TY - JOUR

T1 - The benefits of collaboration

T2 - The Nordic Arthroplasty Register Association

AU - Mäkelä, Keijo T.

AU - Furnes, Ove

AU - Hallan, Geir

AU - Fenstad, Anne Marie

AU - Rolfson, Ola

AU - Kärrholm, Johan

AU - Rogmark, Cecilia

AU - Pedersen, Alma Becic

AU - Robertsson, Otto

AU - W-Dahl, Annette

AU - Eskelinen, Antti

AU - Schrøder, Henrik M.

AU - Äärimaa, Ville

AU - Rasmussen, Jeppe V.

AU - Salomonsson, Björn

AU - Hole, Randi

AU - Overgaard, Søren

PY - 2019/6

Y1 - 2019/6

N2 - □ The Nordic Arthroplasty Register Association (NARA) was established in 2007 by arthroplasty register representatives from Sweden, Norway and Denmark with the overall aim to improve the quality of research and thereby enhance the possibility for quality improvement with arthroplasty surgery. Finland joined the NARA collaboration in 2010. □ NARA minimal hip, knee and shoulder datasets were created with variables that all countries can deliver. They are dynamic datasets, currently with 25 variables for hip arthroplasty, 20 for knee arthroplasty and 20 for shoulder arthroplasty. □ NARA has published statistical guidelines for the analysis of arthroplasty register data. The association is continuously working on the improvement of statistical methods and the application of new ones. □ There are 31 published peer-reviewed papers based on the NARA databases and 20 ongoing projects in different phases. Several NARA publications have significantly affected clinical practice. For example, metal-on-metal total hip arthroplasty and resurfacing arthroplasty have been abandoned due to increased revision risk based on i.a. NARA reports. Further, the use of uncemented total hip arthroplasty in elderly patients has decreased significantly, especially in Finland, based on the NARA data. □ The NARA collaboration has been successful because the countries were able to agree on a common dataset and variable definitions. The collaboration was also successful because the group was able to initiate a number of research projects and provide answers to clinically relevant questions. A number of specific goals, set up in 2007, have been achieved and new one has emerged in the process.

AB - □ The Nordic Arthroplasty Register Association (NARA) was established in 2007 by arthroplasty register representatives from Sweden, Norway and Denmark with the overall aim to improve the quality of research and thereby enhance the possibility for quality improvement with arthroplasty surgery. Finland joined the NARA collaboration in 2010. □ NARA minimal hip, knee and shoulder datasets were created with variables that all countries can deliver. They are dynamic datasets, currently with 25 variables for hip arthroplasty, 20 for knee arthroplasty and 20 for shoulder arthroplasty. □ NARA has published statistical guidelines for the analysis of arthroplasty register data. The association is continuously working on the improvement of statistical methods and the application of new ones. □ There are 31 published peer-reviewed papers based on the NARA databases and 20 ongoing projects in different phases. Several NARA publications have significantly affected clinical practice. For example, metal-on-metal total hip arthroplasty and resurfacing arthroplasty have been abandoned due to increased revision risk based on i.a. NARA reports. Further, the use of uncemented total hip arthroplasty in elderly patients has decreased significantly, especially in Finland, based on the NARA data. □ The NARA collaboration has been successful because the countries were able to agree on a common dataset and variable definitions. The collaboration was also successful because the group was able to initiate a number of research projects and provide answers to clinically relevant questions. A number of specific goals, set up in 2007, have been achieved and new one has emerged in the process.

KW - Minimal dataset

KW - Nordic Arthroplasty Register Association (NARA)

KW - Revision surgery

KW - Statistical analyses

KW - Total joint arthroplasty

U2 - 10.1302/2058-5241.4.180058

DO - 10.1302/2058-5241.4.180058

M3 - Journal article

C2 - 31312523

AN - SCOPUS:85066945485

VL - 4

SP - 391

EP - 400

JO - EFORT Open Reviews

JF - EFORT Open Reviews

SN - 2396-7544

IS - 6

ER -