The Journal of Bone and Joint Surgery (American). 2009;91:134-141.
doi:10.2106/JBJS.I.00497
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Initiating a Multisubspecialty Orthopaedic Outcomes Program and Utilizing the Data to Guide Practice

Clifford W. Colwell, Jr., MD1, Pamela A. Pulido, BSN1, Mary E. Hardwick, MSN1, Julie C. Sandwell, MPHc1, Adam S. Rosen, DO2 and Steven N. Copp, MD2

1 Shiley Center for Orthopaedic Research and Education at Scripps Clinic, 11025 North Torrey Pines Road, Suite 140, La Jolla, CA 92037. E-mail address for M.E. Hardwick: hardwick.mary@scrippshealth.org
2 Division of Orthopaedic Surgery, Scripps Clinic, 10666 North Torrey Pines Road, MS116, La Jolla, CA 92037

The first 150 words of the full text of this article appear below.


   Introduction
 
Evidence-based medicine integrates research findings, clinical expertise, and patient values to provide the highest quality patient care. An orthopaedic outcomes database can assist surgeons in assessing associations between surgical procedures, function, survivorship, complication rates, patient satisfaction, and quality of life as guidance for practice. Outcomes are used to validate techniques or procedures, to benchmark best practices, and to identify areas requiring more clinical research. Tracking the success and failure rates of implants and surgical procedures is important. An outcomes database allows for short-term, midterm, and long-term prospective follow-up studies of specific cohorts and also facilitates studies that are retrospective in design.

Several countries have initiated orthopaedic outcomes registries or databases. The oldest registry is the Swedish Knee Arthroplasty Register that was started in 19751. Other countries have followed with the development of their own joint registries in England, New Zealand, Germany, Finland, Denmark, and Norway2-7.

In 1994, the . . . [Full Text of this Article]


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