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Review
. 2017 Mar 13;1(4):100-106.
doi: 10.1302/2058-5241.1.000045. eCollection 2016 Apr.

Developing a national quality registry for hand surgery: challenges and opportunities

Marianne Arner  1
Affiliations
Review

Developing a national quality registry for hand surgery: challenges and opportunities

Marianne Arner. EFORT Open Rev. .

Abstract

The Scandinavian National Healthcare Quality Registries (NQRs) have brought about considerable improvements since their introduction in the 1970s.One such registry - HAKIR ('hand surgery') - was established in 2010 and was likely the first NQR for hand surgery.Patient-reported outcome and reoperations due to post-operative complications are registered in HAKIR, as well as hand function in selected groups of surgical procedures.Creating simple logistics for collecting data and careful planning are important factors when establishing a new NQR.Continuous surveillance of data validity and coverage are crucial for success.With perseverance, large databases for clinical research can be created, along with the establishment of national multi-professional collaboration in healthcare improvement work. Cite this article: Arner, M. Developing a national quality registry for hand surgery: challenges and opportunities. EFORT Open Rev 2016;1:100-106. DOI: 10.1302/2058-5241.1.000045.

Keywords: hand surgery; healthcare quality; orthopaedic registries; quality registers.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Fig. 1
Fig. 1
Work flow for basic and extended registrations in HAKIR. All performed operations at each department are included in the basic registration. Extended registration can be added for selected types of operations, e.g. surgery for flexor tendon injury, joint implants and osteoarthritis of the thumb. Patients aged under 16 years, or with cognitive problems, or undergoing repeated surgery are not required to fill in the questionnaires.
Fig. 2
Fig. 2
QuickDASH pre- and post-operative scores for patients who underwent a trapezectomy, with or without tendon interposition, for arthritis of the thumb. Results from the HAKIR questionnaire as reported in the annual report for 2014. FCR, flexor carpi radialis; ECRL, extensor carpi radialis longus; APL, abductor pollicis longus. n indicates the number of responses. 0 = no, and 100 = maximal perceived disability from the hand and arm. Error bars show 95% confidence intervals.
See this image and copyright information in PMC

References

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