Institutional arthroplasty registry: what is the minimum acceptable dataset to be included in your hospital? Recommendat
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ORIGINAL PAPER
Institutional arthroplasty registry: what is the minimum acceptable dataset to be included in your hospital? Recommendations from a single-country national consensus using the Delphi method Guillermo A. Bonilla 1,2 & Beatriz E. Montoya 3 & Victoria E. Restrepo 3 & Miguel M. Gomez 4 & Alfredo A. Sánchez 5,6 & Jose I. Sánchez 7 & Hugo A. Rodríguez 8 & Jairo A. Rincón 9 & Antonio L. Solano 10 & Diego Cardona 11 & Saúl L. Martínez 12 & Alejandro López 13 & Jose L. Moore 14 & on behalf of the members of the Colombian Society of Hip and Knee Surgeons (SOCCAR) Received: 6 June 2020 / Accepted: 30 October 2020 # SICOT aisbl 2020
Abstract Purpose Institutional arthroplasty registries are very popular nowadays; however, very few efforts have been made in order to standardize the information to be collected, thus limiting the possibility of inter-institutional data interpretation. This manuscript reports the results of a single-country consensus designed to define the minimum standardized dataset to be recorded within an institutional arthroplasty registry. Methods A national consensus was carried out among all members of the Colombian Society of Hip and Knee Surgeons using the Delphi method. Eleven questions and answers comprising every potential domain of an institutional registry of hip and knee arthroplasty were defined. According to the methodology, anonymous voting and multiple discussion rounds were performed. Three levels of agreement were defined: Strong consensus: equal to or greater than 80%, weak consensus between 70 and 79.9%, and no consensus below 70%. Results All of the questions reached consensus level. The minimum dataset was defined to include demographic and clinical information, intraoperative and implant details, follow-up and early complications, implant survival, and functional outcome scores, as well as the validation model to assess information quality within the database. Currently, this dataset is being implemented voluntarily by the members of our national society. Discussion A national consensus is a feasible method to build homogeneous arthroplasty registries. We recommend such an exercise since it establishes the basis to compare and add data between institutions and the joint analysis of said information in a national registry. Keywords Arthroplasty . Register . Dataset . Database . Hip arthroplasty . Kneearthroplasty . Qualityimprovement . Institutional Arthroplasty Registry
* Guillermo A. Bonilla [email protected] 1
Department of Orthopedics and Traumatology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia
2
School of Medicine, Universidad de Los Andes, Bogotá, Colombia
3
Clinical Care Center in Joint Replacements, Clínica El Rosario, Medellín, Colombia
4
Ortovital SAS, Barranquilla, Colombia
5
Orthopedics and Traumatology, Fundación Valle del Lili, Cali, Colombia
6
School of Medicine, Universidad Icesi, Cali, Colombia
7
Group of Hip and Knee Surgery, Hospital Militar Central, Bogotá, Colombia
8
Hospital Infantil de San Jose, Fu
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