国家关节置换登记处肘关节置换术数据质量审计

The National Joint Registry Data Quality Audit of elbow arthroplasty.

作者信息

Hamoodi Zaid, Shapiro Joanne, Sayers Adrian, Whitehouse Michael R, Watts Adam C, Abbott Jennifer, Abbott Sarah, Adebayo Oliver, Ahmad Kashif, Ahrens Philip, Akinfala Michael, Al-Hadithy Nawfal, Al-Najjar Majed, Amirfeyz Rouin, Ankarath Sudhi, Ashton Fiona, Aulton Kelly, Auplish Sunil, Austin Jane, Ayeko Segun, Azhar Raja, Bahia Rish, Baines Steven, Baldomir Marisol, Barai Sneha, Barkham Benjamin, Barrett Emily, Batten Timothy, Bavan Luckshman, Baxter Jonathan, Beaumont Sera, Bentley James, Bhabra Gev, Bhat Mahendar, Bhatt Ankit, Bhingraj Mahmoud, Bhutta Aqeel, Bingham Samuel, Blastland Jenny, Boardman David, Boateng Michael, Bojarska Kasia, Boksh Khalis, Booker Simon, Borreshi Sebastian, Bould Michael, Boulton Lesley, Brannan Linda, Breidaka Zarina, Brereton Rachel, Brinsden Mark, Brooker Joanne, Brookes Sabine, Broux Cheryl, Brown Elke, Browne Jacqueline, Bryant Richard, Buchanan James, Buck Lisa, Burnett Karen, Burrows Melanie, Burt Jill, Burton David, Butt Usman, Campaner Barry, Candal-Couto Jaime, Carvell Hannah, Chakravarthy Jagannath, Chatterji Somashree, Chaudhury Salma, Chauhan Govind S, Chojnowski Adrian, Cittambalam Janani, Clark David, Gosia Clarke Malgorzata, Clarke Ben, Clelland Andrew, Cochrane Roz, Colbridge Karen, Cook Hayley, Cooper Becky, Correa Elizabeth, Craven Joanna, Crawford Jason, Curtis Sherri, Cuthbert Rory, Dainton Jeremy, Dale Lisa, Davies Sammy, Davis Joanne, Davis Vicky, Dean Ben, Dehler Tom, Dennis Sonu, Der Tavitian Jacob, Desai Aravind, Dhillon Sukhraj S, Dias Richard, Dickinson Graham, Dirckx Margo, Dixon Oliver, Docker Charles, Dodenhoff Ronald, Domos Peter, Draviaraj Kingsleypaul, Drew Steven, Duff Caroline, Duffin Sarah, Durham Paula, Earnshaw Kirstie, Edakalathur Jefin, Edwards Michelle, Elahi Zain, Else Samantha, Emara Moustafa, Eng Khemerin, Esfandiari Alireza, Esler Colin, Evans Jon, Everall Alicia, Eyre-Brook Alistair, Farhan-Alanie Muhamed, Federer Simon, Ferdinandus Sharon, Finch Marie, Fischer Jochen, Flood Catherine, Forde Christine, Forder Justin, Fowler Lisa, Franklin Marieta, Gacaferi Hamez, Gamble David, Garg Sunil, Gill Vicki, Ginley Jean, Glancey Emma, Glanville Gemma, Gmati Aimen, Goddard Karen, Goel Jay, Goldsmith Carly, Gooding Ben, Goodwin Fiona, Goring Benjamin, Goude Will, Guyver Paul, Haines Samuel, Haque Aziz, Hardley Thomas, Haritonow Susan, Harnett Louise, Harris Joanna, Harris Margaret, Harrison Jane, Hauffe Isabelle, Hawken Archie, Hawkes Dave, Hay Stuart, Haywood Mia, Hedge Siddhant, Hickey Susan, Hickinson Anne, Higgs Deborah, Hill Richard, Hill Sharyn, Hind Jamie, Hitchcock Maria, Holdcroft Terry, Holdcroft Emily, Holliday Ann, Hudson Siobhan, Hughes Hazel, Imtiaz Rabia, Iqbal Sheeraz, Jabr Yamen, Jackson Crystal, Jameson Jackie, Jayme Odette, Jennings Andrew, Jenvey Cara, Jewitt Elizabeth, Jimenez Andreea, Joby John, Jones Adrian, Jones Neil, Jovanovic Jadranka, Kabala Vanessa, Kang Niel, Kausor Gulnaz, Kaynes Sarah, Keane Conal, Keen Lauren, Kelly Gaynor, Kent Matthew, Kent Jonathan, Kerr Carla, Kerr Julie, King Christina, Kinnair Anthony, Kinsley Gemma, Konarski Alastair, Kord Jacqueline, Kumar Hari, Kumar Sachin, Lafferty Rebecca, Lancaster Patrick, Levitt William, Lewin Alexandria, Li Yueyang, Liew Ignatius, Yizhe Lim Martin, Lipscombe Stephen, Lynch Edith, MacInnes Scott, Madden Paula, Maddocks Nick, Mahajan Ravindra, Mahoney Rachel, Malik Sheraz, Mannan Syed, Maris Alexandros, Markey Michael, Martin Christy, Martin Rebecca, Masunda Stanley, Mazis George, Mcauliffe Anne-Marie, McBride Tim, McGowan Amy, Mckeown Nicolee, McLauchlan George, McNally Debbie, Melton Joel, Miller Jane, Millyard Cathy, Mitchell Claire, Mohamed Foad, Mohamed Abdalla, Charlotte Montgomery Helen, Munn Darren, Mutimer John, Nanda Rajesh, Neen Daniel, Newton Lynne, Newton Ashley, Nicholl Aly, Nightingale Jessica, Ogden Emma, Orton Peter, Oswald Lynda, Page Kelly, Paius Maria, Papanna Madhavan, Patel Neelam, Paul Claudia, Peach Chris, Pegg Derek, Penfold Sue, Phillips Eleanore, Pickering Greg, Plakogiannis Christos, Platt Julie, Pole Craig, Potter Richard, Povall Kate, Pradhan Riten, Prasad Ganesh, Price Karen, Pride Julie, Prins Afnan, Qazzaz Layth, Radhakrishnan Ajay, Ramesh Ashwanth, Rashid Adil, Rashid Abbas, Rasidovic Damir, Ratford Emily, Rayner Jan, Rhee Jae, Rice-Evans Matthew, Ricketts Martha, Roach Deborah, Waters Eve R, Robinson Simon, Robinson Paul, Rodgers Samantha, Rogers Emma, Rooney Aaron, Rossouw Dan, Roy Bibhas, Sadiqi Maseh, Sagmeister Markus, Samy David, Sanders Paige, Sanderson Kelly, Sandher Dilraj, Sargazi Nastaran, Saunders Mark, Saunders Nicky, Savage Kim, Sawalha Seif, Schouw Melissa, Scott Gareth, Selzer Gunther, Sepesiova Lucia, Shah Sohan, Shahane Shantanu, Shaw Grant, Shrestha Suzani, Shutt John, Siddiqui Nashat, Sidharthan Sijin, Simons Adrian, Simpson Vera, Sinclair Pierre, Siney Paul, Singh Jagwant, Singh Bijayendra, Singh Harvinder, Sinha Apurv, Smith Callum, Smith Christopher, Smith Kerry, Somanchi Brinda, Soufan Muhab, Southgate Cynthia, Southgate Jeremy, Spearpoint Nicola, Stainer Rebecca, Stevens Richard, Stimler Batya, Stone Andrew, Suter Danielle, Talbot Charlie, Tareef Tareq, Theivendran Kanthan, Thomas Beverely, Thomas William, Thompson Andrew, Thompson Jackie, Thornhill Elizabeth, Titchener Andrew, Townley Michael, Tozer Tina, Truman Jennie, Truss Adam, Turner Rob, Van Rensburg Lee, Venugopal Vinayak, Vollans Sam, Waller Louise, Walsh Anna, Waraich Aleena, Wei Nicholas, James White William, Wilkinson Mark, Williams Daniel, Williams Philip, Williams Nicola, Wilson Stephanie, Wood David, Yadu Shirley, Yarashi Tejas, Zeolla Julian, Zreik Nasri H, Ollivere Ben

机构信息

Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Upper Limb Unit, Wrightington Hospital, Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust, Wigan, UK.

出版信息

Bone Joint J. 2024 Dec 1;106-B(12):1461-1468. doi: 10.1302/0301-620X.106B12.BJJ-2023-1372.R1.

DOI:10.1302/0301-620X.106B12.BJJ-2023-1372.R1

PMID:39618239

Abstract

AIMS

The aim of this audit was to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset for arthroplasty of the elbow.

METHODS

It was performed in two phases. In Phase 1, the completeness was assessed by comparing the NJR elbow dataset with the NHS England Hospital Episode Statistics (HES) data between April 2012 and April 2020. In order to assess the accuracy of the data, the components of each arthroplasty recorded in the NJR were compared to the type of arthroplasty which was recorded. In Phase 2, a national collaborative audit was undertaken to evaluate the reasons for unmatched data, add missing arthroplasties, and evaluate the reasons for the recording of inaccurate arthroplasties and correct them.

RESULTS

Phase 1 identified 5,539 arthroplasties in HES which did not match an arthroplasty on the NJR, and 448 inaccurate arthroplasties from 254 hospitals. Most mismatched procedures (3,960 procedures; 71%) were radial head arthroplasties (RHAs). In Phase 2, 142 NHS hospitals with 3,640 (66%) mismatched and 314 (69%) inaccurate arthroplasties volunteered to assess their records. A large proportion of the unmatched data (3,000 arthroplasties; 82%) were confirmed as being missing from the NJR. The overall rate of completeness of the NJR elbow dataset improved from 63% to 83% following phase 2, and the completeness of total elbow arthroplasty data improved to 93%. Missing RHAs had the biggest impact on the overall completeness, but through the audit the number of RHAs in the NJR nearly doubled and completeness increased from 35% to 70%. The accuracy of data was 94% and improved to 98% after correcting 212 of the 448 inaccurately recorded arthroplasties.

CONCLUSION

The rate of completeness of the NJR total elbow arthroplasty dataset is currently 93% and the accuracy is 98%. This audit identified challenges of data capture with regard to RHAs. Collaboration with a trauma and orthopaedic trainees through the British Orthopaedic Trainee Association improved the completeness and accuracy of the NJR elbow dataset, which will improve the validity of the reports and of the associated research.

摘要

目的

本次审核旨在评估并提高国家关节注册处（NJR）肘关节置换数据集的完整性和准确性。

方法

审核分两个阶段进行。在第一阶段，通过比较2012年4月至2020年4月期间NJR肘关节数据集与英国国民健康服务体系（NHS）英格兰医院事件统计数据（HES）来评估完整性。为评估数据的准确性，将NJR中记录的每次关节置换的组成部分与所记录的关节置换类型进行比较。在第二阶段，开展了一项全国性合作审核，以评估数据不匹配的原因，补充缺失的关节置换信息，并评估记录不准确的关节置换的原因并加以纠正。

结果

第一阶段在HES中识别出5539例关节置换手术与NJR上的关节置换不匹配，以及来自254家医院的448例记录不准确的关节置换手术。大多数不匹配的手术（3960例；71%）是桡骨头置换术（RHA）。在第二阶段，142家NHS医院，其中有3640例（66%）不匹配和314例（69%）记录不准确的关节置换手术，自愿参与评估其记录。很大一部分不匹配的数据（3000例关节置换手术；82%）被确认为NJR中缺失的数据。第二阶段后，NJR肘关节数据集的总体完整性率从63%提高到83%，全肘关节置换数据的完整性提高到93%。缺失的RHA对总体完整性影响最大，但通过审核，NJR中的RHA数量几乎翻了一番，完整性从35%提高到70%。数据的准确性为94%，在纠正448例记录不准确的关节置换手术中的212例后提高到98%。