AAOS Registry Program Blog

This blog is the final installment in a three-part series reporting on orthopaedic studies presented at the 2019 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting and utilizing American Joint Replacement Registry (AJRR) registry data. All presentations are reported by Terry Stanton, senior science writer for AAOS Now.

Paper 878, “Correlation of Perioperative Periprosthetic Femur Fractures with Fixation Method” was presented by Bryan D. Springer, MD, vice chair of AJRR, on Friday, March 15, 2019 at the AAOS Annual Meeting in Las Vegas, Nevada. The study evaluated data from the AJRR over a five-year period and analyzed the relationship between femoral stem fixation and perioperative periprosthetic femur fracture (PPFx) requiring early revision total hip arthroplasty (THA) surgery. Analyses determined that cementless femoral fixation accounted for 93 percent of stems with early PPF. Dr. Springer said that patients with cementless stems were 2.6 times more likely to undergo early revision for PPF than those with cemented fixation, although the number of cemented stems in the analyzed population was small, making that finding not statistically significant.

This blog is the second in a three-part series reporting on orthopaedic studies presented at the 2019 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting and utilizing American Joint Replacement Registry (AJRR) registry data. All presentations are reported by Terry Stanton, senior science writer for AAOS Now.

Paper 877, “An Early Look at Patient-Reported Outcome (PRO) Data” was presented by Kevin J. Bozic, MD, MBA, chair of the AJRR, on Thursday, March 14, 2019 at the AAOS Annual Meeting in Las Vegas, Nevada. The study offers an “early look” at patient-reported outcome (PRO) data from the AJRR, a part of the AAOS Registry Program. Dr. Bozic explained that the study covered differences between patient-reported outcome measures (PROMs) from submitters and nonsubmitters and the response rates tallied so far for PROMs.

This blog is the first in a three-part series reporting on orthopaedic studies presented at the 2019 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting and utilizing American Joint Replacement Registry (AJRR) registry data. All presentations are reported by Terry Stanton, senior science writer for AAOS Now.

Paper 145, “National Trends in Treatment of Femoral Neck Fracture” was presented by Bryan D. Springer, MD, vice chair of AJRR, on Tuesday, March 12, 2019 at the AAOS Annual Meeting in Las Vegas, Nevada. The study tracked trends in the treatment of femoral neck fractures (FNFs) based on data from the AJRR and found that although hemiarthroplasty remained the predominant mode of treatment over the five-year study period, use of total hip arthroplasty (THA) increased significantly during that time.

Year-long effort includes six pilot sites at major U.S. academic centers

This article was originally published in the March 2019 issue of AAOS Now, the American Academy of Orthopaedic Surgeons (AAOS) monthly news magazine.

AAOS, in collaboration with the Musculoskeletal Tumor Society (MSTS), announced the launch of a Musculoskeletal Tumor (MsT) Registry feasibility pilot to begin capturing data on orthopaedic oncology bone tumor procedures in a structured and scalable way. Six major U.S. academic centers were selected to participate in the year-long program: Cleveland Clinic Foundation, Dartmouth-Hitchcock Medical Center, Johns Hopkins Medicine, Ohio State University–The James Cancer Hospital, Stanford Health Care–Stanford Hospital, and University of Iowa Hospitals and Clinics.

The American Academy of Orthopaedic Surgeons (AAOS) Registry Program collects data within multiple orthopaedic anatomic registries, thereby creating the exciting potential for analytic insights that improve patient outcomes. In February 2019, AAOS launched the AAOS Registry Analytics Institute and that potential is now an attainable reality for many clinicians! The Institute gives clinicians and clinician-scientists the opportunity to submit proposals for analytic insights that are contained within its various Registries. For example, the American Joint Replacement Registry (AJRR) houses more than 1.5 million hip and knee procedures that can inform quality improvement. The goal of the Institute is to provide a resource to the scientific community to further understand and improve orthopaedic and musculoskeletal care by making information available to examine outcomes related to orthopaedic treatment.

Discover the AAOS Registry Program: New Registries, Research Opportunities, RegistryInsights Capabilities

The 2019 American Academy of Orthopaedic Surgeons (AAOS) Annual Meeting, March 12-16, in Las Vegas, provides attendees with outstanding orthopaedic education (33 AMA PRA Category 1 Credits), networking, product introduction, and technology innovation all under one roof. The “Your Academy 2019” session on Thursday, March 14, at 10:30 a.m. offers the opportunity to hear AAOS leadership, including an incoming Presidential Address from Kristy L. Weber, MD. Read more in the 2019 Annual Meeting Program.

For those attendees that are also AAOS Registry Program participants, or thinking about participating, tailored offerings have been developed to meet your needs. These special offerings include presentations by registry experts, case studies by subscribers, poster submissions, access to knowledgeable Registry staff, the AAOS Registry Program Resource Center Booth, the User Group Network (Unet) Luncheon Meeting, and more.

The American Joint Replacement Registry (AJRR), part of the American Academy of Orthopaedic Surgeons (AAOS) Registry Program, is the largest orthopaedic hip and knee registry in the world by annual procedure count. The AJRR 2018 Annual Report’s at-a-glance summary of key insights related to total hip arthroplasty (THA) and total knee arthroplasty (TKA) is shared below. This summary format and content is a perennial favorite of our blog readership. We have tracked and reported these measures in previous years and some trends have emerged. The blog also discusses some of the Registry’s new analytic capabilities and what they contribute to current and future Registry findings.

A patient-reported outcomes program can help you choose the right surgeon and facility.

In this article, the AAOS Registry Program’s Public Advisory Board (PAB) member Timothy Mojonnier shares his personal experience as a joint replacement surgery patient. This article is not a substitute for physician recommendations.

Guest Blogger:
Timothy M. Mojonnier
President, Mojonnier & Associates
Educator, Loyola University

My symptoms appeared ten years ago while playing tennis. As I moved towards the net, I felt a stabbing pain in my right knee, so severe that I could barely walk. Upon returning home and getting x-rays, my orthopaedic specialist delivered the news: I had osteoarthritis. She indicated it was likely that I would eventually require a knee replacement; however, for eight years I was able to avoid the surgeon’s scalpel through a combination of physical therapy and medication.

This article was originally published in the December 2018 issue of AAOS Now, the American Academy of Orthopaedic Surgeons' (AAOS) monthly news magazine.

The National Evaluation System for health Technology Coordinating Center (NESTcc), an initiative of the Medical Device Innovation Consortium (MDIC), announced the first round of NESTcc test-cases that address topics of high priority from the medical device industry using real-world data and evidence.

“It’s exciting to reveal this milestone for NEST with the launch of these first test-cases… with health systems and coordinated registry networks through the NESTcc network collaborators,” said Rachael Fleurence, PhD, executive director of NESTcc.

The initial concepts were submitted in January 2018 through a public call open to medical device manufacturers. The test-cases will address two primary objectives. First, they will explore the feasibility for the medical device industry to work with real-world data sources and NESTcc’s initial set of network collaborators. Second, the test-cases will help identify areas where NESTcc could play a role in reducing transaction costs (e.g., contracting, institutional review board, data-sharing agreements, publication policies).

The American Academy of Orthopaedic Surgeons (AAOS) RegistryInsights™ provides users with an overview of their submitted procedures and of the registry as a whole. From the homepage, users can navigate to the American Joint Replacement Registry (AJRR) and new Shoulder & Elbow Registry, the musculoskeletal tumor pilot, and other offerings as they become available.

This article was originally published in the December 2018 issue of AAOS Now, the AAOS' monthly news magazine.

It’s been a year of milestones and trailblazing accomplishments for the AAOS Registry Program. In its 2018 Annual Report, having completed its reintegration within AAOS, the AJRR tallied 1,186,955 procedures from 1,067 institutions from 2012 to 2017, establishing the AJRR as the largest orthopaedic registry by annual procedure count.

"Registries are tools to help the medical profession collect data, report, and benchmark to define patient-centered quality care to identify potential procedural or implant problems before they become widespread public health issues," said AAOS President David A. Halsey, MD. "Other national joint replacement registries such as the Swedish Hip Arthroplasty Register have proven that monitoring survivorship can reduce revision rates. That translates into reducing direct medical costs and, more importantly, improving patient care and quality of life."