeug für mehr Endoprothesensicherheit

Abstract

There has previously been no structured long-term documentation of the results of hip and knee prosthesis operations in Germany. This article presents the objectives, structure and data flow of the newly established German arthroplasty registry (EPRD). The EPRD is run as a subdivision of the German Society for Orthopedics and Orthopedic Surgery (Deutsche Gesellschaft für Orthopädie und orthopädische Chirurgie, DGOOC). It is dedicated to scientific principles and guarantees independency and immediate feedback to surgeons. The cooperation between insurance funds, hospitals, industry and scientific society is the key to success. Additional data acquisition and bureaucratic formalities are limited to a minimum and in particular there is no use of paper. Involving the health insurance funds provides access to relevant routine data. The implant documentation is facilitated by means of an implant library and barcode scanning in the operating room. The EPRD documents the survival of implants including the reasons for revision. Although the highest level of patient data protection is guaranteed, individual patients can be identified in case of implant recalls.

EndoProthetikZentrum

“…Das erste Register für Knieendoprothesen wurde 1975 und für Hüftendoprothesen 1979 in Schweden eingeführt 7 . Weitere Register in den skandinavischen Ländern folgten in den Jahren darauf, 1980 in Finnland und 1987 in Norwegen 8 . Ein wichtiges Ergebnis der Register war beispielsweise die erhöhte Revisionsrate nach Verwendung von Boneloc-Knochenzement im Jahr 1994, die zum Rückruf des Produktes führte.…”

“…Ein wichtiges Ergebnis der Register war beispielsweise die erhöhte Revisionsrate nach Verwendung von Boneloc-Knochenzement im Jahr 1994, die zum Rückruf des Produktes führte. In Dänemark folgte daraufhin 1995 für Hüftendoprothesen und 1997 für Knieendoprothesen die Einführung eines Registers 8 9 10 .…”

Healthcare System Stakeholders

“…In addition, the registry enables the analyses of data at a hospital level, taking into account not only information about the implant itself but also aspects of inpatient care and patient-related factors. Physicians, hospitals, endoprosthesis manufacturers and health insurance funds are informed of the results serving as a basis for the further development of quality assurance measures (EPRD 2015b, Hassenpflug andLiebs 2014).…”

“…Significant and reliable results can only be achieved through high rates of participation in the registry (Hassenpflug and Liebs 2014). According to February 2016 figures, 684 out of 1,200 hospitals that performed arthroplasty participated in the registry.…”

Orthopaedic registries: the German experience

“…The German Arthroplasty Registry (EPRD) was established in 2010 as an umbrella organization by surgeons and the German Association of Orthopaedics and Orthopaedic Surgery, comprising hospitals, public health insurance agencies and industry representatives from endoprosthesis manufacturing companies 1-3. The aims of EPRD are:…”