ArticleClinical epidemiology2021
Completeness in the Swedish Fracture Register and the Swedish National Patient Register: An Assessment of Humeral Fracture Registrations.
Article in Clinical epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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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.
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Who cites it
29 citing papers in PubMed.
- Article
- Incidence of proximal humerus fracture among older adults in Oslo, Norway varies by country background, marital status, and season.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Fracture risk prediction, treatment thresholds, and the role of bone mineral density: a comparative analysis of FRAX and SHAFRE.Journal of bone and mineral metabolism · 2026Article
- Fracture distribution in cross-country skiing accidents: an observational study from the Swedish Fracture Register.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Observational
- Article
- Epidemiology and treatment of forearm fractures in Swedish children and adolescents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Patient-reported outcomes following patella fractures : a nationwide observational study of 8,726 patients from the Swedish Fracture Register.Bone & joint open · 2025Article
- Fractures with complex fracture patterns are associated with increased rate of subsequent conversion to total knee arthroplasty after a tibial plateau fracture: an observational cohort study of 12,012 patients from the Swedish Fracture Register.Knee surgery & related research · 2025Article
- Secondary surgery and mortality following primary treatment for acetabular fractures - an observational study from Swedish national quality registers.Journal of orthopaedic surgery and research · 2025Observational
- Fractures sustained by slipping on ice or snow: an epidemiological study of 50,500 fractures from the Swedish Fracture Register.Acta orthopaedica · 2025Article
- Diagnostic accuracy in the Swedish national patient register: a review including diagnoses in the outpatient register.European journal of epidemiology · 2025Review
- Incidence, treatment, and mortality of ankle fractures: a Danish population-based cohort study.Acta orthopaedica · 2025Article
- Patient-reported outcome following an acetabular fracture: an observational study of 385 patients from the Swedish Fracture Register.Acta orthopaedica · 2024Observational
- A novel clinical prediction model for hip fractures: a development and validation study in the total population of Sweden.EClinicalMedicine · 2024Article
- Fracture distribution in electric scooter accidents: a nationwide observational cohort study of 1,874 fractures from the Swedish fracture register.Journal of orthopaedic surgery and research · 2024Observational
- The significance of recent fracture location for imminent risk of hip and vertebral fractures-a nationwide cohort study on older adults in Sweden.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Validation of the Swedish Quality Register for Ear Surgery - SwedEar.BMC medical informatics and decision making · 2023Article
- Unchanged incidence but change in treatment trends from 1996 to 2018: 23,718 humeral shaft fractures from the Danish National Patient Registry.Acta orthopaedica · 2023Article
- The different strategies in treating displaced femoral neck fractures: mid-term surgical outcome in a register-based cohort of 1,283 patients aged 60-69 years.Acta orthopaedica · 2023Article
- Validity of distal radius fracture diagnoses in the Swedish National Patient Register.European journal of medical research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRegister-based clinical research is important. However, it is essential that the collected data are reliable for the registers to be a valuable source of information. This study evaluated the quality of humeral fracture data in the Swedish Fracture Register (SFR) and in the Swedish National Patient Register (NPR). Furthermore, a model for improved case ascertainment was developed for future validation processes. MATERIALS AND
methodsData were obtained from the NPR and SFR for all individuals aged ≥16 years with an acute humeral fracture ICD-code treated at Sahlgrenska University Hospital. The true number of humeral fractures ("gold standard") was determined by cross-linkage between the two registers and a medical charts review. The completeness of registrations in each register was measured as the proportion of registrations compared with the gold standard, and accuracy was measured as positive predictive values (PPV).
resultsThe NPR demonstrated a high level of completeness (97%) and lower accuracy (PPV 70%) for acute humeral fractures, whereas the SFR had slightly lower completeness (88%) but perfect accuracy (PPV 100%). The most common systematic error was the registration of re-admissions as acute fractures in the NPR (84% of all erroneous registrations). With this knowledge, an adjustment model for NPR data was constructed to increase the accuracy of fracture registrations (PPV 92%) without excluding valid registrations.
conclusionData from the NPR tend to overestimate the true number of fractures, and proper case selection is needed in order for the data to function as a solid basis for epidemiological research and healthcare planning. In contrast, the SFR constitutes a complete, accurate and efficient source of information.
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