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. Attached Files Name Description MIMEType Size Downloads 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 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 Open Access Checking Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 26 Apr 2019, 11:08:49 EST Tue, 30 Apr 2019, 15:57:40 EST Wed, 01 May 2019, 11:28:02 EST Sat, 01 Jun 2019, 02:31:43 EST Sat, 01 Jun 2019, 02:32:52 EST Fri, 07 Jun 2019, 06:06:47 EST Tue, 18 Jun 2019, 15:48:32 EST Tue, 18 Jun 2019, 15:50:40 EST Tue, 18 Jun 2019, 15:51:16 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 27 Abstract Views, 4 File Downloads  -  Detailed Statistics Created: Fri, 26 Apr 2019, 11:08:49 EST

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