[Update of the Amputation Registry Germany (AMP-Registry)].

Abstract

Background: Medical registries are used to collect valuable patient data in order to check and control the quality and effectiveness of treatment approaches. National registries in the field of amputation and patient care, such as the Swedish Amputation and Prosthetics Registry (SwedeAmp) and the Limb Loss and Preservation Registry (LLPR) in the USA, gather information on prosthetic devices, materials, procedures and patient-related outcomes such as mobility and quality of life. Since 2011 SwedeAmp could generate significant insights into long-term outcomes after amputations and improve prosthetic care in Sweden. In the USA the LLPR collects data on aspects ranging from clinical to psychosocial aspects, enabling international comparisons and the optimization of care.

Material and methods: In Germany the AMP Registry makes significant contributions by documenting data on prosthetic fit, wearing comfort and the reasons for revisions. The aim of the AMP Registry is to create an evidence base through systematic data collection. The project includes the development of a user-friendly IT structure, a pilot phase for application evaluation and close collaboration with experts. Standardized datasets aim to identify deficits in care and develop evidence-based approaches. Data collection and storage are carried out in compliance with the General Data Protection Regulation (DSGVO) and secured through technical measures.

Results and discussion: Initial results from the Heidelberg Study Center demonstrate the potential of the AMP Registry. Subgroup analyses support optimization of care and highlight the importance of regular assessments to improve long-term care.