Data Quality in Institutional Arthroplasty Registries: Description of a Model of Validation and Report of Preliminary Results

Background Arthroplasty registries are a relevant source of information for research and quality improvement in patient care and its value depends on the quality of the recorded data. The purpose of this study is to describe a model of validation and present the findings of validation of an Institut...

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Autores:
Tipo de recurso:
Fecha de publicación:
2017
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/22239
Acceso en línea:
https://doi.org/10.1016/j.arth.2017.02.030
https://repository.urosario.edu.co/handle/10336/22239
Palabra clave:
Antibiotic agent
Adult
Aged
Arthroplasty
Article
Clinical outcome
Controlled study
Data processing
Data quality
Demography
Error
Female
Hip arthroplasty
Human
Knee arthroplasty
Major clinical study
Male
Measurement accuracy
Patient compliance
Quality control
Range of motion
Register
Shoulder arthroplasty
Thrombosis prevention
Validation study
Arthroplasty
Factual database
Hip replacement
Knee replacement
Medical record
Methodology
Middle aged
Register
Reoperation
Statistics and numerical data
Total quality management
Treatment outcome
Very elderly
Young adult
Adult
Aged
Aged, 80 and over
Arthroplasty
Data accuracy
Female
Humans
Male
Medical records
Middle aged
Quality improvement
Registries
Reoperation
Research design
Treatment outcome
Young adult
Arthroplasty
Arthroplasty registers
Data sources
Replacement
Validation studies
replacement
factual
replacement
knee
hip
Arthroplasty
Arthroplasty
Databases
Rights
License
Bloqueado (Texto referencial)
Description
Summary:Background Arthroplasty registries are a relevant source of information for research and quality improvement in patient care and its value depends on the quality of the recorded data. The purpose of this study is to describe a model of validation and present the findings of validation of an Institutional Arthroplasty Registry (IAR). Methods Information from 209 primary arthroplasties and revision surgeries of the hip, knee, and shoulder recorded in the IAR between March and September 2015 were analyzed in the following domains. Adherence is defined as the proportion of patients included in the registry, completeness is defined as the proportion of data effectively recorded, and accuracy is defined as the proportion of data consistent with medical records. A random sample of 53 patients (25.4%) was selected to assess the latest 2 domains. A direct comparison between the registry's database and medical records was performed. Results In total, 324 variables containing information on demographic data, surgical procedure, clinical outcomes, and key performance indicators were analyzed. Two hundred nine of 212 patients who underwent surgery during the study period were included in the registry, accounting for an adherence of 98.6%. Completeness was 91.7% and accuracy was 85.8%. Most errors were found in the preoperative range of motion and timely administration of prophylactic antibiotics and thromboprophylaxis. Conclusion This model provides useful information regarding the quality of the recorded data since it identified deficient areas within the IAR. We recommend that institutional arthroplasty registries be constantly monitored for data quality before using their information for research or quality improvement purposes. © 2017 Elsevier Inc.