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[EPRD更新——科学发展与卫生政策分类]

[EPRD update-scientific development and health policy classification].

作者信息

Steinbrück Arnd, Günther Klaus-Peter, Lützner Jörg, Grimberg Alexander, Perka Carsten, Kladny Bernd

机构信息

EPRD Deutsche Endoprothesenregister gGmbH, Str. des 17. Juni 106-108, 10623, Berlin, Deutschland.

Orthopädisch Chirurgisches Kompetenzzentrum Augsburg (OCKA), Augsburg, Deutschland.

出版信息

Orthopadie (Heidelb). 2025 Mar;54(3):185-189. doi: 10.1007/s00132-025-04623-w. Epub 2025 Feb 13.

DOI:10.1007/s00132-025-04623-w
PMID:39945835
Abstract

BACKGROUND

Since its foundation in 2010 by the German Society for Orthopaedics and Orthopaedic Surgery (DGOOC) and its establishment together with industry representatives (Bundesverband Medizintechnologie e. V.-BVMed) and the health insurance companies (AOK-Bundesverband eGbR, Verband der Ersatzkassen e. V. (vdek)), the German Arthroplasty Registry (EPRD) has developed rapidly in terms of size and quality of results. With over 3 million data records of hip and knee prostheses, it is now the world's third largest registry for arthroplasty. The product database of the EPRD and National Joint Registry (NJR) is becoming the global standard. 2023 was a record year in terms of recorded operations and scientific publications. The results of the EPRD are increasingly analysing and influencing everyday clinical practice in hip and knee arthroplasty in Germany.

PROSPECTS

From 2025, all EPRD clinics will be able to use the Oxford Hip and Oxford Knee Score free of charge for their patients as Patient Reported Outcome Measures (PROMs). In 2025, the recording parameters will be expanded to include surgical approaches to the hip, navigation and robotics on the knee joint, as well as an optional infection module. In 2026, voluntary registration of the surgeon with surgeon level reporting will be possible. The EPRD and the Implantateregister Deutschland (IRD) are expected to exist in parallel from 2025, and cooperation is still being sought. Data collection should be as streamlined as possible without duplicate data entries. However, the EPRD will continue to work independently of the IRD with its more than 12 years of experience and over 3 million data sets and will continue to provide clinics and specialists with its analyses and publications in the future.

摘要

背景

自2010年由德国骨科与矫形外科学会(DGOOC)创立,并与行业代表(德国医疗技术协会 - BVMed)和健康保险公司(德国法定医疗保险公司协会 - AOK,替代健康保险公司协会 - vdek)共同设立以来,德国关节置换登记处(EPRD)在规模和结果质量方面迅速发展。拥有超过300万条髋关节和膝关节假体数据记录,它现已成为全球第三大关节置换登记处。EPRD和国家关节登记处(NJR)的产品数据库正成为全球标准。2023年在记录的手术量和科学出版物方面是创纪录的一年。EPRD的结果越来越多地分析和影响德国髋关节和膝关节置换的日常临床实践。

前景

从2025年起,所有EPRD诊所都将能够为其患者免费使用牛津髋关节和牛津膝关节评分作为患者报告结局测量(PROMs)。2025年,记录参数将扩大到包括髋关节手术入路、膝关节导航和机器人技术,以及一个可选的感染模块。2026年,外科医生将有可能进行自愿注册并报告外科医生级别信息。预计从2025年起EPRD和德国植入物登记处(IRD)将并行存在,目前仍在寻求合作。数据收集应尽可能简化,避免重复数据录入。然而,EPRD将凭借其超过12年的经验和超过300万个数据集继续独立于IRD开展工作,并将在未来继续为诊所和专家提供分析和出版物。

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Re-revision and mortality rate following revision total hip arthroplasty for infection.翻修治疗感染性全髋关节翻修术后的再返修率和死亡率。
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Mortality After Hemiarthroplasty for Femoral Neck Fractures.股骨颈骨折半髋关节置换术后的死亡率
Dtsch Arztebl Int. 2023 Apr 28;120(17):297-298. doi: 10.3238/arztebl.m2023.0007.