Zaid Hamoodi, Joanne Shapiro, Adrian Sayers, Michael R Whitehouse, Adam C Watts, Jennifer Abbott, Sarah Abbott, Oliver Adebayo, Kashif Ahmad, Philip Ahrens, Michael Akinfala, Nawfal Al-Hadithy, Majed Al-Najjar, Rouin Amirfeyz, Sudhi Ankarath, Fiona Ashton, Kelly Aulton, Sunil Auplish, Jane Austin, Segun Ayeko, Raja Azhar, Rish Bahia, Steven Baines, Marisol Baldomir, Sneha Barai, Benjamin Barkham, Emily Barrett, Timothy Batten, Luckshman Bavan, Jonathan Baxter, Sera Beaumont, James Bentley, Gev Bhabra, Mahendar Bhat, Ankit Bhatt, Mahmoud Bhingraj, Aqeel Bhutta, Samuel Bingham, Jenny Blastland, David Boardman, Michael Boateng, Kasia Bojarska, Khalis Boksh, Simon Booker, Sebastian Borreshi, Michael Bould, Lesley Boulton, Linda Brannan, Zarina Breidaka, Rachel Brereton, Mark Brinsden, Joanne Brooker, Sabine Brookes, Cheryl Broux, Elke Brown, Jacqueline Browne, Richard Bryant, James Buchanan, Lisa Buck, Karen Burnett, Melanie Burrows, Jill Burt, David Burton, Usman Butt, Barry Campaner, Jaime Candal-Couto, Hannah Carvell, Jagannath Chakravarthy, Somashree Chatterji, Salma Chaudhury, Govind S Chauhan, Adrian Chojnowski, Janani Cittambalam, David Clark, Malgorzata Gosia Clarke, Ben Clarke, Andrew Clelland, Roz Cochrane, Karen Colbridge, Hayley Cook, Becky Cooper, Elizabeth Correa, Joanna Craven, Jason Crawford, Sherri Curtis, Rory Cuthbert, Jeremy Dainton, Lisa Dale, Sammy Davies, Joanne Davis, Vicky Davis, Ben Dean, Tom Dehler, Sonu Dennis, Jacob Der Tavitian, Aravind Desai, Sukhraj S Dhillon, Richard Dias, Graham Dickinson, Margo Dirckx, Oliver Dixon, Charles Docker, Ronald Dodenhoff, Peter Domos, Kingsleypaul Draviaraj, Steven Drew, Caroline Duff, Sarah Duffin, Paula Durham, Kirstie Earnshaw, Jefin Edakalathur, Michelle Edwards, Zain Elahi, Samantha Else, Moustafa Emara, Khemerin Eng, Alireza Esfandiari, Colin Esler, Jon Evans, Alicia Everall, Alistair Eyre-Brook, Muhamed Farhan-Alanie, Simon Federer, Sharon Ferdinandus, Marie Finch, Jochen Fischer, Catherine Flood, Christine Forde, Justin Forder, Lisa Fowler, Marieta Franklin, Hamez Gacaferi, David Gamble, Sunil Garg, Vicki Gill, Jean Ginley, Emma Glancey, Gemma Glanville, Aimen Gmati, Karen Goddard, Jay Goel, Carly Goldsmith, Ben Gooding, Fiona Goodwin, Benjamin Goring, Will Goude, Paul Guyver, Samuel Haines, Aziz Haque, Thomas Hardley, Susan Haritonow, Louise Harnett, Joanna Harris, Margaret Harris, Jane Harrison, Isabelle Hauffe, Archie Hawken, Dave Hawkes, Stuart Hay, Mia Haywood, Siddhant Hedge, Susan Hickey, Anne Hickinson, Deborah Higgs, Richard Hill, Sharyn Hill, Jamie Hind, Maria Hitchcock, Terry Holdcroft, Emily Holdcroft, Ann Holliday, Siobhan Hudson, Hazel Hughes, Rabia Imtiaz, Sheeraz Iqbal, Yamen Jabr, Crystal Jackson, Jackie Jameson, Odette Jayme, Andrew Jennings, Cara Jenvey, Elizabeth Jewitt, Andreea Jimenez, John Joby, Adrian Jones, Neil Jones, Jadranka Jovanovic, Vanessa Kabala, Niel Kang, Gulnaz Kausor, Sarah Kaynes, Conal Keane, Lauren Keen, Gaynor Kelly, Matthew Kent, Jonathan Kent, Carla Kerr, Julie Kerr, Christina King, Anthony Kinnair, Gemma Kinsley, Alastair Konarski, Jacqueline Kord, Hari Kumar, Sachin Kumar, Rebecca Lafferty, Patrick Lancaster, William Levitt, Alexandria Lewin, Yueyang Li, Ignatius Liew, Martin Yizhe Lim, Stephen Lipscombe, Edith Lynch, Scott MacInnes, Paula Madden, Nick Maddocks, Ravindra Mahajan, Rachel Mahoney, Sheraz Malik, Syed Mannan, Alexandros Maris, Michael Markey, Christy Martin, Rebecca Martin, Stanley Masunda, George Mazis, Anne-Marie Mcauliffe, Tim McBride, Amy McGowan, Nicolee Mckeown, George McLauchlan, Debbie McNally, Joel Melton, Jane Miller, Cathy Millyard, Claire Mitchell, Foad Mohamed, Abdalla Mohamed, Helen Charlotte Montgomery, Darren Munn, John Mutimer, Rajesh Nanda, Daniel Neen, Lynne Newton, Ashley Newton, Aly Nicholl, Jessica Nightingale, Emma Ogden, Peter Orton, Lynda Oswald, Kelly Page, Maria Paius, Madhavan Papanna, Neelam Patel, Claudia Paul, Chris Peach, Derek Pegg, Sue Penfold, Eleanore Phillips, Greg Pickering, Christos Plakogiannis, Julie Platt, Craig Pole, Richard Potter, Kate Povall, Riten Pradhan, Ganesh Prasad, Karen Price, Julie Pride, Afnan Prins, Layth Qazzaz, Ajay Radhakrishnan, Ashwanth Ramesh, Adil Rashid, Abbas Rashid, Damir Rasidovic, Emily Ratford, Jan Rayner, Jae Rhee, Matthew Rice-Evans, Martha Ricketts, Deborah Roach, Eve R Waters, Simon Robinson, Paul Robinson, Samantha Rodgers, Emma Rogers, Aaron Rooney, Dan Rossouw, Bibhas Roy, Maseh Sadiqi, Markus Sagmeister, David Samy, Paige Sanders, Kelly Sanderson, Dilraj Sandher, Nastaran Sargazi, Mark Saunders, Nicky Saunders, Kim Savage, Seif Sawalha, Melissa Schouw, Gareth Scott, Gunther Selzer, Lucia Sepesiova, Sohan Shah, Shantanu Shahane, Grant Shaw, Suzani Shrestha, John Shutt, Nashat Siddiqui, Sijin Sidharthan, Adrian Simons, Vera Simpson, Pierre Sinclair, Paul Siney, Jagwant Singh, Bijayendra Singh, Harvinder Singh, Apurv Sinha, Callum Smith, Christopher Smith, Kerry Smith, Brinda Somanchi, Muhab Soufan, Cynthia Southgate, Jeremy Southgate, Nicola Spearpoint, Rebecca Stainer, Richard Stevens, Batya Stimler, Andrew Stone, Danielle Suter, Charlie Talbot, Tareq Tareef, Kanthan Theivendran, Beverely Thomas, William Thomas, Andrew Thompson, Jackie Thompson, Elizabeth Thornhill, Andrew Titchener, Michael Townley, Tina Tozer, Jennie Truman, Adam Truss, Rob Turner, Lee Van Rensburg, Vinayak Venugopal, Sam Vollans, Louise Waller, Anna Walsh, Aleena Waraich, Nicholas Wei, William James White, Mark Wilkinson, Daniel Williams, Philip Williams, Nicola Williams, Stephanie Wilson, David Wood, Shirley Yadu, Tejas Yarashi, Julian Zeolla, Nasri H Zreik, Ben Ollivere
{"title":"The National Joint Registry Data Quality Audit of elbow arthroplasty.","authors":"Zaid Hamoodi, Joanne Shapiro, Adrian Sayers, Michael R Whitehouse, Adam C Watts, Jennifer Abbott, Sarah Abbott, Oliver Adebayo, Kashif Ahmad, Philip Ahrens, Michael Akinfala, Nawfal Al-Hadithy, Majed Al-Najjar, Rouin Amirfeyz, Sudhi Ankarath, Fiona Ashton, Kelly Aulton, Sunil Auplish, Jane Austin, Segun Ayeko, Raja Azhar, Rish Bahia, Steven Baines, Marisol Baldomir, Sneha Barai, Benjamin Barkham, Emily Barrett, Timothy Batten, Luckshman Bavan, Jonathan Baxter, Sera Beaumont, James Bentley, Gev Bhabra, Mahendar Bhat, Ankit Bhatt, Mahmoud Bhingraj, Aqeel Bhutta, Samuel Bingham, Jenny Blastland, David Boardman, Michael Boateng, Kasia Bojarska, Khalis Boksh, Simon Booker, Sebastian Borreshi, Michael Bould, Lesley Boulton, Linda Brannan, Zarina Breidaka, Rachel Brereton, Mark Brinsden, Joanne Brooker, Sabine Brookes, Cheryl Broux, Elke Brown, Jacqueline Browne, Richard Bryant, James Buchanan, Lisa Buck, Karen Burnett, Melanie Burrows, Jill Burt, David Burton, Usman Butt, Barry Campaner, Jaime Candal-Couto, Hannah Carvell, Jagannath Chakravarthy, Somashree Chatterji, Salma Chaudhury, Govind S Chauhan, Adrian Chojnowski, Janani Cittambalam, David Clark, Malgorzata Gosia Clarke, Ben Clarke, Andrew Clelland, Roz Cochrane, Karen Colbridge, Hayley Cook, Becky Cooper, Elizabeth Correa, Joanna Craven, Jason Crawford, Sherri Curtis, Rory Cuthbert, Jeremy Dainton, Lisa Dale, Sammy Davies, Joanne Davis, Vicky Davis, Ben Dean, Tom Dehler, Sonu Dennis, Jacob Der Tavitian, Aravind Desai, Sukhraj S Dhillon, Richard Dias, Graham Dickinson, Margo Dirckx, Oliver Dixon, Charles Docker, Ronald Dodenhoff, Peter Domos, Kingsleypaul Draviaraj, Steven Drew, Caroline Duff, Sarah Duffin, Paula Durham, Kirstie Earnshaw, Jefin Edakalathur, Michelle Edwards, Zain Elahi, Samantha Else, Moustafa Emara, Khemerin Eng, Alireza Esfandiari, Colin Esler, Jon Evans, Alicia Everall, Alistair Eyre-Brook, Muhamed Farhan-Alanie, Simon Federer, Sharon Ferdinandus, Marie Finch, Jochen Fischer, Catherine Flood, Christine Forde, Justin Forder, Lisa Fowler, Marieta Franklin, Hamez Gacaferi, David Gamble, Sunil Garg, Vicki Gill, Jean Ginley, Emma Glancey, Gemma Glanville, Aimen Gmati, Karen Goddard, Jay Goel, Carly Goldsmith, Ben Gooding, Fiona Goodwin, Benjamin Goring, Will Goude, Paul Guyver, Samuel Haines, Aziz Haque, Thomas Hardley, Susan Haritonow, Louise Harnett, Joanna Harris, Margaret Harris, Jane Harrison, Isabelle Hauffe, Archie Hawken, Dave Hawkes, Stuart Hay, Mia Haywood, Siddhant Hedge, Susan Hickey, Anne Hickinson, Deborah Higgs, Richard Hill, Sharyn Hill, Jamie Hind, Maria Hitchcock, Terry Holdcroft, Emily Holdcroft, Ann Holliday, Siobhan Hudson, Hazel Hughes, Rabia Imtiaz, Sheeraz Iqbal, Yamen Jabr, Crystal Jackson, Jackie Jameson, Odette Jayme, Andrew Jennings, Cara Jenvey, Elizabeth Jewitt, Andreea Jimenez, John Joby, Adrian Jones, Neil Jones, Jadranka Jovanovic, Vanessa Kabala, Niel Kang, Gulnaz Kausor, Sarah Kaynes, Conal Keane, Lauren Keen, Gaynor Kelly, Matthew Kent, Jonathan Kent, Carla Kerr, Julie Kerr, Christina King, Anthony Kinnair, Gemma Kinsley, Alastair Konarski, Jacqueline Kord, Hari Kumar, Sachin Kumar, Rebecca Lafferty, Patrick Lancaster, William Levitt, Alexandria Lewin, Yueyang Li, Ignatius Liew, Martin Yizhe Lim, Stephen Lipscombe, Edith Lynch, Scott MacInnes, Paula Madden, Nick Maddocks, Ravindra Mahajan, Rachel Mahoney, Sheraz Malik, Syed Mannan, Alexandros Maris, Michael Markey, Christy Martin, Rebecca Martin, Stanley Masunda, George Mazis, Anne-Marie Mcauliffe, Tim McBride, Amy McGowan, Nicolee Mckeown, George McLauchlan, Debbie McNally, Joel Melton, Jane Miller, Cathy Millyard, Claire Mitchell, Foad Mohamed, Abdalla Mohamed, Helen Charlotte Montgomery, Darren Munn, John Mutimer, Rajesh Nanda, Daniel Neen, Lynne Newton, Ashley Newton, Aly Nicholl, Jessica Nightingale, Emma Ogden, Peter Orton, Lynda Oswald, Kelly Page, Maria Paius, Madhavan Papanna, Neelam Patel, Claudia Paul, Chris Peach, Derek Pegg, Sue Penfold, Eleanore Phillips, Greg Pickering, Christos Plakogiannis, Julie Platt, Craig Pole, Richard Potter, Kate Povall, Riten Pradhan, Ganesh Prasad, Karen Price, Julie Pride, Afnan Prins, Layth Qazzaz, Ajay Radhakrishnan, Ashwanth Ramesh, Adil Rashid, Abbas Rashid, Damir Rasidovic, Emily Ratford, Jan Rayner, Jae Rhee, Matthew Rice-Evans, Martha Ricketts, Deborah Roach, Eve R Waters, Simon Robinson, Paul Robinson, Samantha Rodgers, Emma Rogers, Aaron Rooney, Dan Rossouw, Bibhas Roy, Maseh Sadiqi, Markus Sagmeister, David Samy, Paige Sanders, Kelly Sanderson, Dilraj Sandher, Nastaran Sargazi, Mark Saunders, Nicky Saunders, Kim Savage, Seif Sawalha, Melissa Schouw, Gareth Scott, Gunther Selzer, Lucia Sepesiova, Sohan Shah, Shantanu Shahane, Grant Shaw, Suzani Shrestha, John Shutt, Nashat Siddiqui, Sijin Sidharthan, Adrian Simons, Vera Simpson, Pierre Sinclair, Paul Siney, Jagwant Singh, Bijayendra Singh, Harvinder Singh, Apurv Sinha, Callum Smith, Christopher Smith, Kerry Smith, Brinda Somanchi, Muhab Soufan, Cynthia Southgate, Jeremy Southgate, Nicola Spearpoint, Rebecca Stainer, Richard Stevens, Batya Stimler, Andrew Stone, Danielle Suter, Charlie Talbot, Tareq Tareef, Kanthan Theivendran, Beverely Thomas, William Thomas, Andrew Thompson, Jackie Thompson, Elizabeth Thornhill, Andrew Titchener, Michael Townley, Tina Tozer, Jennie Truman, Adam Truss, Rob Turner, Lee Van Rensburg, Vinayak Venugopal, Sam Vollans, Louise Waller, Anna Walsh, Aleena Waraich, Nicholas Wei, William James White, Mark Wilkinson, Daniel Williams, Philip Williams, Nicola Williams, Stephanie Wilson, David Wood, Shirley Yadu, Tejas Yarashi, Julian Zeolla, Nasri H Zreik, Ben Ollivere","doi":"10.1302/0301-620X.106B12.BJJ-2023-1372.R1","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>The aim of this audit was to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset for arthroplasty of the elbow.</p><p><strong>Methods: </strong>It was performed in two phases. In Phase 1, the completeness was assessed by comparing the NJR elbow dataset with the NHS England Hospital Episode Statistics (HES) data between April 2012 and April 2020. In order to assess the accuracy of the data, the components of each arthroplasty recorded in the NJR were compared to the type of arthroplasty which was recorded. In Phase 2, a national collaborative audit was undertaken to evaluate the reasons for unmatched data, add missing arthroplasties, and evaluate the reasons for the recording of inaccurate arthroplasties and correct them.</p><p><strong>Results: </strong>Phase 1 identified 5,539 arthroplasties in HES which did not match an arthroplasty on the NJR, and 448 inaccurate arthroplasties from 254 hospitals. Most mismatched procedures (3,960 procedures; 71%) were radial head arthroplasties (RHAs). In Phase 2, 142 NHS hospitals with 3,640 (66%) mismatched and 314 (69%) inaccurate arthroplasties volunteered to assess their records. A large proportion of the unmatched data (3,000 arthroplasties; 82%) were confirmed as being missing from the NJR. The overall rate of completeness of the NJR elbow dataset improved from 63% to 83% following phase 2, and the completeness of total elbow arthroplasty data improved to 93%. Missing RHAs had the biggest impact on the overall completeness, but through the audit the number of RHAs in the NJR nearly doubled and completeness increased from 35% to 70%. The accuracy of data was 94% and improved to 98% after correcting 212 of the 448 inaccurately recorded arthroplasties.</p><p><strong>Conclusion: </strong>The rate of completeness of the NJR total elbow arthroplasty dataset is currently 93% and the accuracy is 98%. This audit identified challenges of data capture with regard to RHAs. Collaboration with a trauma and orthopaedic trainees through the British Orthopaedic Trainee Association improved the completeness and accuracy of the NJR elbow dataset, which will improve the validity of the reports and of the associated research.</p>","PeriodicalId":48944,"journal":{"name":"Bone & Joint Journal","volume":"106-B 12","pages":"1461-1468"},"PeriodicalIF":4.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Bone & Joint Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1302/0301-620X.106B12.BJJ-2023-1372.R1","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Aims: The aim of this audit was to assess and improve the completeness and accuracy of the National Joint Registry (NJR) dataset for arthroplasty of the elbow.
Methods: It was performed in two phases. In Phase 1, the completeness was assessed by comparing the NJR elbow dataset with the NHS England Hospital Episode Statistics (HES) data between April 2012 and April 2020. In order to assess the accuracy of the data, the components of each arthroplasty recorded in the NJR were compared to the type of arthroplasty which was recorded. In Phase 2, a national collaborative audit was undertaken to evaluate the reasons for unmatched data, add missing arthroplasties, and evaluate the reasons for the recording of inaccurate arthroplasties and correct them.
Results: Phase 1 identified 5,539 arthroplasties in HES which did not match an arthroplasty on the NJR, and 448 inaccurate arthroplasties from 254 hospitals. Most mismatched procedures (3,960 procedures; 71%) were radial head arthroplasties (RHAs). In Phase 2, 142 NHS hospitals with 3,640 (66%) mismatched and 314 (69%) inaccurate arthroplasties volunteered to assess their records. A large proportion of the unmatched data (3,000 arthroplasties; 82%) were confirmed as being missing from the NJR. The overall rate of completeness of the NJR elbow dataset improved from 63% to 83% following phase 2, and the completeness of total elbow arthroplasty data improved to 93%. Missing RHAs had the biggest impact on the overall completeness, but through the audit the number of RHAs in the NJR nearly doubled and completeness increased from 35% to 70%. The accuracy of data was 94% and improved to 98% after correcting 212 of the 448 inaccurately recorded arthroplasties.
Conclusion: The rate of completeness of the NJR total elbow arthroplasty dataset is currently 93% and the accuracy is 98%. This audit identified challenges of data capture with regard to RHAs. Collaboration with a trauma and orthopaedic trainees through the British Orthopaedic Trainee Association improved the completeness and accuracy of the NJR elbow dataset, which will improve the validity of the reports and of the associated research.
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