Poolman Rudolf W, Verhaar Jan A N, Schreurs B Willem, Bom L Paul A, Nelissen Rob G H H, Koot Henk W J, Goosen Jon H M, Verheyen Cees C P M
Members Hip Task Force of the Nederlandse Orthopaedische Vereniging, Bruistensingel, 's-Hertogenbosch - The Netherlands.
Hip Int. 2015 Mar-Apr;25(2):131-7. doi: 10.5301/hipint.5000209. Epub 2015 Feb 28.
We describe the implementation process of hip prostheses selection in the Netherlands. The recent problems with large head metal-on-metal hip prostheses resulted in substantial damage to the surgeons' credibility and reputation in the media. This led to a true sense of urgency among orthopaedic surgeons to increase their activities to secure patient safety. The board of the Dutch Orthopaedic Association (NOV) in the Netherlands established a Dutch Hip Task Force (DHTF) with the explicit assignment of formulating criteria to classify the quality of total hip implants on the Dutch market based on survivorship. The aim was to offer unequivocal information enabling a balanced choice of total hip prosthesis. The ultimate goal of the NOV is that all implanted total hip prostheses implanted in the Netherlands are based on reliable clinical evidence. The DHTF decided to adapt the principles of the National Institute for Health and Care Excellence (NICE, UK) (www.nice.org.uk). The taskforce uses data from the registries as well as the Orthopaedic Data Evaluation Panel (ODEP). If the ODEP guidelines had been chosen as standard alone, one quarter of our listed hip components would not have been included. In our view this underlines the strength in the Dutch approach where high quality registry data and ODEP ratings are complementary and result in a list of reliable hip prostheses. Most importantly we offer patients insights into the known quality of the implants by sharing the results of our implant review. This will facilitate shared decision making by empowering patients in their knowledge on available hip arthroplasties.
我们描述了荷兰髋关节假体选择的实施过程。近期大头金属对金属髋关节假体出现的问题，给外科医生在媒体上的信誉和声誉造成了重大损害。这使得骨科医生真切地感受到了紧迫性，从而加大行动力度以确保患者安全。荷兰骨科协会（NOV）董事会成立了荷兰髋关节特别工作组（DHTF），其明确任务是制定基于生存率对荷兰市场上全髋关节植入物质量进行分类的标准。目的是提供明确信息，以便能在选择全髋关节假体时做出权衡。NOV的最终目标是，荷兰所有植入的全髋关节假体都基于可靠的临床证据。DHTF决定采用英国国家卫生与临床优化研究所（NICE，网址：www.nice.org.uk）的原则。该特别工作组使用了登记处的数据以及骨科数据评估小组（ODEP）的数据。如果仅将ODEP指南作为标准，我们列出的髋关节组件中有四分之一将不会被纳入。我们认为，这凸显了荷兰方法的优势，即高质量的登记数据和ODEP评级相辅相成，从而得出一份可靠的髋关节假体清单。最重要的是，我们通过分享植入物审查结果，让患者了解植入物的已知质量。这将通过增强患者对可用髋关节置换术的了解，促进共同决策。
