PDF(Pubmed)
Abstract：
OBJECTIVE: Four joint arthroplasty registries (JARs) levels exist based on the recorded data type. Level I JARs are national registries that record primary data. Hospital or institutional JARs (Level II-IV) document further data (patient-reported outcomes, demographic, radiographic). A worldwide list of Level II-IV JARs must be created to effectively assess and categorize these data.
METHODS: Our study is a systematic scoping review that followed the PRISMA guidelines and included 648 studies. Based on their publications, the study aimed to map the existing Level II-IV JARs worldwide. The secondary aim was to record their lifetime, publications\' number and frequency and recognise differences with national JARs.
RESULTS: One hundred five Level II-IV JARs were identified. Forty-eight hospital-based, 45 institutional, and 12 regional JARs. Fifty JARs were found in America, 39 in Europe, nine in Asia, six in Oceania and one in Africa. They have published 485 cohorts, 91 case-series, 49 case-control, nine cross-sectional studies, eight registry protocols and six randomized trials. Most cohort studies were retrospective. Twenty-three per cent of papers studied patient-reported outcomes, 21.45% surgical complications, 13.73% postoperative clinical and 5.25% radiographic outcomes, and 11.88% were survival analyses. Forty-four JARs have published only one paper. Level I JARs primarily publish implant revision risk annual reports, while Level IV JARs collect comprehensive data to conduct retrospective cohort studies.
CONCLUSIONS: This is the first study mapping all Level II-IV JARs worldwide. Most JARs are found in Europe and America, reporting on retrospective cohorts, but only a few report on studies systematically.
METHODS: Our study is a systematic scoping review that followed the PRISMA guidelines and included 648 studies. Based on their publications, the study aimed to map the existing Level II-IV JARs worldwide. The secondary aim was to record their lifetime, publications\' number and frequency and recognise differences with national JARs.
RESULTS: One hundred five Level II-IV JARs were identified. Forty-eight hospital-based, 45 institutional, and 12 regional JARs. Fifty JARs were found in America, 39 in Europe, nine in Asia, six in Oceania and one in Africa. They have published 485 cohorts, 91 case-series, 49 case-control, nine cross-sectional studies, eight registry protocols and six randomized trials. Most cohort studies were retrospective. Twenty-three per cent of papers studied patient-reported outcomes, 21.45% surgical complications, 13.73% postoperative clinical and 5.25% radiographic outcomes, and 11.88% were survival analyses. Forty-four JARs have published only one paper. Level I JARs primarily publish implant revision risk annual reports, while Level IV JARs collect comprehensive data to conduct retrospective cohort studies.
CONCLUSIONS: This is the first study mapping all Level II-IV JARs worldwide. Most JARs are found in Europe and America, reporting on retrospective cohorts, but only a few report on studies systematically.
摘要：
目的：根据所记录的数据类型，存在四个关节置换术注册（JAR）级别。一级JAR是记录原始数据的国家登记册。医院或机构JAR（II-IV级）记录进一步的数据（患者报告的结果，人口统计学,射线照相）。必须创建全球II-IV级JAR列表，以有效评估和分类这些数据。
方法：我们的研究是一项遵循PRISMA指南的系统范围评价，包括648项研究。根据他们的出版物，该研究旨在绘制全球现有的II-IV级JAR。次要目标是记录他们的一生，出版物的数量和频率，并认识到与国家JAR的差异。
结果：确定了105个II-IV级JAR。四十八家医院,45机构，和12个区域JAR。在美国发现了50个JAR，39在欧洲，亚洲有九个，六个在大洋洲，一个在非洲。他们已经发布了485个队列，91箱系列,49病例控制，九项横断面研究，8项注册协议和6项随机试验。大多数队列研究是回顾性的。23%的论文研究了患者报告的结果，手术并发症占21.45%,13.73%的术后临床和5.25%的影像学结果，11.88%为生存分析。44位JAR仅发表了一篇论文。一级JAR主要发布植入物修订风险年度报告，而IV级JAR收集全面数据进行回顾性队列研究。
结论：这是对全球所有II-IV级JAR进行的第一项研究。大多数JAR都在欧洲和美国发现，报告回顾性队列，但只有少数报告系统的研究。
方法：我们的研究是一项遵循PRISMA指南的系统范围评价，包括648项研究。根据他们的出版物，该研究旨在绘制全球现有的II-IV级JAR。次要目标是记录他们的一生，出版物的数量和频率，并认识到与国家JAR的差异。
结果：确定了105个II-IV级JAR。四十八家医院,45机构，和12个区域JAR。在美国发现了50个JAR，39在欧洲，亚洲有九个，六个在大洋洲，一个在非洲。他们已经发布了485个队列，91箱系列,49病例控制，九项横断面研究，8项注册协议和6项随机试验。大多数队列研究是回顾性的。23%的论文研究了患者报告的结果，手术并发症占21.45%,13.73%的术后临床和5.25%的影像学结果，11.88%为生存分析。44位JAR仅发表了一篇论文。一级JAR主要发布植入物修订风险年度报告，而IV级JAR收集全面数据进行回顾性队列研究。
结论：这是对全球所有II-IV级JAR进行的第一项研究。大多数JAR都在欧洲和美国发现，报告回顾性队列，但只有少数报告系统的研究。
