Letter to the Editor
Spanish arthroplasty register
El registro español de artroplastias
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Fernández Fairén, R. Llopis, A. Rodríguez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Fernández Fairén" "email" => array:1 [ 0 => "icot.barna@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Llopis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "A." "apellidos" => "Rodríguez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Instituto de Cirugía Ortopédica y Traumatología de Barcelona, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Santa Cristina, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Consorcio Hospitalario de Reus, Reus, Tarragona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El registro español de artroplastias" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Orthopedic surgery has come a long way from its beginnings as a branch of general surgery to its current status as a well-defined and recognized scientific discipline. One of the most important milestones to highlight during its development was joining the world of Scientific Evidence; analyzing and using the extensive written evidence available in the light of quality criteria and scientific certainty, and maintaining large databases on entities and populations of interest: Registers. The purpose of Registers is to improve the development and application of joint replacements. Although they initially focused on hip replacements, they subsequently included knee, ankle and upper limb prostheses. In the Swedish Register,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> patients who have undergone surgery for a hip replacement fill a form and are subsequently assessed after 1, 6 and 10 years.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Since the Nordic countries – well-structured in the social and healthcare aspects – began maintaining them in the 70s, other Registers have been created in several developed countries to gather clinical data and study it with statistical tools, in order to extract general conclusions for the optimization of the specific situations addressed. Despite not representing the absolute truth, which Scientific Evidence does not provide either, they come close to being a rational treatment of clinical scenarios and their possible problems and solutions.</p><p id="par0015" class="elsevierStylePara elsevierViewall">After the results of the national Swedish arthroplasty Register were published, and especially once the Scandinavian Arthroplasty Register was established, many countries have attempted to follow their example. However, it has not always been possible as, occasionally, resistance has been encountered from political, social and healthcare collectives. The Swedish Register is the oldest Register of arthroplasties, as it was started in 1979 and comprises over 205,000 primary hip replacements and 12,500 revisions. It identifies risk factors and surgical techniques and gathers over 95% of primary surgeries and revisions performed in Sweden between 1966 and 1995.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> In 1999, also in Sweden, the Register of shoulder and elbow prostheses was started by the shoulder and elbow sections of the Swedish Orthopedic Association.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">The Nordic Arthroplasty Register Association (NARA) was created in 2007 to act as a common database for Denmark, Norway and Sweden, which Finland later joined in 2010. The first study which emerged from this database included 280,201 hip prostheses and the second 151,814 knee prostheses.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> The European Arthroplasty Register (EAR), an EFORT project, seeks to improve cooperation within a network of national Registers. Although Registers are usually based on the Scandinavian model, they are also adapted to national idiosyncrasies. Furthermore, making them comparable requires a homogenization process. However, supranational registers can never replace national data.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It is becoming increasingly necessary to find common criteria to complete forms in order to ensure that the correct statistical information is collected.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7–10</span></a> Most Registers are managed under the auspices of scientific societies of orthopedic surgery and traumatology and, in some cases, of government agencies.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The great advantage of Registers is that they manage to gather a large amount of data in a relatively short time, since the collection of this information can be generalized to the target population throughout the country. Moreover, this means that any studies conducted with that data will generally have sufficient statistical significance to validate their conclusions. This can help to detect circumstances and factors which compromise the results within a short period of time, making it possible to devise and recommend courses of action to avoid undesirable effects. This is of great interest when compared to the time and material means required to investigate such issues through clinical studies, like randomized trials, which are much more complex to design and carry out, as well as more expensive.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Today, we have gained considerable experience in the use of these tools, allowing us to critically judge them and attempt to modify and improve their operability and also reduce their shortcomings and deficiencies, such as the specific statistical treatment applied, what to consider as an endpoint in the survival of the arthroplasty, possible biases due to the specific characteristics of each Register, difficulties to extrapolate data between different environments and countries, etc.</p><p id="par0035" class="elsevierStylePara elsevierViewall">However, beyond the complexity of analysis and interpretation, there are other difficulties when it comes to using data. The most obvious is how to ensure that a universal representation is being obtained by the collective of orthopedic surgeons who are, therefore, the first and foremost interested parties in knowing what we are doing for the benefit of our patients. Thus, despite all the potential drawbacks, the advantages of Registers are undeniable and, today, these entities are gaining importance. It is essential to be self-critical and to learn from experience, but also from evidence with statistical and scientific significance, and, in short, to have a method of quality control for arthroplasties performed in our country, which will allow us to compare our results with those of other scientific communities.</p><p id="par0040" class="elsevierStylePara elsevierViewall">And what about Spain? Is Spain different? Of course not. Just like orthopedic surgeons have incorporated the latest advances and standards our discipline, improved the quality of the work presented and published, and increased reliability in fulfilling requirements, likewise, Spanish orthopedic surgery is bound to establish and maintain an Arthroplasty Register.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Now is the time. Concern over this issue has permeated the field and SECOT has responded to that interest. We are standing at the threshold and fully prepared to create a Spanish Arthroplasty Register. It has already been mentioned before: it does not represent the absolute truth, but it promotes scientific and operational knowledge, supports the need for changes in clinical approaches or lack thereof, facilitates their optimization and improves a feature that can be critical nowadays: the cost effectiveness of medical procedures. Our profession has a particular interest in this project, always bearing in mind the fact that this interest is motivated by the improvement of healthcare conditions and quality of life for our patients, as well as the service and performance that we are required to provide to our society.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fernández Fairén M, Llopis R, Rodríguez A. El registro español de artroplastias. Rev Esp Cir Ortop Traumatol. 2014;58:325–326.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Presidential guest address: The Swedish Hip Registry: increasing the sensitivity by patient outcome data" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "H. Malchau" 1 => "G. Garellick" 2 => "T. Eisler" 3 => "J. Kärrholm" 4 => "P. Herberts" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res" "fecha" => "2005" "volumen" => "441" "paginaInicial" => "19" "paginaFinal" => "29" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16330981" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Outcome after total hip arthroplasty. Part I: General health evaluation in relation to definition of failure in the Swedish National Total Hip Arthoplasty Register" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Söderman" 1 => "H. Malchau" 2 => "P. Herberts" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/000164700317393330" "Revista" => array:6 [ "tituloSerie" => "Acta Orthop Scand" "fecha" => "2000" "volumen" => "71" "paginaInicial" => "354" "paginaFinal" => "359" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11028882" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Are the findings in the Swedish National Total Hip Arthroplasty Register valid? A comparison between the Swedish National Total Hip Arthroplasty Register, the National Discharge Register, and the National Death Register" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Söderman" 1 => "H. Malchau" 2 => "P. Herberts" 3 => "O. Johnell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Arthroplast" "fecha" => "2000" "volumen" => "15" "paginaInicial" => "884" "paginaFinal" => "889" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Swedish Elbow Arthroplasty Register and the Swedish Shoulder Arthroplasty Register: two new Swedish arthroplasty registers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Rahme" 1 => "M.B. Jacobsen" 2 => "B. Salomonsson" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/000164701317323336" "Revista" => array:6 [ "tituloSerie" => "Acta Orthop Scand" "fecha" => "2001" "volumen" => "72" "paginaInicial" => "107" "paginaFinal" => "112" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11372939" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A Scandinavian experience of register collaboration: the Nordic Arthroplasty Register Association (NARA)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L.I. Havelin" 1 => "O. Robertsson" 2 => "A.M. Fenstad" 3 => "S. Overgaard" 4 => "G. Garellick" 5 => "O. Furnes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Am" "fecha" => "2011" "volumen" => "93" "numero" => "Suppl. 3" "paginaInicial" => "S13" "paginaFinal" => "S19" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The European Arthroplasty Register (EAR), development and rationale for supranational cooperation of arthroplasty registers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G. Labek" 1 => "N. Böhler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-0029-1185532" "Revista" => array:6 [ "tituloSerie" => "Z Orthop Unfall" "fecha" => "2009" "volumen" => "147" "paginaInicial" => "151" "paginaFinal" => "157" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19358068" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Key factors for a successful National Arthroplasty Register" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Kolling" 1 => "B.R. Simmen" 2 => "G. Labek" 3 => "J. Goldhahn" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1302/0301-620X.89B12.19409" "Revista" => array:6 [ "tituloSerie" => "J Bone Joint Surg Br" "fecha" => "2007" "volumen" => "89" "paginaInicial" => "1567" "paginaFinal" => "1573" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18057354" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Organisation, data evaluation, interpretation and effect of arthroplasty register data on the outcome in terms of revision rate in total hip arthroplasty" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G. Labek" 1 => "W. Janda" 2 => "M. Agreiter" 3 => "R. Schuh" 4 => "N. Böhler" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00264-010-1131-4" "Revista" => array:6 [ "tituloSerie" => "Int Orthop" "fecha" => "2011" "volumen" => "35" "paginaInicial" => "157" "paginaFinal" => "163" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20922385" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Application and surgical technique of total knee arthroplasties: a systematic comparative analysis using worldwide registers" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "I. Vielgut" 1 => "N. Kastner" 2 => "K. Pichler" 3 => "L. Holzer" 4 => "M. Glehr" 5 => "G. Gruber" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00264-013-1933-2" "Revista" => array:6 [ "tituloSerie" => "Int Orthop" "fecha" => "2013" "volumen" => "37" "paginaInicial" => "1465" "paginaFinal" => "1469" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23703540" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Overcoming boundaries of worldwide joint arthroplasty registers: the European Arthroplasty Register minimal dataset" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Sadoghi" 1 => "A. Leithner" 2 => "G. Labek" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Arthroplast" "fecha" => "2013" "volumen" => "28" "paginaInicial" => "1327" "paginaFinal" => "1328" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/19888856/0000005800000005/v1_201408310031/S1988885614000972/v1_201408310031/en/main.assets" "Apartado" => array:4 [ "identificador" => "7598" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/19888856/0000005800000005/v1_201408310031/S1988885614000972/v1_201408310031/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1988885614000972?idApp=UINPBA00004N" ]
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| 2023 February | 20 | 7 | 27 |
| 2023 January | 13 | 8 | 21 |
| 2022 December | 23 | 4 | 27 |
| 2022 November | 27 | 3 | 30 |
| 2022 October | 25 | 9 | 34 |
| 2022 September | 23 | 8 | 31 |
| 2022 August | 50 | 8 | 58 |
| 2022 July | 40 | 10 | 50 |
| 2022 June | 17 | 8 | 25 |
| 2022 May | 30 | 10 | 40 |
| 2022 April | 29 | 10 | 39 |
| 2022 March | 15 | 10 | 25 |
| 2022 February | 21 | 7 | 28 |
| 2022 January | 23 | 4 | 27 |
| 2021 December | 20 | 13 | 33 |
| 2021 November | 12 | 8 | 20 |
| 2021 October | 34 | 11 | 45 |
| 2021 September | 24 | 15 | 39 |
| 2021 August | 39 | 9 | 48 |
| 2021 July | 17 | 11 | 28 |
| 2021 June | 18 | 7 | 25 |
| 2021 May | 16 | 8 | 24 |
| 2021 April | 47 | 15 | 62 |
| 2021 March | 28 | 11 | 39 |
| 2021 February | 10 | 12 | 22 |
| 2021 January | 9 | 7 | 16 |
| 2020 December | 2 | 0 | 2 |
| 2018 February | 5 | 1 | 6 |
| 2018 January | 9 | 0 | 9 |
| 2017 December | 10 | 0 | 10 |
| 2017 November | 8 | 1 | 9 |
| 2017 October | 11 | 3 | 14 |
| 2017 September | 14 | 2 | 16 |
| 2017 August | 15 | 3 | 18 |
| 2017 July | 11 | 2 | 13 |
| 2017 June | 40 | 3 | 43 |
| 2017 May | 9 | 2 | 11 |
| 2017 April | 10 | 2 | 12 |
| 2017 March | 10 | 1 | 11 |
| 2017 February | 6 | 0 | 6 |
| 2017 January | 10 | 1 | 11 |
| 2016 December | 15 | 2 | 17 |
| 2016 November | 14 | 3 | 17 |
| 2016 October | 29 | 1 | 30 |
| 2016 September | 31 | 2 | 33 |
| 2016 July | 1 | 1 | 2 |
| 2016 June | 15 | 2 | 17 |
| 2016 May | 17 | 2 | 19 |
| 2016 April | 14 | 3 | 17 |
| 2016 March | 11 | 8 | 19 |
| 2016 February | 14 | 10 | 24 |
| 2016 January | 5 | 1 | 6 |
| 2015 December | 8 | 5 | 13 |
| 2015 November | 17 | 3 | 20 |
| 2015 October | 19 | 4 | 23 |
| 2015 September | 47 | 6 | 53 |
| 2015 August | 91 | 3 | 94 |
| 2015 July | 65 | 4 | 69 |
| 2015 June | 11 | 1 | 12 |
| 2015 May | 18 | 5 | 23 |
| 2015 April | 66 | 6 | 72 |
| 2015 March | 45 | 4 | 49 |
| 2015 February | 26 | 3 | 29 |
| 2015 January | 27 | 5 | 32 |
| 2014 December | 39 | 12 | 51 |
| 2014 November | 39 | 14 | 53 |
| 2014 October | 57 | 25 | 82 |
| 2014 September | 55 | 16 | 71 |
Show all
