American Joint Replacement Registry Announced
American Academy of Orthopaedic Surgeons Creates Independent Organization
ROSEMONT, Ill. – The American Academy of Orthopaedic Surgeons (AAOS) has incorporated the American Joint Replacement Registry (AJRR), a nonprofit organization dedicated to collecting and reporting on hip and knee joint replacement procedures. AAOS believes this proposed option is a patient safety best practice.
The goal of a national joint registry is to monitor device performance, thereby allowing early recognition of underperforming processes or devices and supporting continued clinical learning. A joint registry follows the artificial joint device throughout a recipient’s lifetime in a database with information about the patient’s demographics, as well as where and when the surgery took place.
“In 2009, AAOS has made great strides in bringing the American Joint Replacement Registry to reality. We have now incorporated. And, we currently are in the process of forming project work groups to tackle data, governance and oversight issues.” said John Callaghan, MD, first vice president of the AAOS and orthopaedic surgeon at the University of Iowa.
The AAOS has researched and determined the best course of action for starting and administering a national joint registry, one that would include:
* privacy safeguards for patients;
* legal protections for device makers and physicians;
* a plan to begin capturing data as early as 2010; and
* infrastructure to capture at least 90 percent of all procedures.
In 2006, there were more than 1 million hip and knee replacements performed in the U.S. Of these, approximately 7.5 percent were revisions, resulting in 77,000 procedures at a cost of more than $32 billion. A national joint registry will help doctors to more quickly identify poorly performing products and match patient procedures and devices to optimize outcomes. Therefore, the AJRR could help limit the number of revision (or secondary) surgeries necessary and save money.
Proposed by the AAOS and related stakeholders, the AJRR proposal calls for an independent, not-for-profit organization, funded by the proposing stakeholders — orthopaedic surgeons, payers, government agencies, patient groups, hospitals and device manufacturers. The AJRR is estimated to cost $20 to $25 million to initiate.
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