Using patient-reported outcomes to predict revision arthroplasty following femoral neck fracture: enhancing the value of clinical registries through data linkage

Ekegren, Christina L, de Steiger, Richard, Edwards, Elton R, Page, Richard S, Hau, Raphael, Liew, Susan, Oppy, Andrew and Gabbe, Belinda J 2019, Using patient-reported outcomes to predict revision arthroplasty following femoral neck fracture: enhancing the value of clinical registries through data linkage, International journal of environmental research and public health, vol. 16, no. 8, pp. 1-12, doi: 10.3390/ijerph16081325.

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Title Using patient-reported outcomes to predict revision arthroplasty following femoral neck fracture: enhancing the value of clinical registries through data linkage
Author(s) Ekegren, Christina L
de Steiger, Richard
Edwards, Elton R
Page, Richard SORCID iD for Page, Richard S orcid.org/0000-0002-2225-7144
Hau, Raphael
Liew, Susan
Oppy, Andrew
Gabbe, Belinda J
Journal name International journal of environmental research and public health
Volume number 16
Issue number 8
Start page 1
End page 12
Total pages 12
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2019-04-12
ISSN 1660-4601
Keyword(s) arthroplasty
femoral neck fractures
pain
patient reported outcome measures
registries
Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
Summary The aim of this study was to determine the association between patient-reported outcome measures (PROMs) six months following femoral neck fracture after a low fall and future arthroplasty, and the factors associated with this. Six-month post-fracture PROMs were collected from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) for patients aged >55 years who were admitted for a femoral neck fracture after a low fall between March 2007 and June 2015. These cases were linked with those registered by Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) up to October 2016. Multivariable analysis was performed using a Cox proportional hazards model to determine factors associated with future arthroplasty, including six-month PROMs. Of the 7077 hip fracture patients registered by VOTOR during the study period, 2325 met the inclusion criteria. Internal fixation being used for the initial hip fracture surgery, being younger and having no pre-injury disability were all independently associated with future revision or conversion to arthroplasty. Out of all PROMs, reporting pain and discomfort six months post-fracture was associated with a 9.5-fold increase in the risk of future arthroplasty (95% CI: 3.81, 23.67). The value of clinical registries can be enhanced via data linkage, in this case by using PROMs to predict arthroplasty following femoral neck fracture.
Language eng
DOI 10.3390/ijerph16081325
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, the authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121065

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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