The Journal of Bone and Joint Surgery (American). 2009;91:68-72.
doi:10.2106/JBJS.H.01592
© 2009 The Journal of Bone and Joint Surgery, Inc.
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The Use of Hospital Registries in Orthopaedic Surgery

Henry Ahn, MD, FRCSC1, Charles M. Court-Brown, MD, FRCSEd(Orth)2, Margaret M. McQueen, MD, FRCSEd(Orth)2 and Emil H. Schemitsch, MD, FRCSC1

1 Division of Orthopaedic Surgery, St. Michael's Hospital, 55 Queen Street East, #800, Toronto, ON M5C 1R6, Canada. E-mail address for H. Ahn: ahnh{at}smh.toronto.on.ca
2 New Royal Infirmary of Edinburgh, Little France, Old Dalkeith Road, Edinburgh EH16 4SU, United Kingdom

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.


A hospital registry is a collection of prospectively recorded information about patients who have a specific condition or who received a specific type of treatment. Hospital registries are beneficial for the patient, physicians, and administrators and serve several purposes, with the primary purpose being quality control. This article focuses on the role of registries at the hospital level and their advantages compared with other data sets. We also discuss how to implement a hospital registry and how to ascertain registry quality. Finally, we describe the problems inherent in any hospital-based registry and the ways in which the data collected in a registry can be appropriately analyzed.


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