Joint registries as continuous surveillance systems: the experience of the Catalan Arthroplasty Register (RACat)

J Arthroplasty. 2014 Mar;29(3):484-90. doi: 10.1016/j.arth.2013.07.048. Epub 2013 Sep 18.

Abstract

The aim was to present results on prosthesis performance in Catalonia for the period 2005-2010. All publicly funded hospitals submit in an electronic format data on hip and knee arthroplasties: patients' insurance identification number, hospital, joint (hip/knee), type of arthroplasty (primary/revision), side (right/left), date of surgery and prosthesis (manufacturer name and catalogue number). A standard survival analysis based on Kaplan-Meier estimation was carried out. Fifty-two hospitals have sent information to the RACat which has data on 36,951 knee and 26,477 hip arthroplasties. Cumulative prostheses revision risks at 3 years were 3.3% (95% CI: 3.1-3.6) for knee, 2.9% (95% CI: 2.5-3.3) for total hip and 2.5% (95% CI: 2.0-3.1) for partial hip. When compared to other registries a higher risk of revision was observed.

Keywords: hip arthroplasty; knee arthroplasty; outcomes assessment; registries.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / statistics & numerical data*
  • Arthroplasty, Replacement, Knee / statistics & numerical data*
  • Female
  • Humans
  • Joint Diseases / surgery*
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Population Surveillance
  • Registries*
  • Reoperation / statistics & numerical data
  • Spain / epidemiology