Evidence map›Paper›PMID 15370588›Full record

ArticleActa orthopaedica Scandinavica2004

Registration in the danish hip arthroplasty registry: completeness of total hip arthroplasties and positive predictive value of registered diagnosis and postoperative complications.

Alma Pedersen, Søren Johnsen, Søren Overgaard, Kjeld Søballe, Henrik T Sørensen, Ulf Lucht

Registry-linked trialOpen access · bronzeAbstract readValidation Study
PubMed Publisher
In one paragraph

Article in Acta orthopaedica Scandinavica, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05932823 (Airflow and Hip Prosthesis Infections), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05932823 completednot on this mapstarted 2010, after this paper: background citation

Airflow and Hip Prosthesis Infections: A Registry Study Comparing Laminar vs. Turbulent Flow in the Danish Hip Arthroplasty Register.

Typeobservational_patient_registrySponsorUniversity Hospital Bispebjerg and FrederiksbergRan2010 to 2021Enrolled110,000ConditionsHip Prosthesis InfectionArmsLaminary airflow
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 140 citations in OpenAlex.

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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Alma PedersenDepartment of Orhopaedics, Aarhus University Hospital, Denmark. abp@soci.au.dk
Søren Johnsen
Søren Overgaard
Kjeld Søballe
Henrik T Sørensen
Ulf Lucht
Aalborg University Hospital · DKAarhus University Hospital · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are few publications regarding the validity of data in hip arthroplasty registers. The Danish Hip Arthroplasty Registry (DHR) is a nationwide clinical database of THAs and revisions in Denmark. PATIENTS AND

methodsWe assessed the completeness of registration of primary total hip arthroplasties (THAs) and revisions in the DHR from 1995-2000. In addition, the positive predictive value (PPV) of registered data for diagnoses in patients undergoing primary THA and postoperative complications was analyzed. Completeness was assessed using the Danish National Registry of Patients (NRP) as a reference, which is a nationwide and population-based registry of all somatic hospital admissions since 1977. The positive predictive value of registered data was assessed by review of medical records and preoperative radiographs from samples of randomly selected patients registered in the DHR using a standardized form.

resultsThe overall completeness of registration for primary THAs and/or revisions was 94% (26,129 patients registered in both NRP and DHR and 27,757 patients registered in the NRP). There was a lower degree of completeness for revisions than for primary THAs (81% versus 94%). The completeness did not vary substantially according to gender and age. Completeness of registration was lower for university hospitals than for other hospitals (91% versus 95%), and for low-volume hospitals (87%) relative to those with medium (92%) and high volumes (96%). Overall, the diagnoses in patients undergoing primary THA could be confirmed in 84% (387/459) of the patients who were reviewed. The diagnosis of fresh fracture of the proximal femur was confirmed in only one third (22/73) of the cases. Postoperative complications were confirmed in two-thirds (36/54) of the patients reviewed. The specificity of the registration of postoperative complications was, however, only one-third (8/26).

interpretationWe conclude that the Danish Hip Arthroplasty Registry is a potentially valuable tool for quality improvement and research due to the high degree of completeness of registrations regarding THA, and its moderate-to-high positive predictive value of registration for diagnoses in patients undergoing primary THA. However, information on several diagnoses for primary THA and on postoperative complications should be used with caution.

Indexed as

Arthroplasty, Replacement, HipRegistriesAgedDenmarkFemaleHumansMaleMiddle AgedPostoperative ComplicationsPredictive Value of Tests

Identifiers

PMID15370588
OpenAlexW2119391729

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.